HomeMy WebLinkAboutPermit File 2617 16th Street Public Works
orks
Engineering and Development Services
Residential inspection
Address: •a I z _ (0 i H Date: - L' -b
Owner.
Contractor:
Inspected by: 34st41i i3t:41m
1. Water M•ter Box
Set firm and level to finished grade or backside of sidewalk elevation. bc,TIA tua 16 -
jrLidandboxundamaged. . Ru}1sevtoGt tti�Y.
Water meter and customer shutoff installed.
No debris. cc-e' *e is 13c Ott No-L. T
Accessible-no landscape obstruction.
gip ❑ D 'veway installation has drive-over box and lid.
(BCustomer gate valve intact.
ar-No leaks at connections.
2. Curb and Gutter YV A❑ No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable
marks.
If road frontage improvements:
❑ Expansion joints every 15 feet and at driveways.
❑ Concrete has broom finish.
it
No low spot at curb line, especially at driveway cut. Maximum grade change in
20 feet is % inch.
3. Sidewalk N., l R
❑ No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable
marks.
• ❑ ADA compliant- 1 percent slope to curb.
If road frontage improvements:
❑ . Expansion joints every 15"feet and at driveways.
❑ Concrete has broom finish
4. Drivew Approaches
No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable
marks.
tl ❑ ADA compliant •
5; Streets ))A
❑ No cracks, blemishes. - - -
If road or alley improvements: •
❑ " Received proctor and sieve analysis of ballast, crushed rock, and asphalt.
❑ Received passing materials testing reports for sub-grade, ballast, crushed
rock, and asphalt.
❑ Received tonnage tickets consistent with requited thickness per approved:
plans.
•
6. Sanitary Sewer
❑ Inspection card signed off and/or verified in Building Department database.
❑ As-built record filed in the address file.
. IZI Screw cap(s).installed on clean-cuffs).
Clean-out(s)set at finished grade..
7. Storm Drainage
❑ Inspection card signed off and/or verified in Building Department database.
❑ As-built record filed in address file.
Not blocked or diverted to adjacent parcel.
'VJIi 8. Public Utilities Out of Traveled Way
❑ .Concrete collars around City utilities_
❑ Final grading ok. -
❑ Restored to prior condition or better.
9. Landscape •
❑ Bonded for completion at later date.
Verified against approved landscape plan:
❑ Installation.
❑ Type and quantity of plants.
tT Sod or.seed in place.
❑. Root barrier (receipt filed).
10. Erosion Control Measures .
[ f BMPs removed.
❑ All debris removed. Site dean. - pA e a e, react iywzix-,
® Permanent vegetation established.
0507604-1 0003 03/17/2005 002 4
Permit Fees 006329 $55.00
y. O : City of Anacortes Permit#: BLD-2005-0175
904 6th Street Issue date: 03/17/2005
.4"6, 1111 — P.O.Box 547 Expire date: 03/17/2006
' �'flj, Anacortes, WA 98221-0547
Job Address: 2617 16TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-1351 Project:
APN:
Remarks: Reroof over existing roofing with 30 year laminated composition.
Owner: MARTHA HALL Contractor: ESARY ROOFING &SIDING CO INC
Address: 2617 16TH ST Address: 420 PEASE RD
ANACORTES WA 98221-1351 BURLINGTON WA 98233-3114
Phone: (360) - Phone: (360)757-0933
License#: ESARY*RS175KE
General Information: Fees:
Building Valuation 5000 Building Permit Fee 50.50
State Building Code Fee 4.50
Total Calculated: 55.00
Deposits/Receipts: 0.00
Total Due: 55.00
II
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.
69_ Mate Mlc f u.P �rA
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
Get ox, Cr,it r of cAntttvr Qs
ye IEaskingfnn
9c O R�� BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY # f> f
This is to certify that the (Description of Building or,Structure):
-9
Located At: 2 ! '_I - a o T N
L STREET& UMBER
Owner: � A.
re
Constructed By: U.): tAi• —
OWNER OR CONTRACTOR
Bldg. Permit # 4 2.M Date Of Issue: 91'1 �QT
0cc. Group: R 3 Use Zone: R L
Has Been Inspected And Occupancy Is Hereby Authorized,
This 2 Sig- Day Of 19g
UA THORIZING OFFICIAL
a SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
SANIT ?RY SEWER H\1OK — UP
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LOCATION : .2719 /6=
DATE: 9-a.9 g4
TIME:
RECPT. NO. 33776
DEPTH AT MAIN LINE: 3` IDe
CONTRACTOR : ,�OwNElz : Dove- CuLcrLA2ie2
INSPECTOR: .
