HomeMy WebLinkAboutPermit File 1914 29th Place lFinal Inspection Checklist
1
Site Address: `g 2- f p% e < Permit No.: D 4. —d 2 / 4(
Date Issued: 2/I SA, 5 Zoning: Occ. Group: Constr. Type:
Owners Name: V` f AZ L L f
Owners Mailing Address: State: Zip:
t Variances: No Yes Safety Glass: No Yes ✓
Sewer Fee Paid: No Yes Hand Rails: No Yes /---
Sewer Inspected: No Yes Guard Rails: No Yes ct
WSEC Compliance: No - Yes Traps: No Yes Z— 1
Attic Access: No Yes_ ,, tove: No Yes ��
Smoke Detectors: No Yes 1 Water Pressure: No Yes
T&P Drains: No Yes l"/ House Numbers: No Yes v
Insulation Cert.: No Yes 1/ Site Drainage: No / Yes
Curb Cut: — No Yes Crawlspace Insul: No Yes c'`
Bedroom Windows: No Yes r/ Water Heater Strp: No Yes 1--'11-
Vapor Barrier: No / Yes D.W. Air Gap: No Yes f/
-
Water Meter Box: No Yes 7 Auto Garage Door: No Yes v I
Exterior Decks/Landings: No Yes 1 - Outside Caulking: No Yes v�
i
Garage/House Door: No Yes // Inspected By: ast
Crawl Space Access: No Yes V ,^ Date: /�-/407, "
Exh. Duct/Dryer Vent Dampers: No Yes 1/ OA / 2,i )0$
A Manufacturer:
r Guardian Building Products
�= fiberglass insulation
PREMIUM
Imo, Insulation Certificate ,492 Nndhstraet
PREMIUM ctTnnnwv Aro�on,Ml as22a 'I
rove¢enrn.w..,.,m.,nra..
ATTIC GUARDTJI
OPEN ATTIC COVERAGE INFORMATION
BAGS ER' MAXiMt1M MINIMUM WEIGHT''; M(tdIMUM '
RwVALUE ]moo SQ FT NET COVERAGE PER,SO 0, `THICKNESS .
R-60 39.75 - 25 SF 1.093 LBS 22.00"
R-50 32.13 ' 31 SF 0.884 LBS 19.00" '
R-44 27.57 36 SF 0.758 LBS 17.00"
R-38 23.28 43 SF 0.640 LBS 15.00"
R-30 17.88 56 SF 0.492 LBS 12.25"
R-26 15.55 64 SF 0.428 LBS 11.00"
R-22 12.99 77 SF 0.357 LBS 9.50"
R-19 10.99 91 SF 0.302 LBS 8.25"
R-13 7.58 132 SF 0.208 LBS 6.00"
R-11 6.51 154 SF' 0..179 LBS 5.25"
BAG WEIGHT NOMINAL WEIGHt20 LBS MINIMUM 26 LBS FOR PNEUMATIC APPLICATION ONLY NOT FOR EXPOSEDAPPUCATIONS.INSULATION SHOULD NOT BE INSTALLED OVER EAVE VENTS THERMAL RESISTANCE
VALUES ARE DETERMINED IN ACCORDANCE WITH ASTM C6BTANDASTM C616 THIS PRODUCT MEETS OR EXCEEDS THE REQUIREMENTS OF ASTM Cr64 TYPE I CATEGORY 1 AND FEDERAL SPECIFICATION
NH-I-1030B TYPE 1,CLASS A
Builder's and Applicator's Certification Signature --
This is to certify the insulation has been installed in conformance with the requirements indicated on this card to provide
theimal resistance value of R 3411 using '50 bags of insulation to cover 21r square feet area.
Depth of previous insulation ,R—. Type of insulation: ob4r - eAS-`s ❑Upgrade UrNew Construction
Inches R-vatic Mmeml o Fiberglass,Etc.
