HomeMy WebLinkAboutPermit File 1921 24th Street �'�m.i . Fees L�'_3.t........ .^}."... ..
Engineering and Development Services
PO Box 547,Anacortes,WA 98221
f Telephone 360.293.1920
Fax 360.293.1938
': *7' ti'J l ! 4#4", E-mail engineerinqcityofanacortes.orq
RIGHT-OF-WAY PERMIT APPLICATION
Submit this application with payment at least five days before the work s:rats. Please
complete both sides of this form. (City completes shaded sections.)
SITE lPiA �' `LOCATION: JZ1 y/'Ll 5 j :. f .V�.tC `O 4 tit,
OWNER INFORMATION CONTRACTOR INFORMATION
Name y9r-�?- • Joi-tdvs4,� Name
Address 4 Cj ' —Z y f� Address
5, ,
City ,2 rb 3 w, 9YZZ/ City
State Zip i 2'L j State Zip
Telephone 61` 20 Telephone
71
•
License Number
PROJECT INFORMATION
Work includes (check all that apply)
Curb Cut ❑ Water ❑ Sewer •❑ Storm ❑ Gas 0 Sidewalk
Street Cut ❑ Phone ❑ Power ❑ Cable ❑ Culvert
Describe Work: �c 17 t7 a =�,`✓ �G �- �2 ✓— ;�_
P '`2rt4 i/ ; &V J- f
TYPE
.# �"eas''�'����r"''�' - � ��� �p���" �� $`°� ,.��.��4�-a y'"u.��a~s� i',x rs�� � r•. S * -- _ ,yam
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Work within the City Right-of-Way is permitted by approval of the City Engineer. All work in the right-of-
way must be bonded. The applicant and owner must use warning signs, traffic control, and barricades as
necessary to ensure public safety in the work area. The applicant and owner must restore the right-of-
way to previous condition. The applicant and owner are liable for damage to public and private property.
� � � E ti� Applicant Signature Date
SITE DRAWING
1 . Show north arrow
2. Label streets
3. Draw plan
67s'
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-...SOUSTRIV,t,T4wiIVMOMO*IftAmp*
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0610204-1 0002 04/12/2006 002 4
Permit Fees 002169 $77.00
•fi._, City of Anacortes Permit#: BLD-2006.0262
904 6th Street Issue date: 04/12/2006
,",,.�ellior P 547 Expire date: 04/12/2007
T Anacortes, WA 98221-0547
t'''4111101r4, (360) 293-1901
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Job Address: 1921 24TH ST Permit Type: Plumbing Permit
ANACORTES WA 98221-2403 Project:
APN: P57621
Remarks: Install new water line and repair sewer line.
Owner: JOHNSON KEN D Contractor:
Address: 1921 24TH ST Address:
ANACORTES WA 98221-2403
Phone: (360)293-2079 Phone:
License#:
General Information: Fees:
#of Water Piping 1 Plumbing Permit Fee 27.00
Sewer Inspection Fee 50.00
Total Calculated: 77.00
Deposits/Receipts: 0.00
Total Due: 77.00
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 O CAL RE LATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ,Ds
1'� _' Ll r,&l(��'(.'LQ svc.5k -m III
S NAT OF OWNER OR AUTHORIZED AGENT ISSUED BY
OVT Y O _ City of Anacortes Permit#: BLD-2003-8943
904 6th Street Issue date: 08/19/2003
. ,�,� P.O.Box 547 Expire date: 08/18/2004
W'- _ —'0,.' Anacortes, WA 98221-0547
'� (360) 293-1901
Job Address: 1921 24TH ST
ANACORTES WA 98221
APN: P57621
Permit Type: Mechanical Permit
Project: 'i
Remarks: Replace existing furnace
Applicant: JOHNSON KEN D Owner: JOHNSON KEN D
Address: 1921 24TH ST Address: 1921 24TH ST
ANACORTES, WA 98221 ANACORTES WA 98221
Phone: (360)293-2079 Phone: (360)293-2079
