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HomeMy WebLinkAboutPermit File 1904 Bradley Drive • " h - 4 :_x City of Anacortes Permit#: BLD-2014-0098 904 6th Street Issue date: 03/20/2014 P.O.Box 547 Anacortes, WA 98221-0547 Expire date: 09/16/2015 (360) 293-1901 Job Address: 1904 BRADLEY DR Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3010 Project: APN: P59188 Remarks: Replace retaining wall of railroad ties with corner stone blocks. 233 feet of block wall 4 feet high and approx 100 yards of fill. Owner: GENE ADAMS Contractor: TIM FISHER EXV. Address: 1904 BRADLEY DR Address: 4501 SAN JUAN AVE ANACORTES WA 98221-3010 ANACORTES WA 98221-1123 Phone: (360) 755-3125 Phone: (360) 708-2016 License#: General Information: Fees: Building Valuation 16000 Building Permit Fee 265.25 State Building Code Fee 4.50 Total Calculated: 269.75 Deposits/Receipts: 0.00 Total Due: 269.75 E..+, ,••r :y. 1`I r-- ,..., ,M; ([' W+• ni Ih i[• 1,..) CO nn rN .G: 4.,} t i c i�i m -5:. -e -i 0 C i ` -•..j t. _fin. y,:• -, OD r- Y"^I 0 ft, =I != . I;. rs y(. _t u er.. to 0) nn M, OD ni THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DA', Oki I ,, CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMft.CERQ HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.'7'LI. PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HOREINr -, NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF AI 'OTf€I STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. re_i , •..Li ••4) 0 ,..i N. ® - .. /� r:�,�.max._// t (` G-c (NO -;P, SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY It' ,a, . . 1.,t,to 0 .0. foti 4 rik.1.44.7„, Ak 9� w T JT USE . SINGLE FAMILY RESIDENTIAL PERMIT APPLICATION City of Anacortes Building Department P.O. Box 547 Anacortes,WA 98221 -Street Address: 904 6th Street Phone:(360) 293-1901 Fax: (360)293-1938 SITE ADDRESS: / 9'd`f ,67y,, c14. Or. J D7'9or-/�J ,-��, �cFc967/ CONTRACTOR D Applicant PROJECT.DESCRIPTION 6 Name / 1 1'`l, -. '`( Y` v �,���e''e ar' e'r/r.1'/ 7 6til5, Address / ;' �A�))lci/ .��' ir, � 3/ .c 7 C4" e ' City/State/Zip ! fiat d4, 9g7016,11 / r 4'eh ,3 r r Phone360 / FAX p 7��q ,0.fief', State License# /�J5 4.---Z-Z` Y�J">;xp / D ep '1 ::2/ PARCEL NUM B_ ER n "" City of Anacortes Business License:tA' es ❑No ���lirliiiiiiin.,.a,,... .�..._. PROPERTY OWNER", ' E A licant LEGAL DESCRIPTION 3' MAR c9..0, ,6., / PP i; ., � � �is, �4 Name C.?� �i a�C j d��d�'/S 1 1-c- . Address 87.1a 04 City/State/Zipigle 2i° %?? '2/ .PROJECT VALUATION Phone-3 "76 3f 5 TAX Number of Dwelling Units T. E-Mail Address ,Q,,a`..,, /,e/4-/(**c�7 Number of Stories G'i..s.7 c>.-5 4 7, , r Building Area: Cl Architect❑Designer:❑Engineer❑ Applicant 1st Floor s.f. 2❑d Floor s.f. Name 3rd Floor s.f. Basement s.f. Address Garage s.f. Carport s.f. City/State/Zip Deck s.f. Lot Area %97OO s.ffy.,, ` Phone FAX a3�' p ecCJL,rfeh J 710,,,,ve. 4//,r'' E-mail Address ✓`�''/'v,_�..`//� 0// 1/' k �� C O57`l,� ,""3 69 66 CONTACT ❑Applicant LENDER , /// Lr'r.