HomeMy WebLinkAboutPermit File 4503 Blakely Drive 09 :540.;- . 00-: .I .10 4'
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Y Permit#: � BLD- 009-0053
904 6th Street Issue date: 02/23/2009
x 547 Expire date: 02/23/2010
Anacor
:31 fib . Anacortes, WA 98221-0547
w. (360) 293-1901
Job Address: 4503 BLAKELY DR Permit Type: Mechanical Permit
ANACORTES WA 98221-1161 Project:
APN: P111888
Remarks: Install gas water heater
Owner: GROTTE DARA Contractor: FAST WATER HEATER
Address: 4503 BLAKELY DR Address: 12601 132ND AVE NE
ANACORTES WA 98221-1161 KIRKLAND WA 98034-3306
Phone: Phone: (425)814-3124
License#:
General Information: Fees:
#of Gas Water Heaters 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
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
(VW / d'Vt t& a4 Q•32A,110
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE BY
/111. 1
y �.S o CITY OF ANACORTL
WASHINGTON
9 "C BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Siggle Family Residence
Located At: 4503 Blakely Drive
STREET&NUMBER
Owner:
Homestead NW, Inc.
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg.Permit
C0M98-0206 10-12-98
Date Of Issue:
Occ.Group: . R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized, ,1
This 27th Day Of January 19 99
l
R
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
COMBINATION PERMT
CITY OF ANACORTES PERMIT NO. : COM98-0206
P.O. BOX 547 APPLIED: 10/09/98
ANACORTES, WA 98221 ISSUED: 10/12/98
(206) 293-1901 EXPIRES : 10/12/99
SITE ADDRESS : 4503 BLAKELY DR
ASSESSOR' S PARCEL NO. : 4699-000-039-0000
PROJECT DESCRIPTION: New single family residence
— OWNER — CONTRACTOR — LENDER
HOMESTEAD NW, INC.
P.O. BOX 409
LYNDEN WA 98264
360-354-3366
— FEES
TYPE OF WORK -NEW AREA (sf) VALU...$: 112300 Code Amount---- By- Date---- Receipt
TYPE OF USE •SF LOT • 5500 REQUIRED SETBACKS---- ESPL $ -100.00 ND 10/12/98 9115
CENSUS CATEGORY •101 1ST FLR • 1125 FRONT • 15 ft PLOP $ 302.58 ND 10/12/98 9115
ZONING 2ND FLR • 394 SIDE(1)..: 8 ft PENT $ 465.50 No 10/12/98 9115
:R2 BASEMENT 0 SIDE(2)..: 5 ft PMEC $ 77.50 MD 10/12/98 9115
OCCUPANCY GROUP GAR/CARPORT...: 400 REAR • 20 ft PPLM $ 118.00 MD 10/12/98 9115
:R3 :? :? :? OTHER • 72 REQUIRED PARKING-- STBC $ 4.50 MD 10/12/98 9115
TYPE OF CONSTRUCTION TOTAL • 0 SEWS $ 3483.00 MD 10/12/98 9115
:5N :? :? :? NUMBER OF UNITS • 1 ACCESSIBLE.: 0 INPT $ 400.00 ND 10/12/98 9115
OCCUPANT LOAD STORIES • 2 COMPACT • 0 STEM $ 1126.00 MD 10/12/98 9115
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf INSP $ 50.00 MD 10/12/98 9115
FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN •0
:/GAS/ / /: 0-3 HP • 0 COMML. INCIN -0
FURN < 100K BTU: 1 3-15 HP • 0 RELOC/REPAIR...: 0 TOTAL $ 5927.08
FURN >=100K BTU: 0 15-30 HP • 0 CLOTHES DRYERS.: 1
FURN - FLOOR...: 0 30-50 HP • 0 GAS WTR HEATERS: 1 — NOTES
UNIT HEATERS...: 0 50+ HP • 0 STOVE, APPLI...: 1
VENT FANS • 4 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1
VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • 0
VENT W/O APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0
EVAP COOLERS...: 0 GAS OUTLETS • 1
HOODS • 1
WATER CLOSETS...: 3 WASHING MACHINES: 1 FLOOR DRAINS • 0
BATH TUBS • 1 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 1
SHOWERS • 0 LAUNDRY TRAYS...: 0 HOSE BIBBS • 2
DISHWASHERS • 1 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 3 WASTE INTERCEPT.: 0 ADD'L FIXTURES..: 1
KIT SINKS W/DISP: 1 DRINKING FOUNT..: 0
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. / /
c
f�e//te Der, O� (x
Issued by Applicant or 0 er' s Signature
24 Hour Notice Required For All Inspections
com_prmt, Rev: 11/04/93
GEO
SERVICES, INC.
Engineers,Geologists and WABO Special Inspectors
741 Marine Drive•Bellingham,WA 98225•Phone 360.733.7318•Fax 360.733.7418•e.mail geotest@nas.com
FIELD DENSITY/MOISTURE TEST REPORT • SOILS
ASTM D2922
PROJECT: Woodridge Development JOB#: T7097
ADDRESS 4503 Blakely Drive - Lot 39 REPORT#: S22
CLIENT: Homestead Northwest TEST DATE 10-13-98
CONTRACTOR. Client PAGE#: 1 of 1
INSPECTOR. DPB
COMPACTION OF : House Pad.
Field Data.
TEST LOCATION DEPTH! FIELD IN-PLACE lAB COMPACTION COMPACTION
ii
# ' ELEV. MOISTURE DENSITY SAMPLE °!o %
(ft.) (%) (pcf) # ATTAINED REQUIRED
1 Northwest Corner GR 8.0 124.4 914 99 95
2 Northeast Corner GR 8.1 124.5 914 100 95 1
3 Southeast Corner GR 8.2 118.1 914 95 95
4 Southwest Corner GR 7.8 118.5 914 95 95
Lab Moisture-Density Data:
Lab Soil Max.Dry Optimum Retained M-D 1,
Sample Type Source Density Moisture on#4 Test Method
# _ (pct) (%) (%)
914 Gravelly Sand AS&G Pit 124.5 - - ASTM1557C
Comments: All tests attained the required compaction.
Copies: Homestead Northwest
o
City of Anacortes n � _
Submitted By r/ (.---7,---5.
uglas S. Lynne P.E.
Geotechnical Service Manager
:u,•in ro This report shall not be reproduced except in full,without the written approval of Geo\Test Services,Inc
The above test results relate only to the sample(or location)tested
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WOODRIDGE
LOT 39 4503 BLAKELY DRIVE
SCALE 1'620'
BLAKLEY DRIVE
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RECEIVED
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-V (QNVl3A313 I m OCT 0 2 1998 tie--h
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" ENGINEERING
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I I ' FRENCH DRAIN ¢
SEE DETAIL i
8'-0'
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Mr LOT 39 20'-0" i 2 d,•>.SA .!2%
inCQ�.tM M
5 Sala' E
55.00 330.00'
—' 330.00' O TYPICAL DRAIN SECTION
LEGAL DESCRIPTION,
11
LOT 39, PLAT OF WOODRIDGE ESTATES, A
PORTION OF THE NW QUARTER OF THE NE
QUARTER OF SECTION 27, TOWNSHIP 35 N
RANGE 1 EAST OF THE W.M., SKAGIT COUNTY ri
WASHINGTON.
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