COMMENTS:
f -CENTERLINE OF 16TH STREET (60'R/W)--
VACATED !HOARD
� ORD.#1029 •
ENCE
1 (GRAVEL SURFACE)
I " 91.04 : i
31.04 30' " - II II II 30' LEGAL DESCRIPTION
\\ 90° D7123" Nun I (PER STATUTORY WARRANTY DEED - A.F. #8408150022)
0
o I "LOTS 6 TO 8 INCLUSIVE, BLOCK 3 "G. KELLOGGS(KELLOG'S) ADDITION TO
o . - o a - THE CITY OF ANACORTES, WASHINGTON", ACCORDING TO THE PLAT RECORDED
o• m 8 0 7 : 6: • 5 t 4 : 3 : 2 : 1 o wI IN VOLUME 1 OF PLATS, PAGE 39, RECORDS OF SKAGIT COUNTY, WASHINGTON
o •
a1111
I TOGETHER WITH THE VACATED NORTH HALF OF THE ALLEY ADJOINING SAID
-n LOTS 6 TO 8 INCLUSIVE, IN SAID BLOCK, ON THE SOUTH. "
11„
6IK+ SUBJECT TO EASEMENTS, RESTRICTIONS, RESERVATIONS, ETC. , IF ANY OF
I.P. 30.89 30' " 30' RECORDS.
,.. 90.88 10 VACATED ALLEY (ORD.#1264) lC) REMARKS :
r
�^� 40' F
30' ,. " " " " 30' 07O
30.87 o z 1) THE RESURVEY OF THESE LOTS ARE BASED ON THE FOLLOWING SOURCES:
z A) THE INFORMATION SHOWN ON SUBJECT OLD PLAT OF "G. KELLOG'S
w ADDITION".
o z w B) LEGAL DESCRIPTION PER OWNER'S STATUTORY WARRANTY DEED -
Z w - 2 A.F. �18408150022.
0 13 : 14: 15: 16 : 17 : 18: 19: 20 o t3r- C) THE AVAILABLE, PUBLIC INFORMATION, REGARDING SUBJECT PLAT.
I ci D) APPLICABLE STREET MONUMENTS AND OTHER SURVEY MARKERS FOUND
h AT THE VICINITY OF SUBJECT PROPERTY AS SHOWN ABOVE.
I
30.72 30' " II
" " " 30'
0
M
— _�-CENTERLINE OF 17TH STREET (60'R/W)-4 -
DOUG COLGLAZIER
S Y M B O L S PREPARED FOR: 3303 WEST 3RD STREET
ANACORTES, WA 98221 TEL: (206) 293-2026
!! $
sc) SCALE: 1" 50' DRAWN BY:O = REFERENCE POINTJ.V. JOB NO: 1173-84
LP. O = IRON PIPE (FOUND) ' 1?" DATE: 9/4/84 APPROVED BY: - DRAWING NO: - " -
®= REBAR & CAP (SET) p V o DESCRIPTION: SEE ABOVE
JOHN J. VADAI & ASSOCIATES MERIDIAN: PER SUBJECT
o
Phone: (206) 293-9591 2916 Commercial Ave. , Anacortes, Wn. PLAT
J
FOR INSPECTIONS CALL CITY OF ANACORTES PERMIT
- 293- 901 BUILDING PERMIT
24 Ws: Notice Requested Site Address219` 1' tl Street
NAME (OR NAME OF BUSINESS)
Doug Co l g 1 az i er PLUMBING
MAILING ADDRESS
27 19 1 U Ceti Street No. TYPE OF FIXTURE OR ITEM FEE
CITY TELEPHONE NUMBER Water Closet $
Anacort e, WA 93221 - :93-2026 Bathtub -
NAME Lavatory
Shower
ADDRESS Kitchen Sink
1, I
Dishwasher
CITY TELEPHONE NUMBER Laundry Tray'
Clothes Washer ,
NAME Water Heater t
a
Urinal
R. ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER z Slop Sink
U Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
O+°kesidential 0 Non-Residential PERMIT $
O)'New ❑Add ❑ Alter ❑Repair TOTAL FEE $
Oliuilding 0 Plumbing ❑.-Mechanical MECHANICAL
❑ Sign ❑ Demolition 0.-Other 0 GAS ❑ OIL 0 ELECT. ❑ OTHER
Legal Description of Property or 'Pax Account Number .No. TYPE OF EQUIPMENT FEE
3 E 3 ur
Lot J .
Kellogg's Addition - Air Cond. Unit -- $
3801--003-005-0004 Refrigeration Unit— HP
Boiler— - HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
Construct storage building per Wall Heater
approved plans, Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
D'iSingle Family Residence 0 Multi-Family Residence - Range Hood
0 Office ❑ Retail 0 Storage ❑ Church Air Handling Unit— CFM
'� 0 Restaurant Rothe, Residential = storage. Pre-manufactured 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 -
and void if the building or work authorized by such permit is not con- PERMIT $
menced within 180 days from the date of permit issuance,or 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 am the owner of the Building :3, 144•U9?- $ 4b.GO
, property for which this permit is issued or am an authorized represen-
tative of the owner. Plan Check O•C?O
•
All provisions Hof laws and ordinances governing this:type of work will Plumbing
be complied with whether specified herein or not,including routine calls Mechanical
for ' Lions. - Sign .
