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HomeMy WebLinkAboutPermit File 4203 Cherry Lane y '1 o`t o CITY OF ANACORTES WASHINGTON v n q�OPt� BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): Single Family Residence Located At: 4203 Cherry Lane STREET&NUMBER Irving Construction Owner: Constructed By: Owner OWNER OR CONTRACTOR Bldg. Permit#: BLD-2005-0721 Date Issued: December 22 , 2005 Occ. Group: R3 Use Zone: 121 PUD Has Been Inspected And Occupancy Is Hereby Authorized. April 26 , 2006 This Da 20 AUTHOBrzU FFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. Y 'ITY OF ANACORTES "AS-BUILT" r Sewer .(Storm ONTRACTOR: I C I LAT/DIVISION: 0 Q C �u r �5 BLOCKC kQ 1 N, [mot OT ADDRESS: 113 4- 5 -t2 �,l" ' c L o ta.ki Lh- ATE: \ --- 7 0 -0 (0 ERMIT# OS- O72I SCALE N T S TRE E T1=1:111=111111SKF__ Ii a MM tit ' iill r. - - Rio ark(-- - -- 1 iann 1, '' -_ - - 1 -— S' i --c---' - ��■_m�i At Q O v� =PM -�� = cLeysu 112 -- _.„--____ cLeii wigs _vimi b-e-ep willallaill MINIMME - NV III ====ril III Ell =ENE , EMI III 1111 )CATE STREET(S)ON GRID MAP IDICATE DEPTH AND DISTANCES OF CLEANOUTS 05,30804-1 01003 11/04/2005 002 4 It Permit Fees 006059 $87.83 Gl� 0 ., City of Anacortes Permit#: BLD-2005-0857 904 6th Street Issue date: 11/04/2005 v00,�.�. : P.O.Box 547 ,"'T T UJ; Anacortes, WA 98221-0547 Expire date: 11/04/2006 Job Address: 4203 CHERRY LN Permit Type: Foundation Permit ANACORTES WA 98221 Project: APN: Remarks: Foundation only single family. Owner: IRVING CONSTRUCTION Contractor: Address: 819 COMMERCIAL AVE Address: ANACORTES WA 98221-4130 Phone: (360)293-6354 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 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. SIGNATSJR F OWNER OR AUTHO GENT ISSUED BY 0535604-1 0003 12/22/2005 002 4 si ' Q Permit Fees 006059 $9,842.60 =j4, City of Anacortes Permit#: BLD-2005-0721 904 6th Street Issue date: 12/22/2005 P.O.Box 547 1.9" CO Anacortes, WA 98221-0547 Expire date: 12/22/2006 `ria• to `- (360) 293-1901 Job Address: 4203 CHERRY LN Permit Type: Single Family Residence Permit ANACORTES WA 98221 Project: APN: Remarks: New single Family residence. Owner: IRVING CONSTRUCTION Contractor: Address: 819 COMMERCIAL AVE Address: ANACORTES WA 98221-4130 Phone: (360)293-6354 Phone: License#: General Information: Fees: Lot Area 12000 Building Permit Fee 808.00 1st Floor Square Footage 2371 Plan Review Fee 425.20 Garage Square Footage 844 Mechanical Permit Fees 121.90 Building Valuation 249975 Plumbing Permit Fee 146.00 # Forced Air Furnace<=1,000 1 State Building Code Fee 4.50 #of Bathtubs 