/0• M1-fi5 R A-( ),t_..P Jgj4 — ,262-970\.. r,,, >;-\its Lam
Date Company Name(Builder 1. Add esshrwe S Butldej's$tgnatgre
t-Ttrviestirysn
Date Company Name(Application) Addres y _ ebonclith‘2,7 Ct 223 Applicators enanue
G123 Rev 0512003 Ir' 2 0
INSULATION CERTIFICATE
AREA DESCRIPTION R-VALUE THICKNESS
X+zc .cC lam' .\\5 ' 2)
--# 11
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Fr r. ccfi t -6 '-,,,, , R-6 .� 1
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1A�rt\9\'lc v rz\s\4- tea'- �'e37 1�'t
This is to certify the insulation has been installed/'' in conformance` with the requirements
indicated on this card. Installer's Signature `.. v-lX-o 4av\ ti S-V
f
Date: /0 - '-I - f) 5
rn LLc) la VA - Lr- Pi R s Z,d-
[Company Name(Builder) Address
American Insulation 6105-192nd St NE,Arlington,WA 98223
360-403-8202
L
0504604-1 0007 02/15/2005 002 4
Permit Fees 006168 S9,035.35
°G1'"i X 4 ., City of Anacortes Permit#: BLD-2004-0216
904 6th Street • Issue date: 02/15/2006
._{ `!" :., P.O.Box 547 Expire date: 02/15/2006
t!,/ Anacortes, WA 98221-0547
' iefirrte
(360) 293-1901
Job Address: 1914 29TH PL Permit Type: Single Family Residence Permit
ANACORTES WA 98221 Project:
APN:
Remarks: Construct new single family residence per approved plans as noted
Owner: R&M LLP Contractor: H R CHRISTENSON CONSTR LLC
Address: 4620 HICKORY DR Address: 4620 HICKORY DR
ANACORTES WA 98221 ANACORTES WA 98221
Phone: (360)661-3594 Phone: (360) 661-3594
License#: HRCHRCL990BE
General Information: Fees:
Occupancy Group it-1 Plan Review Deposit 100.00
Use Zone R2 Building Permit Fee 903.00
Lot Area 10049 Plan Review Fee 486.95
1st Floor Square Footage 2947 Mechanical Permit Fees 121.90 1,
Lot Coverage 36.6 Plumbing Permit Fee 146.00
Garage Square Footage 676 State Building Code Fee 4.50
#of Stories 1 Sewer Inspection Fee 50.00
Building Height 18 Storm Drain GFC-Residential 1,126.00
Building Valuation 287316 Sewer GFC-Residential 4,682.00
# Forced Air Furnace<=1,000 1 Park Impact Fee 615.00
#of Backflow Devices 1 Traffic Impact Fee 900.00
#of Bathtubs 2 Total Calculated: 9,135.35
#of Clothes Dryers 1 Deposits/Receipts: 100.00
#of Clothes Washers 1
#of Dishwashers 1 Total Due: 9,035.35
#of Gas Fireplace 1 I
#of Gas Piping 4
#of Gas Water Heaters 1
#of Hose Bibbs 3
#of Kitchen Sinks 1
#of Lavatories 5
#of Other Mechanical Units 1
#of Showers 1
#of Ventilation Fans 5
#of Water Closets 3 ,
I
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i.
d.:
-.�.. . ,... -_ ; .. _... ,....x y.. III�+t�Ill '; � It �eat�
Site Address: /telly 04q f -'yed 0:2L e__, Parcel No.:
Lot: 2.3 Block: Div: Addition:
?. ';' :.:OWNRR`v, T : , , Ols,0ER;;. - CQISCITOR.. .
