HomeMy WebLinkAboutPermit File 2111 23rd Street ,.1- 1 --2-1 0055 03, 17, 2011 001 1
Permit Fees 008961 $1 l5. 5
.rG1' - O4: City of Anacortes Permit#: BLD-2011-0062
904 6th Street
Y •f Issue date: 03I17/2011
P.O.Box 547 Expire date: 09/12/2012
$0- C/�x Anacortes, WA 98221-0547 drimot-
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Job Address: 2111 23RD ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2434 Project:
APN: P56160
Remarks: Reroof with composition shingles.
Owner: KATHLEEN HALLE Contractor: SKAGIT ROOFING
Address: 2111 23RD ST Address: 9672 FARM TO MARKET RD
ANACORTES WA 98221-2434 BOW WA 98232-7223
Phone: Phone: (360)428-1900
License#:
General Information: Fees:
Occupancy Group r-3 Building Permit Fee 101.25
Building Valuation 5800 State Building Code Fee 4.50
Total Calculated: 105.75
Deposits/Receipts: 0.00
Total Due: 105.75
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.
SIGNATE OF O NER OR AUTHORIZED AGENT ISSUE
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Re-Roof Building Permit Application
City of Anacortes Building Department
+oos 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: 2( ' T. Parcel ID# P 5( 1 (0 0
Owner: Kfq-TA.-1 I--FE F A`-`e Phone Number:
Address: 3`L I. ES D E Tea c L''.City: � ' ' State: w'°' Zip Code: R S Z 3 Z
Contractor: S Cp c T 1 oa C(Ai Phone Number: 3 G o 4-1Z8 . /of o o
Address:ci-CogZ >aem MA""�- ' ICity: State: 16- Zip Code: ?e 2 3 2
Contractor's License Number: S LEA V r2L g`f4 Q P Expiration: I /-( 4' ` Z-0 l /
Type of Roofing:Coot Tie/Ai Number of Layers: / Number of Squares: 2-I
Class of Roofing: p(A ❑B ❑C Installing or replacing sheeting: At o
Work Scheduled to Begin:0 3(t y"2_0 c( Work Scheduled to End: a 3 M Zvc
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: $ SS OO co
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.
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Ap licants Signature Date
Revis e ber 11,2008
TEE DRAIN DOCTOR
14062 Hiliwood Drive,Bow WA 98232
360-757-3017
Skagit Co Installers License#0200 Contractor License#DRAIN*055DH
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Owner , 1�__ Technician mJ �, %vY%V ►.,�
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.G1'T Y Off. City of Anacortes Permit#: BLD-2011-0053
904 6th Street Issue date: 03/07/2011
`"■*011i' ; P.O.Box 547 Anacortes, WA 98221-0547 Expire date: 09/02/2012
4wl_ (360) 293-1901
Job Address: 2111 23RD ST Permit Type: Plumbing Permit
ANACORTES WA 98221-2434 Project:
APN: P56160 1' "--
Remarks: Sewer line repair
Owner: HALLE KATHLEEN Contractor:
Address: 2111 23RD ST Address:
ANACORTES WA 98221-2434
Phone: Phone:
License#:
General Information: Fees:
Sewer Inspection Fee 1 Sewer Inspection Fee 50.00
Total Calculated: 50.00
Deposits/Receipts: 0.00
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Total Due: 50.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IIE,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. P '—
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL C'
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
TATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
'.rG1T Y O :.r City of Anacortes Permit#: BLD-2011-0053
904 6th Street Issue date: 03/07/2011
-# — -. P.O.Box 547 Expire date: 09/02/2012
_ 0 Anacortes, WA 98221-0547
(360) 293-1901
•H v.v.W N.""•r to'
Job Address: 2111 23RD ST Permit Type: Plumbing Permit
ANACORTES WA 98221-2434 Project:
APN: P56160
Remarks: Sewer line repair
Owner: HALLE KATHLEEN Contractor:
Address: 2111 23RD ST Address:
ANACORTES WA 98221-2434
Phone: Phone:
License#:
General Information: Fees:
Sewer Inspection Fee 1 Sewer Inspection Fee 50.00
Total Calculated: 50.00
Deposits/Receipts: 0.00
Total Due:
50.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. P
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL G
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.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
. CITY OF ANACORTES
BLDG.;47, -PLUMBING ❑ MECHANICAL 0
f . . " - PERMIT :
,5 Telephone 293-5173 - ^�
c ANACORTES, WASH. - DATE ' -tC"e-fl i.= . 4 19{ ' - :li
PERMISSION IS HEREBY GRANTED TO: - - _.:
p OWNER Ar3T1 n-r a i1 /f Pot Ld.' ^+'
s �
r.•=�iL// a°'�J' �
ADDRESS =� At/::.a 31
I' - LOCATION WHERE WORK IS TO BE DONE ,„y
4 + -
P CONTRACTOR. . ti1x' ;— ,if .il.,-: ..2 ,) - Rf .. 7'`i'ceri$ '
E TO ERECT ❑ INSTALL, OR REPAIR ❑
IN THE FOLLOWING MANNER: Fs'i- .. :d v%-%c'iv`' - a:fi- `,'r>iSa-d- 7
lei:,.:`/ Arzfr
as
}. PERMIT EXPIRES ONE YEAR FROM DATE ISSUED . 'N
: PLANS FOR CONSTRUCTION WER WERE ❑r SUBMITTED ,
WORK TO BE DONE BY OWNER El CONTRACTOR Ig
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE _PERMIT FEES '
OF WORK - .'I
ISSUING ';,
BUILDING ;-.3 _5;2, . . coo :)1
GAS PIPING - - ;a
PLUMBING AND W.S. ' 4
SEWER CONNECTION INSP.
MECHANICAL 151
PLAN CHECK FEE
MISC. I ; '
TOTAL (r', 51 2 00 r f./ ,;Ci
f
k'LEGAIDESCRIPTION ..,^ '`;. i _ -1 - 4i:' , . ie..1 '
r �
/ ' CITY INSPECTOR
CITY OF ANACORTES
a/
i BLDG. IR PLUMBING D MECHANICAL D -]
PERMIT ::',.' 4592
w Telephone2934179 I i
ANACORTES, WASH. DATE %--jor IL, ' 19 'e''' 1
PERMISSION IS HEREBY GRANTED TO:
3
' OWNER Fla-TiCI 4d5 ji -C: ' Al 1 AI it*• j
t
k STREET
ADDRESS;e//,'' .3, ,,.„, - (...) - -tv,a--7
LOCATION WHERE WORK IS TO BE DONE
....
CONTRACTOR t---->A'S.QC,,--.L
TO ERECT 0 INSTALL 0 OR REPAIR- c0 ' 1
4
IN THE FOLLOWING MANNER: ,::.:- Lim- , ' a- r ,--.)7i 5 241,-/Pc,A14 I
,' r.iiaee, ;4- i.- ezt; /I, f -::: ri ._:,/ r c 1 „,‘,.. 7 •-: 1 4; I
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
1
PLANS FOR CONSTRUCTION WERVECRI SUBMITTED
IWORK TO BE DONE BY OWNER D CONTRACTOR It`
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: 1
APPROXIMATE VALUE
TYPE OF WORK PERMIT FEES
1
ISSUING
BUILDING
1
GAS PIPING
. _ 1
PLUMBING AND W.S.
SEWER CONNECTION INSP.
MECHANICAL
PLAN CHECK FEE :
MISC.
TOTAL :
r
LEGAL DESCRIPTION -44..-7.; 7 .-:, —,. ,?• ...-c- -,44.2. 2-/4 i
/1'.
CITY INSPECTOR
1