HomeMy WebLinkAboutPermit File 1402 16th Street .:r 0'4 r City of Anacortes Permit#: BLD-2013-0201
904 6th Street Issue date: 05/08/2013
P.O.Box 547 Expire date: 11/04/2014
T ,; +j Anacortes, WA 98221-0547
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Job Address: 1402 16TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2229 Project:
APN:
Remarks: Reroof single residence with comp roofing
Owner: ANNELIESA GOURLEY Contractor:
Address: PO BOX 812 Address:
ANACORTES WA 98221-0812
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 2000 Building Permit Fee 69.25
State Building Code Fee 4.50
Total Calculated: 73.75
Deposits/Receipts: 0.00
cam, Total Due: 73.75
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE
OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
CAC
SIGNATURE OF OWNER OR AUTHO E AGENT ISSUED BY
1:" O� Re-Roof Building Permit Application
vp_ Or City of Anacortes Building Department
-/cowl. P.O. Box 547 Anacortes,WA 98221 '
Phone No.: 360-293-1901 FAX: 360.293.1938
Type of Permit: (check one) /Residential ❑Commercial
Project Address: I 4 U % Parcel ID#
Owner: HI `).V.Sa (-)101,1411 Phone Number:
Address: 1 ft5L( .o1i) City: A State:CA , Zip Code: g 1
Contractor: 1 10- Phone Number:
Address: City: State: Zip Code:
Contractor's License Number: Expiration:
Type of Roofing: k p Number of Layers: I Number of Squares:
Class of Roofing: ❑A ❑ B ❑C Installing or replacing sheeting: L.-1'e ,
Work Scheduled to Begin: 3 -7 Work Scheduled to End: A)
The following is required for NON-Residential Buildings:
❑ All Non-Residential projects will require a site visit prior to the issuance of the permit for
obvious signs of fatigue, condition of existing roofing and number of existing layers.
❑ Two copies of the installation specifications and U.L. listed roof assembly.
❑ Building square footage:
❑ Occupancy Group Office Retail
Church Restaurant
;�i School
Project Valuation: $r c 1 D ,
I hereby certify the above information is correct and that the construction on,and the occupancy and the use of
the above described property will be accordance with the laws, rules and regulations of the State of
Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A
final inspection and a• 0 royal shall be obtained when the re-roofing is complete.
011/1/0-"QUM h/r-ar '')/2-40 2
Applicants Signature Date
Revised September 11,2008
MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO.: MEC2001-00023
P.O. BOX 547
ANACORTES,WA 98221 APPLIED: 01-04-13
(360)293-1901 ISSUED: 01-04-13
EXPIRES: 02-04-13
SITE ADDRESS: 1402 16TH STREET
ASSESSOR'S PARCEL NO.: P55764
TYPE OF WORK: NEW
TYPE OF USE: RES
PROJECT DESCRIPTION: New wood stove.
OWNER CONTRACTOR
ANNELIESA GOURLEY DAVES INSTALLATIONS
P.O. BOX 812 BROADWAY
ANACORTES,WA 98221 EVERETT,WA 98201
Primary Phone: Primary Phone:
Phone 1: 293-4330 Phone 1: 425-259-4621
License#: LIC DAVESI1050N5
Equipment Fees
Equipment Type Quantity Type By Date Receipt Amount
Other Units 1 PRMT MRD 01-04-13 0106334 $34.15
Total: $34.15
NOTES:
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply
with all ordinances and state and federal laws regulating activities covered by this permit.
CITY OF ANACORTES
`� MUNICIPAL BUILDING
t6LA N'Th& D N \CJ1leAL.Q_ � n (34 ) 2 STREET-18
(368) 293-1908
Issue By: Applic FINANCENT
REG-RECEIPT:83-01863DEPARTN
34C:Apr 13 2001
CASHIER ID:M 1:37 pu A:Apr 13 2001
24 Hour Notice Required For All Irisl
CONDITIONS OF APPROVAL: 1120 BUILDING PERMIT FE $34.15
TOTAL DUE $34.15
RECEIVED FROM:
CRAFT STOVES OF WESTERN WASHINGTON
@HECK: $34.15
TOTAL TENDERED $34.15
CHANGE DUE $8.08
li
" aw CITY OF ANACQRTES
BLDG. R` PLUMBING ❑ MECHANICAL ❑
PERMIT t, a 6151.
Telephone 293-1901 ,,aa,,� r _ "'
Anacortes,WA - Date ,,w''�f' �.s • ' 19
PERMISSIQN^�IS HEREBY GRANTED TO:
OWNER41/G' < ; :.? jrzC./4a.
STREET �LJb Z /h..,+<'1A
•ADDRESS zie
Location where work is to be done
CONTRACTOR / i /it:,. Cj feel hi y,4,c 7j0 n,r
TO ERECT ❑ INSTALL ❑ OR REPAIR
IN THE FOLLOWING MANNER: ic-ric=- Cie ia,3,
0 4.111%-: ,'.. Kr 1 irrt, r:
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
4
PLANS FOR CONSTRUCTION WERE NOT WERE ❑ SUBMITTED
WORK TO BE DONE BY OWNER ❑ CONTRACTORX
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
OF WORK
State Building Code Surcharge 3 i
State Energy Study Surcharge
Building J 1./ Di- :�[) Pi 00
Plumbing and W.S.
Mechanical
Plan Check Fee
TOTAL lGfe 5 °C1 �� g LT
LEGAL DESCRIPTION i 7? 2_' ii ?- ofc/ --00o ..-
L r
CITY INSPECTOR
CITY OF ANACORTES
BLDG. fgr PLUMBING ❑ MECHANICAL D
PERMIT 6644
, Telephone 293-5173 Q 1 ;r -j„;, ^9 �
ANACORTES, WASH. DATE 1.-I t; t` - - 19C,'$ -1
PERMI5S1Og1 IS,HEREBY-GRANTED TO:
OWNER tror .3 ,.strcid.J
STREET ADDR SS / ryl ,.. ."+. a> ;;
LOCATION WHERE WORK IS TO BE DONE
CONTRACTOR '�--, '14; t 3,N,c;
TO ERECT J - INSTALL ❑ OR REPAIR.. /
IN THE FOLLOWING �M��������A��_____����N(((((NER: //1 %��. I L�f'> *r3f-'a�./2`x �y �'
%%%�%
" - PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
PLANS FOR CONSTRUCTION WEREWERE ❑NOTa -SUBMITTED
WORK TO BE DONE BY OWNER ❑ CONTRACTOR.Q f
!' RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
APPROXIMATE VALUE TYPE OF WORK PERMIT FEES
ISSUING
BUILDING /i 2' =wt.) o o,, CL>,
GAS PIPING
PLUMBING AND W.S. '
SEWER CONNECTION INSP. 1
MECHANICAL -
PLAN CHECK FEE
MISC. f -j& 1
TOTAL 3.' ✓d '67f ;O .1
LEQI,AJ;DESCRIPTION j
fJ
CITY INSPECTOR
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