Contractor: RAM MECHANICAL INC I
Addressr: 20253 COOK RD
BURLINGTON WA 98233
Phone: 360-826-5085
License#:
General Information: Fees:
# Forced Air Furnace <=1,000 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
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THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL
EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING
MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN
AUTHORIZED AGENT OF THE OWNER.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR INSPECTIONS. '
I
Applicant Signature Issued by
DAcc I nr I
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD96-0299
P.O. BOX 547 APPLIED: 08/13/96
ANACORTES, WA 98221 ISSUED: 08/13/96
(206) 293-1901 EXPIRES: 08/13/97
SITE ADDRESS: 1921 24TH
ASSESSOR'S PARCEL NO. : 3798-000-088-0005
PROJECT DESCRIPTION: Reroof Residence
— OWNER — CONTRACTOR — LENDER
KENNETH JOHNSON
1921 24TH STREET
ANACORTES WA 98221
293-2079
TYPE OF WORK 'REP AREA (sf) VALU. . . $: 2500
TYPE OF USE •SF LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY •434 1ST FLR • 0 FRONT 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
:R3 BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
:R3
:? :? :? OTHER 0 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
:5N :? :? :? NUMBER OF UNITS • 0 COMPACT • 0
OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf
0: 0: 0: 0: BUILDING HEIGHT. : 0 ft
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 38.50 MD 08/13/96 5794
STBC $ 4.50 MD 08/13/96 5794
TOTAL $ 43.00
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 Laws regulating activities covered by this permit.
1/1
Issued by Applicant or ne ' s Signature
24 Hour Notice Required For All Inspections
bld prmt, Rev: 06/11/92
_- I
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CITY OF ANACORTES
BLDG. a PLUMBING- ❑- MECHANICAL ❑
PERMIT' T£2 1
Telephone 293-1901 _ y .--�
- - Anaadrtes,WA - Date A iL l C. / ,--- 19�li-
PERMISSION IS EREBY GRANTED O:
OWNER l641 TIE: 17F1 041411.W.t-I
STREET
ADDRESS J?12J— Q'/ d S.- l, .tic
If Location where work is to be done
CONTRACTOR 00.-.e It .lr--
I TO ERECT ❑ INSTALL E OR REPAIR Er
IN.T.HEFOI7LOWINGMANNER:. .400i✓- �2_ °'`aCl-3_ r0-e3, ,X.�ar
� 1
cC
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
111
PLANS FOR CONSTRUCTION WERWERESUBMITTED
WORK TO BE DONE BY OWNER K CONTRACTOR ❑
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
APPROXIMATE VALUE
TYPE _ OF WORK PERMIT FEES
State Building Code Surcharge 2 ;C.1
State Energy Study Surcharge
Building / eCI UG !3 f 4.,
Plumbing and W.S.
Mechanical
Plan Check Fee
TOTAL 26( 16 CI
LEGAL DESCRIPTION /0 t 'Fi i t$. f!/R:tA! '.wiz«
rtr t
CITY INSPECTOR
E-a
CITY OF ANACORTES
BLDG. IZZI, PLUMBING ❑ MECHANICAL ❑
PERMIT 290
. .
ANACORTES, WASH. DATE , 19
PERMISSION IS HEREBY GRANTED TO:
OWNER 4�L'.rp.`\ 1n :LAA-
g: ADD SS STREET i �� .=- ( 1 -.JT
!,- LOCATION WHERE WORK IS TO BE DONE
CONTRACTOR
TO ERECT 1.L INSTALL 3, OR REPAIR ❑
IN THE FOLLOWING MANNER: `lttlet 1s..4A. 0 a°x''—di A 741131.4
-C.,I 1 C ...�
t+ coat ;'.d .m;.f.A P y},,•,d 4 ,r n,.A t :..rr ._Ili t..A41:.:4
! (ra.V.h:E. ,
p '
o f Ara+, l r t 1
it
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
OT �..