Name Name Name
R.tM N¢. eA tsnaraseNI Cot1CtLL
Mailing Address Mailing Address Mailing Address
42.1.00 4tC1L.t)Q-1 tRt'E 4to2fo %MCiunzy OQwE
City: State: Zip: City: State: Zip: City: State: Zip:
RJacORTes, k.JA G8zzt A.A)A.Cov,ES, tow 9te'L21
Contractor Lic.No.:W20_W21,1,,ct9 TO t3E
Phone No.: t.p tp t- 36q 4 Phone No.: Phone No.:(Ant-3eJI4-Exp Date:
Contact Person: AL -ray I.nrL Phone No.: BSC o-1001 fp
(Check One)
Single Family: ✓Multi-Family: Apartment: Condominimum: Senior Housing: Retail: Office: Restaurant:
Manufacturing: Storage: Bank: Assembly: Accessory: Automotive Repair: Other(Specify)
DESCRIPTION OF WORK: CO tJ ST ILOc.T 51r4 bLt PAIN,ILy Rest be-nice ( PC.At4 0430)
f FNERAL LNFQRMATION''
Street Setback: 2 o' ft. 2"d Floor: sf. (Circle Y or N) -o a
15t Side Setback: "LS' ft. 3'd Floor: sf Shoreline/Wetlands Y N '. 4a
2nd Side Setback: 'LS' ft. Basement: sf Water on/Adj.To Property Y N - -r-;
Rear Setback: to' ft. Occ.Group: Soils Report Y N 7i a
Use Zone: Carport Area: sf. Sensitive Area Y N to .-
Type of Construction: 1 Garage Area: -I&c. sf. Latecomers Agreement Y N a r� I
o
Lot Area: lb 049 sf. No.of Stories: 1 Fire Hydrant(250 Feet) Y N o •
o
No.of Dwellings: I Building Height: 'Fr!' Variance . Y N o
Lot Coverage: 3t..t00/e Deck Area: sf. Covenant Y N t" I
1s`Floor 29 41 sf Flood Zone X A AE VE «� ro I
u 13
Project Valuation(Labor and Material Cost): . a
oa
0
THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE,AND SHALL EXPIRE BY LIMITATION 0
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 GOVERNIN t J I TYPE OF WORK W L BE CO LIED WITH WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS. -r-
SIGNATURE: I DATE: /l 72 Sec
1'./( -' a2(O/.7- GoV‘0' oy/ate
PLUNMBING.AND.MECHANICAL PERMIT APPLICATION' ' .
FOR.THE CITY OF ANACORTES ' '
Site Address: Parcel No.:
Lot(s): Z3 Block: Addition: 1
1
I
Contact Person: AL TA.iLot2 Phone: SSfo- 19S1-p
Owner: .. . . • ;Co raet• u .. .
Name: RSM /, .^, 1' Name: Ft9- C WASTLAsi1SWL. C04f'T. LLC.
11w
Mailing Address: GW {-r(cuN `ZWF. Mailing Address: 4(o20 1'A1C JDtL'( ' .t%J
City: WACO1LTBSState: WO. Zip: Re2,21 City: A NPJa 2TES State: WA Zip: G9)22.-.1
Phone No.: (9(Pi- 2 4 Phone No.: 1oIa(- 3 i 4
PLUMBING : MLCI3ANICAL
No.: Type of Fixture No.: Type of Fixture
S Water Closet 1.5 GPF ( Air Cond.Unit HP
Z Bathtub Refrigeration Unit HP
( Shower 2.5 GPM Boiler BTU/HP
reyam-
Dishwasher 2.5 GPM 1 Forced Air System BTU tgrevi
5 Lavatory 2.5 GPM ,r Floor Furnace
I
Kitchen Sink 2.5 GPM Wall Heater
Clothes Washer / Clothes Dryer
fr.
Urinal 1.0 GPM S Ventilation Fan
Drinking Fountain ( Range Hood
Floor Sink or Drain P- Pre-Mani Stove or Fireplace
Water Piping / Gas Fireplace
Hose Bibs / Gas Water Heater
( Back Flow Prevention Device / Gas Piping
Other(Describe) Other (Describe)
TIRIS APPLICATION IS RECIVED BY THE BUILDING DEPARTMENT UNDER THE PROVISIONS OF THE UNIFORM PLUMBING AND MECHANICAL CODES 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 AUTHORIIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND
ORDINANCE COVERING
TBBHIIIS TYPE OF WORK WILL B
/(�/EE COMPLETED WI ,WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTION.
SIGNATURE' /�2 DATE. /(ISP Z /{/)/ /
11/Gi/44 1IVlY 1I :at CAA. JOUZVOLUJO CACl.U11 VC 4.111111
Residential Energy Code
(Simple Form)
2003 Washington State Ventilation&Indoor Air Quality Code
2003 Washington State Energy Code
This worksheet is intended to assist you in deciding which methods of construction will be used to meet the requirements of the
WA ST VIAQ and WSEC Codes. After completing this form,please add all relevant information to your construction plans.