�S LENDER INFORMATION MUST BE PROVIDED OR PR CTS OVER$5,000 Name IN VALUATION PER RC W. Address Name &-eiL' ' /c Le L 5- City/State/Zip Address /ga" 1 ed1 ( l �_, Phone FAX City/State/Zip dew 1 (/" 9 0 E-mail Address Phone No. .g<=© — ? — 3/ 2 id- 't.:)i - sags 11.4 — b f CONTINUED ON THE BACK Residential Mechanical Fixtures Fuel Type El Natural Gas ❑ Electric ❑ Wood 0 Propane Gas ❑ Other Type of Equipment Number of Type of Equipment Number of Fixtures Fixtures Furnace<=100K BTU Clothes Dryer Boilers/AC/Heat Pump Gas Water Heater Gas Outlets Gas Fireplace Ventilation Fans Fireplace Insert Stove,Appliance Other Units Range Hood Residential Plumbing Fixtures Type of Fixture Number of Type of Fixture Number of Fixtures Fixtures Toilet Clothes Washer Bathtub Electric Water Heater Shower Utility Sink Dishwasher Hose Bibb Hand Sink Water Piping Kitchen Sink w/Disposal Additional Fixtures I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION.WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE. STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.' APPLICANT'S SIGNATURE DATE 4 ' { , 1 tl it Last Updated Nov.9,2012 100-SERiES • The 100-Series units are suitable for landscape gravity walls.When using geosynthetic reinforcements,the 100-Series wall has excellent stability and is structurally sound for tall walls up to 30'.The 100-Series displays the versatility and flexibility that are ideal for creative designs for both residential and commercial projects. The 100-Series caps are available with straight sides for straight walls or tapered for curved walls.The F-100 corner unit saves time when building an outside 90'corner.The running-bond pattern is maintained when using the corner units.The two-sided textured corner units can also be used to build pillars,finish top-of-the-wall steps or outside corners of stairs.The overlapping corner units can be_secured by using concrete adhesives.The corner unit is available in flat face only,but is suitable for use with both radius and flat face walls. a y �r « �< y • ia 1 1aSt•tl ir,t , i c: '11 V 0, r V >§ [15 `° Y r Ys�Gu / x { .3cn143.7cm%30.3 ) '' 1,�� �x'z a`- f... F.s� 6�z61b.,..c.; '.1-4, ". .= r�•X' 20 em R-100 Unit F g =3' '% t•-;':p.- r',;,� ,-,4Mf' x '`� rr µws< '^€ k-1-; '-, yr o' '' - K`> , :4 m> as �q r,,,, ,r,e4• : �'4:' rr:; • R-100 Cat? .s.. ,r.°•'3`ra"-� �,fi„S:��v�,^.sy,, .:iy��'������,,:�,�''"a�-<,i:is"��k„E.�,as>'�����^-��'�. q���..: 4,• "..5r.»`'2� - 1 S(n,f tpc 4 lnf � _- � {a a`x IS'x12• , R-100 Cap _o� , r ` ks '`32& ri a Fys tx *' 5, ZQtWAI tgr l c-s y 4ftiftMg. S, ' - ii (20.3cmx43.7cma30.3cm) -c,,;�,x �_ tea -�:, ; ,: -- R-100 Cap i s 1 .:e �,y� 4;;441"`> , f • f ` c• 17 Straight-sides 11b j1 , `,y_,13 ; ta, .' iia 9 _, 'i ' k 1. F-10Q unit i:ir'�^�'.41"za<"' ;r:,,;�A1,K,:.-.'_,e4,„=I .;;;4,?Z- r t r' T;.: loVrx' .0,-- -,; sib,i "v"�gH - E'%1r%12• gg� �rr p:.r ham'. R- *`"£".�'?'�:` ftk-t, i �" ..'eV 3`;.t:SI; �'%4-4.,-x,i'i'a-?4ei. 3<,44 Ss•� 4€ �- r '„''' 20.3 cw%43.7 cmx30.3 cm F-100 Unit. i �_�,'P��=,,�` �{{�',� %?,<»,�''�,:� '��z§F,.��r�,:"s.�M�:"3e>'�-i'Fa;-�t's�6is�;aa�."�"„s+�ay �� � { ) C 1_Q: G ri rrll 0 03 y2, t j < s 34 gj l ' (le6R0: .'ki) ,< `;,°- , il" .\„ RW.z Yam.»e:.g.i.r:..S Y'2.'v 5i,.?0 ,-:k.Nk=>;::-:,a 1;,:g." .��.fz:. �zX�k�u''^ �""T .3 -,--:`li\.ft?f ,sue-'-?.<QQ -{rl A-e.,i%;';,o,,,,,�1Q e .,;�3.y.'- 7r2 �ljx_,.,,zsi: 'F F 100Cap 3' =.:z= r{ 2 z ��,.�#�a1u < =r 3 x t :¢ F.1O0(au sxt:N kz� '^ ra%c 'r ,.a .� :a_- < • a•%la'%12• F 100Cap 1 5lnft�pE iSt'nft X' ;110F. yF:, g.� 57fl{ = (20.3 cw%43.7 cm%30S cm] f al.f. �.f` 32 3Y S -Sy F w�wC�. 'Y K�yL'.: :4.Yw `,44 '" L" tE�Ff`�,.:�"'�'"..`a}F aY`' di'♦ 1'- Straight-sides 0. 5r 1i m`.pc. 14',•6.30112To Rom: #41-Z avAm _:(1 t 3 .. '^"h ..3 a.`<�fi.e. .:Fe' ±� `"f'�.' �:Ca'-�—'=�d'�i„:s;<:'�'.-� �g'''aTR.-,:.ac.P?..