PLANS FOR CONSTRUCTION WERE N SUBMITTED
WERE ❑
WORK TO BE DONE BY OWNER ❑ CONTRACTOR ❑ -
[1 RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
APPROXIMATE VALUE
TYPE OF WORK PERMIT FEES
.
ISSUING
i' BUILDING . !7: 0:1 CO ,.i
GAS PIPING
PLUMBING AND W.S.
SEWER CONNECTION-INSP.
MECHANICAL
fr PLAN CHECK FEE[ li
MISC.
TOTAL A00 DO
` LEGAL DESCRIPTION �` 5 F`.�-^�='flA✓.h:l% I/..-Cs t1 ±I�'+-*•1r14
' I
f I
'CITY INSPECTOR
CITY OF ANACORTES
BLDG. gl PLUMBING ❑ MECHANICAL ❑ -
PERMIT . .: -
Telephone293-5173 '
ANACORTES, WASH. DATE 7` .3 i la_
;PERMISSION IS HEREBY GRANTED.�TO: i s I
OWNER *-4..®� sue...\-„ ' gA 4 M'cA .-2 =✓�.. _ ,
:.'.'ADD SS I :: _ '. LIT. i' `y
- LOCATION WHERE WORK IS TO BE DONE
F CONTRACTOR c- -4--1,--. A._SsX
TO ERECT .ZI. INSTALL _❑ OR REPAIR ❑
r t,. d7
I:' IN THE FOLLO ING MANNER: / 4., .xi (1 ` ....-.iAArh'^13=.. n jj
A
3.
PERMIT EXPIRES-ONE YEAR FROM DATE ISSUED 1
PLANS FOR CONSTRUCTION WERE NOT ❑ SUBMITTED i
WERE g
WORK TO BE DONE BY OWNER CONTRACTOR ❑
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: i
TYPE APPROXIMATE VALUE - PERMIT FEES
OF WORK 33-
' ISSUING
BUILDING f'"s 0O 00 : 15 ter
GAS PIPING -
PLUMBING AND W.S.
SEWER CONNECTION INSP.
MECHANICAL
PLAN CHECK FEE 12-.0r.
MISC.
TOTAL - a C$Q'b '..--4 .
II 7 ot,
LEGAL DESCRIPTION LoT -Sf dd.. 4I..a.B AA .1( 5-,_,.gti.
CITt4NSPECTOR
-
CITY OF ANACORTES
BLDG. ❑ PLUMBING ❑ MECHANICAL [&
PERMIT 3841,
..
ANACORTES, WASH. DATE /s g 19(' >
PERMISSION IS,HEREBY GRANTED TO: f }
i-OWNER f\ a"_A A r�"' ,. ,/..+.a.T.. .-$•1T�
STREETf _ADDRESS
if ` �`�
LOCATION WHERE WORK IS TO BE DONE
CONTRACTOR L" y . \ xA Q.JC
TO ERECT ❑ INSTALL OR REPAIR ❑
IN THE FOLLOWING^''�� MANNER: r. f k_1 �C.-R-C" -'f C& 91) A Ste- c- c #
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
fi PLANS FOR CONSTRUCTION WERE NOT tg SUBMITTED
WERE ❑
WORK TO BE DONE BY OWNER 51i,„ CONTRACTOR ❑
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
OF WORK
ISSUING /0 oo
BUILDING
GAS PIPING
•
PLUMBING AND W.S.
SEWER CONNECTION INSP.
MECHANICAL W& .- jetty). t 0,o co - 5 ao
PLAN CHECK FEE _
MISC.
TOTAL G o o 7 s op
LEGAL DESCRIPTION 31q g- DO0 —nag--paas-
LO7-- D k O14
CITY1IJSPECTOR
A-