HomeMy WebLinkAboutPermit File 4516 Blakely Drive :G O . City of Anacortes Invoice/Permit#: BLD-2015-0130
\ 904 6th Street Applied date: 03/26/2015
P.O.Box 547 Issue date: 03/26/2015
Anacortes, WA 98221-0547
•:;,r , , ,3• Expire date: 09/21/2016
f., ^_,: (360) 293-1901
Job Address: 4516 BLAKELY DR Permit Type: Mechanical Permit
ANACORTES WA 98221-1161 Project:
APN: P111881
Remarks: Install furnace
Owner: DONALD ODEGARD Contractor: BARRON HEATING &A C
Address: 21316 11TH PLW Address: 5100 PACIFIC HWY
LYNNWOOD WA 98036-8670 FERNDALE WA 98248-9080
Phone: Phone: (800) 328-7774
License#: BARROHA179D7
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 PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, 6j2 1F
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMpNCaf.;t;I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL P. Ovis:jo 4.
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OM NOTt:TR
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF ISTA`ltt
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY =' `-'
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Finance Department
015141-0006 Lee M. 03/31/2015 09:09AM
PERMITS AND INSPECTIONS
DONALD ODEGARD
BLD-2015-0130
Mechanical Permit
Install furnace
issued
2015 Item: BLD-2015-0130 38.30
Payment Id: 54673
38.30
Subtotal 38.30
Total 38.30
CHECK 38.30
Check Number 074762
Change due 0.00
Paid by: Barron
II I II 11111011111111INION
Thank you for your payment
CUSTOMER COPY
DUPLICATE RECEIPT
v o„ CITY OF ANACORTEL
_
WASHINGTON
sc BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Re€ddence
Located At: 4516 Blakely Drive
STREET&NUMBER
Owner: Homestead NW, Inc,
Constructed By:
OWNER OR CONTRACTOR
Bldg.Permit#C0M98-0211 Date Of Issue: 10-28-98
Occ.Group: R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized,
This 10th Day Of March 19 99
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
an I
COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : COM98-0211
P.O. BOX 547 APPLIED: 10/23/98
ANACORTES, WA 98221 ISSUED: 10/28/98
(206) 293-1901 EXPIRES : 10/28/99
SITE ADDRESS : 4516 BLAKELY DR
ASSESSOR' S PARCEL NO. : 4699-000-032-0000
PROJECT DESCRIPTION: New single family
— OWNER — CONTRACTOR — LENDER
HOMESTEAD NORTHWEST INC
P.O. BOX 409
LYNDEN WA 98264
360-354-3366
— FEES
TYPE OF WORK •NEW AREA (sf) VALU...$: 108849 Code Amount---- By- Date---- Receipt
TYPE OF USE •SF LOT • 6050 REQUIRED SETBACKS---- ESPL $ -100.00 EF 10/28/98 9189
CENSUS CATEGORY •434 1ST FLR • 1092 FRONT • 20 ft PLC& $ 296.08 PP 10/28/98 9189
ZONING 2ND FLR • 480 SIDE(1)..: 8 ft PANT $ 455.50 EF 10/28/98 9189
:R2 BASEMENT 0 SIDE(2)..: 5 ft PNEC $ 73.00 EF 10/28/98 9189
OCCUPANCY GROUP GAR/CARPORT...: 400 REAR • 20 ft PPLM $ 111.00 EF 10/28/98 9189
:R3 •? •? :? OTHER 0 REQUIRED PARKING-- STEC $ 4.50 EF 10/28/98 9189
TYPE OF CONSTRUCTION TOTAL • 0 SENR $ 3483.00 RP 10/28/98 9189
:5N •? •? •? NUMBER OF UNITS • 1 ACCESSIBLE.: 0 1NPT $ 400.00 SF 10/28/98 9189
OCCUPANT LOAD STORIES • 2 COMPACT • 0 STRM $ 1126.00 SF 10/28/98 9189
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf 1NSP $ 50.00 SF 10/28/98 9189
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 $ 5899.08
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 • 3 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1
VENT SYSTEMS...: 0 <= 10000 cfm.: 0 W00DSTOVES • 0
VENT W/O APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0
EVAP COOLERS...: 0 GAS OUTLETS • 1
HOODS • 1
WATER CLOSETS...: 2 WASHING MACHINES: 1 FLOOR DRAINS • 0
BATH TUBS • 2 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 1
SHOWERS • 0 LAUNDRY TRAYS...: 0 HOSE BIBBS • 2
DISHWASHERS • 1 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 2 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.
1 Issue y --
Applicant r Owner' s Signature
24 Hour Notice Required For All Inspections
com_prmt, Rev: 11/04/93
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(This form Is to be completed prior to Issuing the building permit)
Site Address: LISIto 13lgKcl-Y Date: le- a3-43
Owner Hen,ES-, -w„ N .W•
Assessors No.y6o39-ahh-o3a-once, Lot 3a. Block Addition s-Qc'r'ne;nac.
OK NA OK NA
8 --"--t7 Fire Department Access C�" ❑ Fire Hydrant Located within 250 feet
❑ Er-- Fire Flow Required 0 W Covenant Not to Oppose Future LID
❑ Water Extension ❑ El-- Sewer Extension
❑ E3-- General Road Improvements 0 Q Shoreline or Wetlands
❑ O Drainage Plan Approved 0 S Site Plan
❑ E3� Variance Required ❑ fa- Covenant Approval
❑ E' Plat Facts and Findings Compliance ❑ Er- Regulated Slopes
1 0 Fill on Site L3 ❑ Survey in File
_...........ther.Cotriments: > € € .:
Lor $;zs_ (pa so S, f✓_
CD`�E Kq L� Alatadso : 3,117 S,G.
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Plans Examiner: P D Date: to
(Signature)
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GEO1T 0
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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: 4516 Blakely Drive -Lot 32 REPORT/fr S24
CLIENT: Homestead Northwest TEST DATE: 11-23-98
CONTRACTOR: Client PAGE#. 1 of 1
INSPECTOR: JW
COMPACTION OF : House Pad.
Field Data:
TEST LOCATION DEPTH/ FIELD IN-PLACE LAB COMPACTION COMPACTION
# ELEV. MOISTURE DENSITY SAMPLE % %
(ft,) (%) (pof) # ATTAINED REQUIRED
1 Northwest Corner GR 10.6 118.3 914 95 95
2 Southwest Corner GR 11.8 117.7 914 95 95
3 Northeast Corner GR 10.0 121.3 914 97 95
4 Southeast Corner GR 11.2 117.8 914 95 95
5 Southwest Center GR 12.2 120.2 914 97 95
Lab Moisture-Density Data:
Lab Soil Max.Dry Optimum Retained M-D
Sample Type Source Density Moisture on#4 Test Method
# (Pct) (%) (%)
914 Gravelly Sand AS&G Pit 124.5 - - ASTM1557C
Comments: All tests met the required compaction.
RECEIVED
DEC 0 3 1998
ciulLullvO DEPT ,
Copies: Homestead Northwest
City of Anacortes
Submitted By
Douglas S. Lynne P.E.
Geotechnical Service Manager
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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