�i� -a. t"u` ti•Olvtgite F-1 00 Corner .4 .. .ry,1; ;4Qt x s.� , 5>: � � ..,.,: _ .�` `. v �-1 :t'a•.z pg• 1-.YZ ; 2i � — 38 5 kg' ,('1 S6 kg); .,.: "i-... ...-.z ;tb,.... fiSkc•e .t �a. .-:.-" ,s 203<%t%433 cmz23an) A1!Weight per Pallet noted above include a 50ih pallet weight Maximum gravity wall height:4:Without any surcharges.Maximum reinforced wall height 30:Minimum radius 3 S: 'Ahoavclikahle with straight-sides. 200-SERIES The Corner Stone 200-Series units are used for critical retaining wall sites,such as highways,water sensitive areas(rivers,lakes or ocean shores)and very tall or high-loaded stressed projects.200-Series units can be used for gravity walls up to 6'and reinforced walls up to 30'.For walls over 4 feet high,consult an engineer. The units should be used where structural stability is important,such as a site that has a slope above the top of the wall.This unit can also be used_as a base course for a 100-Series wall to provide added base stability.200-Series walls can be finished , with the 100-or 50-Series cap units. ti-240!lJrllt ' • ,," s i �,g -, t�s� ��° I >r -nh�.. .. tee .^lxy _ , s,� ,t J ? - -� K d'z ld'z 22' - a r is 5i E ',,.c �' t ��. r v (2D.3csx43]cmx36cm) 1 y hi Cbc;'R rt �s,a-_i x �' . :^ruuX'�'z,,'r-: -6',:,;' iv?:w"1PP j" { E-1- `'s�'r g'Z`iRi '0 V:lf, tt :W - ,�: 07, ...ft.i's^ta¢i` ,g.ti-'gi1 V 1"�;s t�"1' "�411.r ,4-1)1�,a'i- 200 Unit :'25 ba's: i r= "(10 76.pc=`F."m Y- 2 32 r '1�kg)`�- �Ci£1o:t� ft7 2 Y1 pcJ 25 130l b 33301b f-200 Unit 06 25 � F-2¢p ri.i , , (1 :7 •pcTcil') f2 325 rn'> .S4 g s (1,50 kd);, ..., , .r (20.3 cm x 43.7 cm x 36 cm) Al Weight perialler noted above include a 50lbpail!er weight. w;-.-' Maximum gmwry wall height:5:Without any surclxirges.Maxim UM reinforced wall height 30' ' . . 2 •'Mutual Materials US CORNERSTONE'112012 s•Av,v.mutualmaterials.cern /6-17/"K 5&7./ 7 Q. ?,.i /6 lit) g.110 oftee'y-/wift- e,4, , vs iro„ 3 / elf cyay :r4 41,!,,(72(.4 ri?,,1, J egyp,ie•-* -6-7.i;a4 ,bkah, 07. I , „,.. arizike... CeAliveti--.' 7,4;41 1:/.1)-1; $i J e.._ v i'e LA)fi I, i g F66 — )og I ,z. ----,- F5 - 02-5— ----- . , , ...-, i 0° 4,-- It' 35 "i' 1' 4 •e•,- - ;',2e ---? A 1 l'N AL i V ifeme__-- I' II, . t 1 i - ifr.,z,42/ i , 1 , i 6? Nk/ Od--e--------eo-y-s0 ,1\-0-i45 //(0----Nifiz:71-7-- .., ) 177- - ..‹.---- "G:11'14 Residential Building Permit Application e Building Department P.O. Box 547 Anacortes, WA 98221 Phone No.: 360-293-1901 FAX: 360.293.1938 SITE ADDRESS: 71& g /r9 e'7 Dr CONTRACTOR" ❑Applicant PROJECT:DESCRIPTION Name /77, ss-2h/geAt C.i 6/sT R �pl e- �I�d J./Way Address / City/State/Zip Phone FAX State License# Exp PARCEL NUMBER City of Anacortes License PROPERTY OWNER J. C7'Applicant LEGAL DESCRIPTION Name ( & /tt,on2 ////9tL t4'iores JJ6e- Address /19 /Y /3 ne//ey Dr City/State/Zip/tiff/9.- b/^tr,,/yfq 6)t22/ PROJECT VALUATION i / `-' ? Phone 6 to-8/,39 FAX �/�� Number of Dwelling Units / li E-Mail Address 4,/Or'G.5Jo be �A07,,,Af�ze ,Number of Stories Building Area: Q"Arthitect O Designer 0 Engineer b.Applicant 1"Floor s.