2 Sewer Inspection Fee 50.00 #of Clothes Dryers 1 Storm Drain GFC-Residential 1,126.00 #of Clothes Washers 1 Sewer GFC-Residential 5,646.00 #of Dishwashers 1 Park Impact Fee 615.00 #of Gas Fireplace 1 Traffic Impact Fee 900.00 #of Gas Piping 1 Plan Review Deposit 100.00 #of Gas Water Heaters 1 Total Calculated: 9,942.60 #of Water Piping 1 Deposits/Receipts: 100.00 #of Hose Bibbs 3 #of Kitchen Sinks 1 Total Due: 9,842.60 #of Lavatories 4 #of Range Hoods 1 #of Showers 2 #of Ventilation Fans 5 #of Water Closets 3 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. SIGNA F OWNER OR AUTHO ZED AGENT .ISSUED BY c.-. .- _4 - : O! , c 4 111 : 4.:d\ k is P[ 77'4$41)F. k Y'a7SFSa, :,t•'fF`vF`.eJ • '1•. * it ,C „4 a1,, Via.. h Y, 1 xls, 7 s � 1 ri,�e� �r '�i�,u-� r..�y i r`. � �€rk �.0,�{ �Yrs+ s ^�S��L�i� ia,.. �j �s f k t ' Zr Y� 2'1} U`trr 1W-''. !, f PTA ash rI a �" e a Pt�su,A"w'��� `v ''y s,Y ;ik i v n'r n ;'c, S, Us r f >y' ftl r# � 4 \ �it1)pU shy :a r+@ 'm U9 r { N TT4P+`''!. ',x �i i- sj 1 t d 1:14. T'iR. uti. - r 4 r1 ttt T t '.$ a y...f �t , I a ' f o-ix U ,} }✓i 'r' s4 4d« utp�`T.rt m an ? ,[,. r '",n,-4::"� ' a I . r a r.' !a t' n svw7v "'.?,,4 D'� " e i4° p> w }ti„rf�i`ys� < F t r t 0 z t.: 4:', ', r "ri `�5 r:roV,IR.; y,". rt i „ > att Warr'ic A,'L` ?. 'Ina'° ,P : t I, ;', ,;;`tr.,1,t �.4P.. Z:S 0 CrY',:.L`,2 :ti "`�..2:2 ° 44,4';' ' . 147 Site Address: CFtEtW( tAn)c, ( 1-605* i ¶. .b) Parcel No.: ? 3207c� Pnac.* is Be. 2EVt3eh ropko Pt-AT RErveDs Lot: Q T,I€ aktlOSBlock: Div: Addition: �s t n u -i,, `i t ""�""`i'a a'l.`' ; 1. ,� c afa. •-•.as;� ""i.'... : "2F, ' r �+i��tliaTnta491'�ett s tt,6 ����air��"�`�i`�5 ,`��',�^. �iPr�Jilrl".t�'�S�C`�t��a J➢1�'�«��4P q'�xs,n�tr�3"Citia�t �a'fi�u�T�f ''�,�Yei ��kiy� 9 �fi�.. �'h, >: �. Name Name Name IRVING CoMSfieuctt N CBRPdRA'tloa //NZ' J BRN IL IRt11et& Co 1-16'fRuc't'Ion1 (`oq,PoaA-Cio.j Mailing Address Mailing Address Mailing Address 819 CopAMERetaL 4116k1uEt Sorts G P.o. boy. 56 Bag CowµEacIAL RoEt t'E/ Sung (,' City: State: Zip: City: State: Zip: City: State: Zip: IjNAeoRYES r VIR 9$221 $61-1-A16FlgA , VS4\ 98228 RN0.eo2Yt;$ r WA 612-I Contractor Lie.No.: 1 evi t4 CCA4-KG Phone No.: 36O 293 (o35c(- PhoneNo.: Slob "P33 305o Phone No.:3(cp2434354-Exp Date: Contact Person: .OHM Cikolwi or 3coy( 12t/44 Phone No.: 36,,a 243 6354- eo (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: NEW 1ZEAIDEnlcFt A b} 4"f Sre,l):l anNr Is1 .r zfia,� �; �' yj trirki40 : ?, a 5+N'. :,rri rrt ° ' v: ` . f� - "RT!, , ,Pc, 2•+AA f;, hAti4r ,{A :t 9l'S} :TIM . Street Setback: Zo ft. rd Floor: