HomeMy WebLinkAboutPermit File 1918 29th Place y CITY OF ANACORTES
WASHINGTON
a y
coP1`' BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 1918 29th Place
STREET&NUMBER
Owner: R&M LLP
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg. Permit#: BLD-2004-0220
Date Issued: May 11, 2005
Occ. Group: R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized.
This 19th Day of October 20 05
AUTHO G 0 FICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
■
0513704-1 0003 05/17/2005 002 4
Permit Fees 0061.668 $9,007.73
. Y. a ./ Cityof Anacortes� Permit#: BLD-2004-0220
904 6th Street Issue date: 05/11/2005
.' 'w +' P.O.Box 547 Expire date: 05/11/2006
�� " • CO:' Anacortes, WA 98221-0547
.,.,4 toIllr `` (360) 293-1901 I
Job Address: 1918 29TH PL Permit Type: Single Family Residence Permit
ANACORTES WA 98221-3871 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 98221-8729 ANACORTES WA 98221-8729 I
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 890.50
Lot Area 10049 Plan Review Fee 478.83
1st Floor Square Footage 2895 Mechanical Permit Fees 121.90
Lot Coverage 37 Plumbing Permit Fee 139.00
Garage Square Footage 676 State Building Code Fee 4.50
#of Stories 1 Sewer Inspection Fee 50.00
Building Height 17 Storm Drain GFC-Residential 1,126.00
Building Valuation 282246 Sewer GFC-Residential 4,682.00
# Forced Air Furnace<=1,000 1 Park Impact Fee 615.00
Traffic
#of Backflow DevicesTraffic Impact Fee 900.00
#of Bathtubs 2 Total Calculated: 9,107.73
#of Clothes Dryers 1 Deposits/Receipts: 100.00
#of Clothes Washers 1
#of Dishwashers 1 Total Due: 9,007.73
#of Gas Fireplace 1
#of Gas Piping 4
#of Gas Water Heaters 1
#of Hose Bibbs 3
#of Kitchen Sinks 1
#of Lavatories 4
#of Other Mechanical Units 1
#of Showers 1
#of Ventilation Fans 5
#of Water Closets 3 I
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GSA Q :_ City of Anacortes Permit#: BLD-2005-0207
904 6th Street Issue date: 03/25/2005
°y"r�l /►�r• P.O.Box 547 Expire date: 03/25/2006
CO' Anacortes, WA 98221-0547
C4
8 "job Address: 1918 29TH PL Permit Type: Foundation Permit
o m ANACORTES WA 98221 Project:
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8 Remarks: New single family foundation only.
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.owner: R&M LLP Contractor:
.i
o Address: 4620 HICKORY DR Address:
in v
ANACORTES WA 98221-8729
Phone: (360)661-3594 Phone:
License#:
General Information: Fees:
Building Valuation 5000 Building Permit Fee 50.50
Plan Review Fee 32.83
State Building Code Fee 4.50
Total Calculated: 87.83
Deposits/Receipts: 0.00
Total Due: 87.83
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 I,
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 ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
2 /le � /� �C�
SIGNATURE OF OWNER OR AUTHORIZED AGENT I SUED F
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n9 Site Address: /9 ? ��-" .11-L-. Parcel No.:
el 0
0" m Lot: 2 2 Block: Div: Addition:
,-, 8 .. , . E.o " -:c;: . ' �WNR.:�': .'.'I,�N.UiEIt" ; '. '. COi�`TRAt;'1'ft[t: ;: '. ,.. ,
o r_� Name "Name Name
r44 ti .,"u IZtM FAQ CACtZRRNSoni Cor l6T,LLe_,
1 Mailing Address Mailing Address Mailing Address
F-; E 4ZLoo 1.11C)K-02y 17i.tUE 4tpW N.tucauy DAME
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City: State: Zip: City: State: Zip: City: State: Zip:
AtaAc.ORIZS. vats, genet Auncoo-Fs, WIA 9WLSA
Contractor Lic.No.:Wae_,Ye LLft9 o e g
Phone No.: l41.01- 359 4 Phone No.: Phone No.:1141-3r34Exp Date:
Contact Person: AL TAy1.ntL Phone No.: SJCo- I qq la
OBI L1. ANT.ItSE
(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: GO fa STt2.U(it St n16Lx. F Awn Ly RESI bentCE (PLPc.I 042-10
: 'GENERAL INFORMATION
Street Setback: 2 of ft. 2"d Floor: sf. (Circle Y or N)
1st Side Setback: -LS' ft. 3'd Floor: sf Shoreline/Wetlands Y N
2"d Side Setback: 1.5' ft. Basement: sf. Water on/Adj.To Property Y N
Rear Setback: to' ft. Occ.Group: Soils Report Y N
