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Permit File 1512 16th Street
1224903-1 0006 09/05/2012 001 3 Permit Fees 009487 $143.75 ,> Q Q . City of Anacortes Permit#: BLD-2012-0341 1 904 6th Street Issue date: 09/05/2012 P.O.Box 547 . Expire date: 03/04/2014 i'P NCO Anacortes, WA 98221-0547 Job Address: 1512 16TH ST Permit Type: Reroof Single Family Residence ANACORTES WA 98221-2231 Project: APN: P55822 Remarks: Reroof SFR. Owner: CARTMELL RICHARD J Contractor: MOUNT BAKER ROOFING Address: Address: 3950 HOME RD BELLINGHAM WA 98226-9147 Phone: Phone: (360)733-0191 License#: General Information: Fees: Building Valuation 6500 Building Permit Fee 139.25 State Building Code Fee 4.50 Total Calculated: 143.75 Deposits/Receipts: 0.00 Total Due: 143.75 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COM MENCED 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 Ir. OCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. \st-L ' /"N r 10 1 SIGNATU E OF OWNER OR AUTHORIZED AGE ISSUED BY 1.1Y o Re-Roof Building Permit Application ,,;v:w. w City of Anacortes Building Department °001% 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: `� v 5� 1\-A'NCC% -e t'arcel ID # Owner: Phone Number: 2- ,_ 3 ((DS 3 Zip Code� � �P e5 22 Address: City: kr-PNCO'keS) State: Contractor: ` 'l >�� � Uc '� �'� Phone Number: 7 3 3— Address: 7--- Ct SO '\-bV\f Q- _City: � � State: '+J"k Zip Code Contractor's License Number: i Y l(i3Q\.. ZT cssL-- Expiration: Type of Roofing: C� .3V"0 �i i��-' Number of Layers: Number of Squares: Class of Roofing: ❑A FIB ❑C Installing or replacing sheeting: Work Scheduled to Begin: 7 U \ Work Scheduled to End:3 U ioQA a---a 11601 Cl/ 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 School Project Valuation: $ roy 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 approval shall be obtained when the re-roofing is complete. Applicants Signature Date Revised September 11,2008 CITY OF ANACORTES BLDG. 0 PLUMBING ❑ MECHANICAL ❑ -' . PERMIT :>..-.; : Telephone293-5173 K-.- ANACORTES, WASH. - DATE ( >C f''C'tt A 0" '7 19-no1 PERMISSJON IS HEREBY GRANTED TO: I :' 'OWNER K-1cK. (.44 4 ',., f efate,t... - - 1 '.1).-, STREET , _ t !ADDRESS / 3 1 I" /U' - LOCATION WHERE WORK IS TO BE DONE ,, r CONTRACTOR C t 3 L A TO ERECT INSTALL ❑, OR REPAIR ❑ IN THE FOLLOWING MANNER- .5 . ..y7" .r rT 9 ==' c tL,-,". ////�� tier l� ,.p LL.� ztier rc- F - �- t`.Y'.� • " A/c- e=?JG415f its 7 / / 7 rid.1",. t.i /1Yc ';: 4; &i 7>—i4_ ::car `_ t=,o:,t., , PERMIT EXPIRES ONE YEAR FROM DATE ISSUED PLANS FOR CONSTRUCTION WERE NOT ❑ SUBMITTED WERE Di 1 a. WORK TO BE DONE BY OWNER„Q' CONTRACTOR ❑ S', z- RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: - ` :.: APPROXIMATE VALUE TYPE OF WORK PERMIT FEES;.: 'ISSUING - - I - r yqt" E ' BUILDING - "' �/tJG 63 4 j' Jcj i GAS PIPING r 'PLUMBING AND W.S. - SEWER CONNECTION INSP. •., . I (MECHANICAL - - I - y. 'PLAN CHECK FEE 1,3 MISC. ;. k TOTAL 1 ...7 L/ J.S ':d . I �_} ..,,. 1 4 - LEGAL DESCRIPTION -cr.,'"`.> ci• ` 1 _- kc ,' /-4,s< t r 1 + r . - /CITY INSPECTOR C CITY OF ANACORTES BLDG. ❑ PLUMBING ❑ MECHANICAL PERMIT 3375 ANACORTES, WASH. DATE / ' " <: 19* -.