sf. (Circle Yor 1V) l' Side Setback: 1D ft. 3rd Floor: --- - sf. Shoreline/Wetlands Y ID 2nd Side Setback: t 0 ft. Basement: `— sf. Water on/Adj.To Property Y• tb Rear Setback: ZD ft. Occ. Group: 12.3 afED 0-I Soils Report Y Use Zone: R-I Carport Area: ,------sf. Sensitive Area Y 8) Type of Construction: -J Nod-RA« Garage Area: f. Latecomers Agreement Y ,'r Lot Area: 12,WD sf. No. of Stories: OD Fire Hydrant(250 Feet) CD N No. of Dwellings: I Building Height: I"1-7 t a Variance Y d9) Lot Coverage: 3,3Z7 sf(it%%) Deck Area: 310g sf. Covenant Y to 1"Floor 2;11 sf. 0DS211$ 3(e3D Fl0000d{Zonee X A AE VE Project Valuation(Labor and Material Cost): z). ./ - 'C.' �` / 775 THIS APPLICATION IS 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 wrauct 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED watt WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS. SIGNATURE: w rr � � DATE: GS . 2`7 05 5 0_ 9ot,C, -0 I VERIFY TYPE OF PROPOSED DECKING MATERIAL PRIOR TO INSTALLATION FOR DISTANCE FROM TOP OF SUBFLOOR = DOWN TO TOP OF LEDGER. N LT) ONE BOLT WITHIN 6" APPROVED a 5 6" OF EACH END OF FLASHING3 APPROVED FLASHING IIIEACH LEDGER PIECE z, TOP OF SUBFLOOR w w 1 © 1 1 I p 9 �, ENGINEERED WOOD I-JOISTS m o ° 2x10 PT DECK _ II 0 16" O.C. TYPICAL 1 1 1 ui a Eh Eh Qa Ell] Qa u C17 LEDGERS :L� LLo z 16" O.C. 16" O.C. " to J¢" LAG BOLTS WITH n 0 ENGINEERED WOOD I-JOISTS WASHER 0 16" O.C. AND inzBEYOND ® 16" O.C. TYPICAIL STAGGERED AS SHOWN x -J DECK LEDGER ELEVATION DECK LEDGER SECTION Scale: 1/2"= 1'-0" Scale: 1/2" = 1'-0" VERIFY TYPE OF PROPOSED DECKING MATERIAL PRIOR TO INSTALLATION FOR cp DISTANCE FROM TOP OF SUBFLOOR z DOWN TO TOP OF LEDGER. en 01 t ONE BOLT WITHIN 6" APPROVED a .it6" OF EACH END OF FLASHING 3 APPROVED FLASHING EACH LEDGER PIECE z IN OF SUBFLOOR 41 w lir t w i 0 I 1 C/ 1 ® o . iif ENGINEERED WOOD I—JOISTS m J I 1 1 I 1 2x10 PT DECK 11 ID 16" O.C. TYPICAL _L�_C*] Ci] oQ Ch © 1 f1"] LEDGERS wcs a z 16" O.C. 16" O.0 " to J¢" LAG BOLTS WITH TENGINEERED WOOD I—JOISTS WASHER ® 16" 0 C. AND h STAGGERED AS SHOWN BEYOND ® 16" 0 C. TYPICAL zIx 3 DECK LEDGER ELEVATION DECK LEDGER SECTION Scale: 1/2"= 1'-0" Scale: 1/2" = 1'-0" OPEN SPACE -,.w=1t asiNL rmm m To Boa SSE S r29'-W-1ao.ao' ^�E ,LOT ss -. ' - - I ,/ 12.000 sFI Ea_". L I 'ItO,chards•• , om I Y ou0FILF rW An1cartcs,WA I I na/rsx+sETatcK UNE I r \ b Open Deck I �Covered Deck , ! I -81 Residence I / 7, LOT 57 LOT 59 1 \ Porch 91 Y Adjacent Vacant Lot Adjacent Vacant Lot Yam 7— . r. / / uas o INS ma Rs — .'. GEESE MAR . __ATM I El E•V4W /... ,» I( I ICI— I Mrm \1I man memoGarage 1I /f II i.