£ 2"d Floor s.f. Name 3`d Floor s.f. Basement s.f. Address Garage s.f. Carport s.f. City/State/Zip Deck s.f. Lot Area s.f. Phone FAX E-mail Address CONTACT ' l8plicant: ; LENDER LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000 Name IN VALUATION PER RCW. Address Name City/State/Zip Address Phone FAX City/State/Zip i E-mail Address Phone No. CONTINUED ON THE BACK Residential Mechanical Fixtures Fuel Type ❑ Natural Gas 0 Electric 0 Wood 0 Propane Gas 0 Other Type of Equipment Number of Type of Equipment Number of Fixtures Fixtures Furnace<=100K BTU Clothes Dryer Boilers/AC/Heat Pump Gas Water Heater Gas Outlets Gas Fireplace Ventilation Fans Fireplace Insert Stove,Appliance Other Units Range Hood Residential Plumbing Fixtures Type of Fixture Number of Type of Fixture Number of Fixtures Fixtures Toilet Clothes Washer Bathtub Electric Water Heater Shower Utility Sink Dishwasher Hose Bibb Hand Sink Water Piping Kitchen Sink w/Disposal Additional Fixtures I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS 1 LIC. , STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PRO • NSE. Y APP ICANT'S SIGNAT DATE Last Updated 11-29-05 =GiT b . City of Anacortes Permit#: BLD-2010-0128 904 6th Street Issue date: 04/06/2010 P.O.Box 547 • Expire date: 10/03/2011 ra Anacortes, WA 98221-0547 (360) 293-1901 ::qR let 2. Job Address: 1904 BRADLEY DR Permit Type: Single Family Alteration/Repair Permit , ANACORTES WA 98221-3010 Project: APN: P59188 Remarks: Replace siding on a single family residence. Owner: MAU GORDON W Contractor: Address: 1904 BRADLEY DR Address: ANACORTES WA 98221-3010 Phone: Phone: License#: General Information: Fees: Building Valuation 14577 Building Permit Fee 110.50 State Building Code Fee 4.50 Total Calculated: 115.00 Deposits/Receipts: 0.00 Total Due. 115.00 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 F 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. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY I G81 O . City of Anacortes Permit#: BLD-2010-0128 904 6th Street Issue date: 04/06/2010 P.O.Box 547 ' 'fib, Anacortes, WA 98221-0547 Expire date: 10/03/2011 5.4 ' 1 (360) 293-1901 F 9pQv *S •: Job Address: 1904 BRADLEY DR Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3010 Project: APN: P59188 I Remarks: Replace siding on a single family residence. Owner: MAU GORDON W Contractor: Address: 1904 BRADLEY DR Address: ANACORTES WA 98221-3010 Phone: Phone: License#: General Information: Fees: Building Valuation 14577 Building Permit Fee 110.50 State Building Code Fee 4.50 Total Calculated: 115.00 Deposits/Receipts: 0.00 Total Due: 115.00 III 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. • SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY 1009502-1 0037 94/06/2010 001 1 Permit Fees 008663 $115.00 GS,T Y_ O4; City of Anacortes Permit#: BLD-2010-0128 •,i 904 6th Street Issue date: 04/06/2010 ‘+.wri. P.O.Box 547 '` �Ga;> Anacortes, WA 98221-0547 Expire date: 10/03/2011 °'l * (360) 293-1901 Job Address: 1904 BRADLEY DR Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3010 Project: APN: P59188 Remarks: Replace siding on a single family residence. Owner: MAU GORDON W Contractor: Address: 1904 BRADLEY DR Address: ANACORTES WA 98221-3010 Phone: Phone: License#: General Information: Fees: Building Valuation 14577 Building Permit Fee 110.50 State Building Code Fee 4.50 Total Calculated: 115.00 Deposits/Receipts: 0.00 Total Due: 115.00 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 STAT LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION ofotfia SIG ATURE OF OWNER OR A HORIZED AGENT ISSUED BY 0 0 FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT No 8875 293.1901 BUILDING PERMIT 24 Hrs. Notice Requested Site Address 1904 Bradley . NAME(OR„NAME OF BUSINESS) PLUMBINGDE Goodrich MAXIM ADDRESS 240i Piper Place No. TYPE OF FIXTURE OR ITEM FEE CTI Y TELEPHONE NUMBER 4 Water Closet $ t .OG Arall Aries. WA 9822; 293-2110 Bathtub NAME 4 Lavatory t: .tilt 3 Shower e •OG ADDRESS 1 Kitchen Sink ''- .UU I Dishwasher 6 .00 CITY TELEPHONE NUMBER 1 Laundry Tray 4 . 