- PERMISSION IS,.HEREBY GANTED TO: ._ OWNER ' , N ..� n C ,"fr..n124n,+n STREET f ADDRESS S # "' !It P LOCATION WHERE WORK IS TO BE DONE / �J CONTRACTOR 1`".�.:�t^;.rt..';'eD r*...rs AL..4 .n Itk_ Fs`/. 9i 6-., )14 TO ERECT ❑ INSTALL © OR REPA'IIR ❑ IN THE FOLLOWING MANNER: `' ns1 ate. A (t ,; ar..1 -4A, • PERMIT EXPIRES ONE YEAR FROM DATE ISSUED PLANS FOR CONSTRUCTION WERE NOT JE WERE SUBMITTED WORK TO BE DONE BY OWNER Q CONTRACTOR)0 RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: TYPE APPROXIMATE VALUE PERMIT FEES OF WORK ISSUING BUILDING 1 Oft • GAS PIPING cr>co PLUMBING AND W.S. • • SEWER CONNECTION INSP. MECHANICAL r A iic L/ r rs 4 f,5R PLAN CHECK FEE) ? MISC. TOTAL � () 0 /7 EJ ) LEGAL DESCRIPTION C1/4,I4 * 777_— if ZR — 007-- nAn'Z_ 1 c • CIT'INSPECTOR CITY OF ANACORTES BLDG. El PLUMBING ❑ MECHANICAL 0 PERMIT ANACORTES, WASH. DATE l '"x I U 192 2-- PERMISSION IS-14ERE GRANTED TO: ,.y OWNER (JtA QJ2L) STREET ADDRESS / i 'se.. _ f1n `•�f> .. LOCATION WHERE WORK IS TO BE DONE CONTRACTOR A.s_As..R,JQ-04- #5-4\SAA h:.c.`,4A.cz ,,, TO ERECT ❑ INSTALL IX OR REPAIR El IN ',THE F LLOWING MANNER: ../-M7 :=r.;1.1v4 '-a( ALA ILA 0 PERMIT EXPIRES ONE YEAR FROM DATE ISSUED PLANS FOR CONSTRUCTION WERE NOT A WERE ❑ SUBMITTED WORK TO BE DONE BY OWNER ®` CONTRACTOR ❑ RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: TYPE APPROXIMATE VALUE PERMIT FEES OF WORK ISSUING Jo El BUILDING ---- - GAS PIPING . ::LU,MBING AND W.S. --_- I SEWER CONNECTION INSP. ---- MECHANICAL(A,1 ,' ""` •-. cot ®® !FLAN CHECK FEE MIS,C. ---- TOTAL t 0 E f 5- ® LEGAL DESCRIPTION - # 37 .2 • - O ,.a p+i0__ CITt4INSPECTOR - CITY OF ANACORTES BLDG. IX PLUMBING ❑ MECHANICAL ❑ PERMITZUS ANACORTES, WASH. DATE - r , 19C '_ PERMISSION IS,HEREBY GRATED TO: 1. OWNER �.- ?4_42' ti RA' ub .i ' STREET r. ADDRESS / 1 1 LOCATION WHERE WORK IS TO BE DONE CONTRACTOR °' - -� ✓ �'"� TO ERECT oi INSTALL ❑ it REPAIRd O IN THE FOLLOWING MANNEpR�y: I2 t X 271 A.L eact1a.t�t t4 ✓ ,. . ! `2..-444..t.rA,A 'q -"T� ?-E{:/ ..�L> >^d.4 -c A '....!f.['.:.t.i..4.a�..t FE"_ flair - 1 ' /nY.t..4.�+.QA.�'.r+. z`.1..,L Ati -6 kDA,4'.` =.'.I-.i1 `.IL:&.'�{ cLAL '( ' PERMIT EXPIRES ONE YEAR FROM DATE ISSUED PLANS FOR CONSTRUCTION WERE WERE 6 SUBMITTED ;I j WQRK TO BE DONE BY OWNER CI- CONTRACTOR ❑ t, I RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: '`!' I" APPROXIMATE VALUE TYPE OF WORK PERMIT FEES !!! ;, ISSUING I']. SSo t.%t'., 12. CC BUILDING ' GAS PIPING PLUMBING AND W.S. SEINER CONNECTION INSP. (,!'MECHANICAL ' • PLAN CHECK FEE • MISC. „ • 'i TOTAL T'7 i `,So CC 92 ,'C-,;-, IdAL DESCRIPTION L +n 5 . .c- 7 EYce l� CAS ti' ti e/;P 777_ - /F: %— CC 7-pot CITY INSPECTOR FOR',INSPECTIONS CALL: CITY OF ANACO.RTES -PERMIT .- „'.293.1901 , BUILDING PERMIT '. 24 Hrs. Notice.Requested Site Address 1512-t5th Street NAME(OR'NAME OF BUSWESS) PLUMBING • - ' g Rich, carttnel'1 MAILING ADDRESS No. TYPE OF FIXTURE OR'ITEM FEE 1512 loth Street CITY TELEPHONE NUMBER Water Closet $ Anacartes. WA 98221 293-•4747 Bathtub .. NAME - Lavatory . Shower ' I ADDRESS . Kitchen Sink. - N Dishwasher . .