}, Demolition
/,1,1��,, y ltl Y'f'.++ ,' f 0/1/9 / ' Energy Surcharge •
Signature of r wnl r or(A; o.._ Agent (Date) State Surcharge • 4. 50
Other
Street Setback I Side Yard Setback 7, Rear Yard Setback 6' 49.50
TOTAL $
-: Use Zone R Occupancy Group m.1 Type of Coast. VN Conditions:
Lot Area 0 i 0 Vacant Site L [hireling-Units -
❑Yes :IL
I Fire Sprinkle Required Notof Stories Bedroores Occupant Load - '
❑yeso iT
Size of Bldg. - 288 SQ. FT. Plans Checked By: E.F
WHEN SIGNED AND DATED BELOW,THIS IS YOUR PERMIT
Permission is hereby,given to do the above described work,aniording to the condition ,
hereon and according to the approved plans and ramifications pertaining therto,subject to
compliance with the ordinances of the CITY 0 ACORTES. 1,
fff 10/01 /91
Permit Issued By : •,g�'
Building ORciat (Date) ` % V I SI
E i n Frank
PERMIT .
CITY OF ANACORTES
BLDG. PLUMBING ,X1 MECHANICAL
PERMIT 28
Telephone 293-5173 —tri 2 __arte�
ANACORTES, WASH. DATE 1+3 12fd
41
PERMISSIONAS HEREBY GRANTS TOi .t
OWNER � xtkt { �-"cre.r
li
E STREET r1 „7 �. it 7
ADDRESS ' 11
LOCATION WHERE WORK IS TO BE DONE L;
CONTRACTOR t'•-•'1 / "
TO ERECT IX INSTALL ® OR REPAIR
IN THE FO LO ING MANNER �... '.al C fL
r ..�' -s^ ' Cn Rye t9.rye t. ...AC 6 N. ..), xN
v �
_ mC 7 x A "
PERMIT EXPIRES ONE YEAR FROM'IDATE ISSUED
PLANS FOR CONSTRUCTION WERE NOT ❑ SUBMITTED
WERE ❑
WORK TO BE DONE BY OWNER ❑ CONTRACTOR ❑
RECEIPT OF FEES IS ACKNOWLEDGED AS-FOLLOWS:
APPROXIMATE VALUE
TYPE OF WORK PERMIT FEES
•
ISSUING S
BUILDING ' r 30 <j(' 3 /9 nr
r 7"
GAS PIPING - '
PLUMBING AND W.S. 2. "Zt rip /tat
SEWER CONNECTION INSP. aid 8O
MECHANICALn# (L} ark.a£s, .'ter". , non on . , I nr'
PLAN CHECK FEE 't75" W
MISC.
TOTAL _ : _g 3 o Jam. 47.2 GO
LEGAL ��
EESCRIPT$IIO_N$ F+ 7 $ �'I"t°4'4 ti
f• f,
CIT,y)INSPECTOR
a a :
CITY OF ANACORTES
BLDG. 0 PLUMBING ❑ MECHANICAL 14
PERMIT -_ 4S34
1ANACORT S, WASH. DATE t '1 / 1 �'a r
PERMISSION„I$ HEREBY GRANTEE/JO: `I
OWNER s , ...c.../ LW C t`D fectAp..f'p30'
C„ u _
1, STREET .., ! -'I_- j/ b/ C7, #� y
'ADDRESS a`
1 LOCATION WHERE WORK IS TO BE DONE I
CONTRACTOR' “' °- " 1 . *"11AA4 1
CI '
I TO ERECT ❑ INSTALL fil OR REPAIR ❑
F;IN THE FOLLOWING MANNER: '`±-1. .g r.,0
> K . In it) I% T .') 3.o-=-«.s' .F rw `
d
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
i. PLANS FOR CONSTRUCTION WERE ERE ❑ SUBMITTED ,
t WORK TO BE DONE BY OWNER E CONTRACTOR a
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
OF WORK 1
ISSUING /0 Or ,
BUILDING
GAS PIPING 17 tl. rep _ 5 rtC,,
PLUMBING AND W.S.
SEWER CONNECTION INSP.
MECHANICAL;& 01 4144.4.04.61 /, 5 . .;',1c € 7 n
PLAN CHECK @EE i
MISC. 1
t
TOTAL 1. ' 0 c" co i` +,Sg+.
LEGAL DESCRIPTION 3 A�r, "rI- 2 M%- x gr " ,( t
L .
4 ? I
CITY INSPECTOR