Use Zone: Carport Area: sf. Sensitive Area Y N
Type of Construction: I Garage Area: -12.3 sf. Latecomers Agreement Y N
Lot Area: 10,049 sf. No.of Stories: I /5,901p Fire Hydrant(250 Feet) Y N
No.of Dwellings: I Building Height: tl-I' Variance . Y N
Lot Coverage: 374/e Deck Area: sf. Covenant Y N
1s'Floor 2846 sf. a(Qtp,%40 Flood Zone X A AE VE
Project Valuation(Labor and Material Cost): (X(')oC
THIS APPLICATION I5 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 GOVERNIN IS TYPE OF WORK LL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS. ,
SIGNATURE: i .� DATE: f 7/ 2,37 t
756.17— Zoe V — 0 .2 (((
oy7a75
PLUMBING AND MECHANICAL PERMIT APPLICATION
FOR THE CITY OFANACORTES -
Site Address: Parcel No.:
I
Lot(s): 22- Block: Addition:
Contact Person: AN.- Tay1o12. Phone: SS(o- 199t-a
Owner Contractor`
Name: P.Stet Name: 1AV- CkWAST1A*&WIJ CUt IST. Lt C
Mailing Address: 4.02,0 }FICU&( t' t V6 Mailing Address: 4low talcx.cz,q TVA QC
City: oJAC4 tTESState: WYA Zip: R13221 City: 'WACOSTES State: 6JA Zip: C(5221
Phone No.: (D(4- 3eQ 4 Phone No.: (p(o t- ?i R 4
. '. .PLUMBING . MECHANICAL
No.: Type of Fixture No.: Type of Fixture i
5 Water Closet 1.5 GPF Air Cond.Unit HP
Bathtub tr Refrigeration Unit HP
Shower 2.5 GPM Boiler BTU/t-11P
I
Dishwasher 2.5 GPM I Forced Air System BTU -�8 I ice
4 Lavatory 2.5 GPM -S. Floor Furnace
( Kitchen Sink 2.5 GPM 49- Wall Heater
Clothes Washer I Clothes Dryer I
Urinal 1.0 GPM ^ Ventilation Fan
,1:9- Drinking Fountain ' Range Hood
-0- Floor Sink or Drain -A- Pre-Manf.Stove or Fireplace
' Water Piping I Gas Fireplace
3 Hose Bibs ' Gas Water Heater
Back Flow Prevention Device I Gas Piping
Other(Describe) Other (Describe)
I
THIIS 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 I
ORDINANCE GOVERING T TYPE OF WORK WILL BE COMPLETED WITH,WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTION./
SIGNATURE ( / � s//`l DATE' // / 2/ / 6f
11.744/V4 mule ar:Ja r&A 40 VLCJLV4O r.AGl.uAi VC 4rJUVa
'.„ s`` 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 fan,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.
7\6. 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 moms
along with a whole-house exhaust fan as described in Option A (WA VIAQ 303.4 1)
_D. A heat-recovery ventilation system.(WAVIAQ 303.4.4)
PART 2
Insulation and Windows:select one of the following methods. (WSEC Table 6-1)
•
Glazina% U-factor Ceiling Vaulted Walls Floor Slab
• 1. (2x4 construction) up to 12% 0.35 R-38 R-30 R-15 R-3D R-10
X 2. (2x6 construction) unlimited 0.40 R-38 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: sgl.
Total heated area: sq.ft.
.Total window area divided by total heated area=glazing
Updated!August 2a,2004 Page 1 of 2 •
CITY OF ANACORTES BUIDLING DEPARTMENT RESIDENTIAL
CHECKLIST
(This form is to be completed prior to issuing the building permit)
r
Site Address: Q\2 69 ck II" e \--- Date: tX 0 rOy
Contact Person: 6"+"�'�'^ r--. Phone No.:r is(o t" fl 3
Assessors No.: Lot �4 . Blocic — Addition: $
•
(Building Department Checklist for Completeness)
OK NA OK NA
O Fwe Department Access 0 Fire Hydrant Located within 250 feet
0 Fire Flow Required D Shoreline or Wetlands
O Site Plan 0 Covenant Approval
O Variance Required 0 Regulated Slopes
❑ Plat Facts and Findings Compliance - IDSurvey in File .
❑ Fill on Site
Received and Reviewed by: Date: V— ).-0 re/
"
*
(Engineering Department Checklist for Completeness)
OK NA OK NA
0 ❑ Water Extension/Meter 0 0 Sewer Extension/Connection
❑ ❑ Street Improvements/Sidewalks 0 ❑ Site Drainage Plan
❑ ❑ Covenant Not to Oppose Future LID 0 . ❑' Latecomers Agreement
❑ 0 Street Drainage ❑ ❑ Driveway location,slope,culvert
❑ ❑ Storm Drain Extension
Received and Reviewed by: Date:
"'FURTHER COMMENTSI
Zoning. 12z
Lot Size: WOi a��. be,
F. I
Coverage Allowed: 3 Si "7 �r , "
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Actual Coverage: 3 tQ l o �J
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