- .c CITY TELEPHONE NUMBER Laundry Tray • - Clothes Washer NAME Water Heater Urinal ADDRESS Drinking Fountain Floor Sink or Drain CITY TELEPHONE NUMBER Slop Sink } O Water Piping u ` STATE LICENSE NUMBER CITY LICENSE NUMBER ONResidential 0 Non-Residential , - PERMIT $ _ CINew ElAdd 0 Alter Di Repair TOTAL FEE $ ❑ Building 0 Plumbing O:Mechanical MECHANICAL ❑ Sign ❑ Demolition ❑4Jther ❑ GAS 0 OIL 0 ELECT: 0 OTHER Legal Description of Property or Tax Account Number No. TYPE OF EQUIPMENT FEE Lot 4.-7 Block 128 of Original Plat 3772-•128-007-0002 AirCond. Unit $ Refrigeration Unit— HP Boiler— HP Forced Air System— - BTU/KW - If Describe Work Floor Furnace Install 33' of wood fence along Wall Heater ' north property line and 12' of 30' Unit Heater high fence alongsouth D. 't . Clothes Dryer Occupancy Use Ventilation Fan ' ❑y$ingle Family Residence 0 Multi-Family Residence Range Hood ' ' ❑ Office 0 Retail ❑ Storage ❑ C-hurch Air Handling Unit— CFM ❑ Restaurant 0 Other Pre-manufacttired Stove or Fireplace ' NOTICE Gas Piping _ This permit is issued by the Building Official and,under the provisions of the Uniform Building Code,shall expire by limitation!and become null - such permit is not com- PERMIT $ and void if the building or work authorizedby tpenced within 180 days from the date of permit issuance,ior if the building TOTAL FEE $ - or work authorized by such permit is suspended or abandoned at any time ' after the work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE By affixing my.signature, I hereby certify that I ani the owner of the Building $ property for which this!permit is issued or am an authorized represen- - tative of the owner. Plan Check O.00 All provisions of laws and ordinances governing this type of work will Plumbing . be complied with whether specified herein or not,including routine calls Mechanical . - for ins ns. _ Sign pttcno, S !"f "\ Demolition 1 r t ( .Energy Surcharge �.. .Y� rgY Signature of Owner or Authorized Agent (Date) State Surcharge Other FENCE 200 10.00 Street Setback Side Yard Setback Rear YarE Setback TOTAL $ 1 U.00 Conditions: ' Use Zone Occupancy Group Type of Const. so roper line �.. not EenGS at R att,l'# P Cti y .' Lot Area Vacant Site Dwelling Units to encroach i ntci the : right of way ❑Yes ❑No without an encroachment agreement ' Fire Sprinklers Required No.of Stories Bedrooms Occupant-'Load , O Yes ❑No Size of Bldg. Plans Checked By: EF - WHEN SIGNED AND DATED BELOW,THIS IS YOUR PERMIT Permission is hereby given to do the above deathbed work,seconding to the conditions ' hereon and according to the approved plans and spleifmtions pertaining therto,subject to ' compliance with the aidinances of the CITY 0 ANACORTES. 11i,yf92. • Permit Issued Ir 4,,,;.,,�' `: L-_.._._.,..' Building Official (Date) . fre 94 '0 dwin Frank PERMIT ADDRESS l 5I 160 LEGAL DESCRIPTION ASSESSORS ACCOUNT NO. 5 72 -J S1 -0o7 -(`CO PERMIT' NO. DATE DESCRIPTION` DATE FINALED r{Lid c-dY IJY-t,l) CD Ol QC.I � C-( ( „t4-cts--K cir SZ I( io-t --7 p C7C p-a-( ) -4- -C-LL L