00 1 Clothes Washer a •0U NAME 1 Water Heater 4 •00 Urinal ADDRESS Drinking Fountain Floor Sink or Drain CITY TELEPHONE NUMBER Slop Sink Z . 1 Water Piping . .00 Ct STATE LICENSE NUMBER CITY LICENSE NUMBER P!IYSidnIslIldri ❑ Non-Residential PERMIT $ : .UO OINevi U Add ❑ Alter ❑ Repair TOTAL FEE $ 31 .00 ❑m 44eig ❑>Plumbing ❑'ffechanical MECHANICAL O Sign 0 Demolition 0 Other ❑NGAS ❑ OIL 0 ELECT. ❑ OTHER . Legal Description of Property or Tax Account Number Na TYPE OF EQUIPMENT FEE S01 �919-00 Wiy iin )f 093-0005 Air Cond. Unit $ Refrigeration Unit— HP Boiler— HP 1 Forced Air System— BTU/KW `e ,G0 Describe Work Floor Furnace Single Family Residence Wall Heater • Unit Heater Clothes Dryer Occupancy Use Ventilation Fan 0)Single Family Residence 0 Multi-Family Residence Range Hood ' 0 Office '❑ Retail 0 Storage 0 Church , Air Handling Unit— CFM 0 Restaurant 0 Other Pre-manufactured Stove or Fireplace NOTICE 1 Gas Piping 4 .00 This permit is issued by the Building Official and,under the provisions of the Uniform Building Code,shall expire by limitation and become null and void if the l ilddr a or work authorized by such permit is note com- PERMIT $ 1 e .00 merited within l80 dais from the date of permit issuance,or if the building TOTAL FEE $ 4- 1 .00 or work authorizes by such permit is suspended or abandoned at any time after the work-is rommenced fora period of 180 days. TOTAL FEES VALUATION FEE By affixing my signature, I hereby certify that I am the owner of the Building 13b,040.Ct0 $ 727-.Go property for which permit is issued or am an authorized represen- ;�y( .00 tative of the owner. Plan Check Plumbing 31 .00 All provisions 'f ordinances governing this type of work will Mechanical r / ,ULp be lied w' w tker ified herein or not,including routine calls • fo ign atct: Demolition imp Fee 2.0 .00 a/ :. ��2'' 9 tl Energy Surcharge Signore of Illw.Ir or Authorized Agent (Date) State Surcharge 4 . 50 Other Sewer :era .,UU . Sneet Sem.ek Side Yard Setback Rear Yard Setback TOTAL $ 4,901 . 50 Use Zone Occupancy Group Type of Conic Conditions: Lot Area Yoram Sit Dwelling Units ❑Yes ❑No Fire Sprinklers Required No.of Stores Bedrooms Occupant Load ❑yes ❑No ' Size of Bldg. Plans Checked By: W®q AND DATED BELOW,TUN N YOUR PERDU Ponds*,s dwa to do the above desalbtid rgli•aeeEding to the eootbdom ' - harem and a ;approved pwid spetiesticios perti®ng thesis),subject to cempliaoce with the ordinances el the CITY OF ANACORi n. 4 06/21/91 SuedPermit ued MI is ' kr i : C U c ( 'C-1 i s s? Building Official (Date) Edwin Frank 1, PERMIT NQ tarts is• k `r�jU`a``O been i�sta\ied ir+ a°°OrdaaC iiito °V a Fiber9\a is roduct. Govera9 �,�1M that owebea aPP�i9at�on °\ the p coverage Area Attic Mies oMmend ned °e is rec WpOi RvaD dersi9 cure \anon Win rd 2 / ,-- Wa\\s jw\h the n\anuta 'Types °\ \nsu Cubed Standard J---- �/ ¢\Dots gabs Fob FS 25 � /,--'� +q /,.- tlntaced ��--r \craft / / �q —�! / y / i / r\\ ater�a\ pOy6rrn9 ��� \ se F rn state,INC / ,- ��ba9s °{`Oo city, We used/ corrOsrva and \Horgan\O \ fib n°n IIIIte Vat. \ company �� r yawed Papers'\f y°u ever state,Z ificate io the r teaser city' sled on Keep thbe Pa \ Ste°uid