PART 1
Whole-House Ventilation:select one of the following methods.
_A. Fresh air will be circulated by the central forced air furnace along with a whole house exhaust fan. A single whole-
. . house exhaust S.which.usually does double duty as a room spot fan,is required and must be controlled by a timer •
set to operate fan a minimum of 8 hours per day. The CFM capacity of the fan must be measured at 0.25 w.g,and
have a maximum sone(noise)rating of 1.5. Fresh air intake ports or ducts are required with this option. (WA VIAQ
303.4.1)
•
The minimum size of the fan is based on the number of bedrooms and the size of the house. For houses up to 3,000
square feet the following sizes are acceptable:
1 or 2 bedrooms-75 CFM
_3 bedrooms-90 CFM
_4 bedrooms-105 CFM
For other options contact the Planning&Permit Center.
B Fresh air will be circulated by the central forced air furnace system. The furnace must have a fresh air intake duct and
the blower must be activated by a timer to circulate air daily. An exhaust fan is not required with this system. (WA
VIAQ 303.4.2)
C. Fresh air will be supplied by wall or window vent ports in each bedroom,kitchen,living room and otherhabitable rooms
along with a whole-house exhaust fan as described in Option A (WA VIAQ 303.4.1)
D. A heat-recovery ventilation system.(WA'VIAQ 303.4.4)
PART 2
Insulation and Windows:select one of the following methods. (WSEC Table 6-1) •
•
Glazing% U-factor Ceiling Vaulted Wails Floor Slab
•_1. (2x4 construction) up to 12% 0.35 R-36 R-30 R-15 R-30 R-10
X 2 (2x6 construction) unlimited 0.40 R-36 R-30 R-21 R-30 R-10
If you intend to use 2x4 construction,compute the window glazing percentage of heated floor area to
verify that the project falls below the 12%maximum allowed glazing:
Total area of windows,skylights and patio doors: • sq.ft
Total heated area: • sq.ft.
Total window area divided by total heated area=glazing
Updated August 24,2004 Page 1 or 2
CITY OF ANACORTES BUIDLING DEPARTMENT RESIDENTIAL f
- CHECKLIST
(This form is to be completed prim to issuing the building permit)
•
Site Address: \ck W(--k >"-- Date )" ^ >k---"y
Contact Person:R '^" 0 —'• Phone No.: ` 3
Assessors No.: Lot c ] Block — Addition: oG-- 51
(Building Department Checklist for Completeness)
OK NA OK NA
O Fire Department Access 0 Fire Hydrant Located within 250 feet
❑ Fire Flow Required ❑ Shoreline or Wetlands
❑ Site Plan 0 Covenant Approval
O , Variance Required Q Regulated Slopes
❑ Plat Facts and Findings Compliance 0 Survey in File
❑ Fill on Site
•
Received and Reviewed by: _C " U \ Date 17-"2-'- "'-e‘N
(Engineering Department Checklist for Completeness) •
OK NA OK NA
0 ❑ Water Extension/Meter ❑ 0 Sewer Extension/Connection
❑ ❑ Street Improvements/Sidewalks 0 ❑ Site Drainage Plan
0 0 Covenant Not to Oppose Future LID ❑ . 0' Latecomers Agreement
❑ D Street Drainage ❑ 0 Driveway location,slope,culvert
O 0 Storm Drain Extension
i
Received and Reviewed by: Date
" FURTHER COMMENTS(
Zoning: &Z
Lot Size:\ml O4S S r;
Coverage Allowed: 31 Si 1 `SF`
S (.0, (si-S" t t.-
-
Aetual Coverage: 36 S3 3
1
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360.293.1920
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G z Y o CITY OF ANACORTES
WASHINGTON
�cog* BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
LocatedAt: 1914 29th Place
STREET 8 NUMBER
Owner: R&M LLP
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg. Permit#: BLD-2004-0216
Date Issued: February 15, 2005
Occ.Group: R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized.
This 13th Day of December PO OS
Larr 47dr 5
ITHORIZINO OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREME S..ly{4
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