• le-DE ` r I II 20'FRMO SCIBIGN UNE - - - A- - 1 1— • I § Vail uumim 10'PUBUC U19RY FASENEM j m� MELM—�— . — . _ . — . — . — . _ p— - - uxo S 1R9'3r W 100.00' - - �,. ±,r-e v-C LEMMAS REQUIRED wc/uwn. WAME P YERA IOG,IGI Y omewr Y OF NSF PER mmnort Rue 1 . . J �am ._� L r�AMROMMTM PER ERELEMENI ROC Mlles am.. EMMY ELEM MEM LOT wm mww I'—DEVELOPMENT DURING CONSTRUCTION.THE RUNOFF WILL u NENDE• ME BE CONTROLLED WITH SILT FENCES AND Num LmmLAw,u0 MS n-10 CHERRY LANE SHALLOW SWAIM TO PROTECT THE ADJACENT AND DOWNSTREAM PROPERTES. W""' MY OR ALL OF THE FOLLOWING AnomONAL METHODS WILL RE USED AS NEEDED CATCH BASIN INSERTS.STRAW WATTLES.DIVERSION SWAYS.COVERING IXPOSEO SOIL WITH PLASTC. STREETS AND DITCHES WILL RE MEWED DULY OF EROSION RUNOFF, IF ANY mum imm •• - — — =FIREPER am •` - , IMPOSED iarmi , — mamn m¢Omw.w Lexuanr.ou rtx rtwmen xRs • ' NEWS SWEET Y uex-Li-Yu,-A EE — W SITE PLAN yd _ ilt • t�g+ :;i::t ws .tG-,' ... a x B 8 � i'A •. Ay 5° 7 a M `^` "� te: F L..a�m. .roe.`.6.e. nv .:v,. i - at ^�aR cV W Site Address: ( s grey Lk,,Ie_ (/loos£ 1 i&b) Parcel No.: P 32078 Tr(E tMCNR2OS ('4R¢cfcL3i. To 8E ReVtSsu t tic S Pwxr Recor.D. Lot: 5b Block: Div: Addition: a t .1 - ( t ,. i r^ 5ir;if rm.0 rIbr f�, i BAN R' .m , I Name Name Name IRVING CoNSTClOatoM C&RPoRAt'04 IfbRlyp,./ BR,uIL IRVintG CoNStkuL-ttoa (',oc,Pxurttohl Mailing Address Mailing Address Mailing Address $l9 Co.M£ReIAL AVENut t So t-TE G Po. %olt, 560 $l9 CAWt+ErecIAL. AuEM LIE, 5 utTg: 6 • City: State: Zip: City: State: Zip: City: State: Zip: A04,eortE6 , WA 9B221 B6WA161{A4 twA 98228 AMAcoRT'E51 WA 4S423 Contractor Lic.No.: I RVI VI ccb44-I4 PhoneNo.: 360 293 ro354- PhoneNo.: Slob "t33- Tj05� Phone No.:340 24 3 43 54-ExpDate: Contact Person: . QNnl c. WLEtf or scot 12VW(r Phone No.: 3t,o 293 e354- '4�'F? `.,I (Check One) / Single Family: r Multi-Family: Apartment:_ Condominimum:_Senior Housing: Retail: Office: Restaurant: Manufacturing:_Storage: Bank: Assembly: Accessory: Automotive Repair: Other(Specify) DESCRIPTION OF WORK: FOUNDPfctoa .omt4 ?Ef,,ltt-( (coo- Pelamst 'Cn rot,fAu7) Street Setback: zo ft. 2"d Floor: sf. (Circle Y or N) In Side Setback: to ft. 3rd Floor: sf. Shoreline/Wetlands Y Cat 2"4 Side Setback: t c ft. Basement: sf. Water on/Adj.To Property Y a, Rear Setback: 20 ft. Occ.Group: R•3 %ND 0-( Soils Report Y Use Zone: R-I Carport Area: sf. Sensitive Area Y Type of Construction: V mow ttgtpD Garage Area: 6 — sf. Latecomers Agreement Y 119 Lot Area:t7-ioOD sf No.of Stories: I Fire Hydrant(250 Feet) Q N No. of Dwellings: t Building Height: i l h-y' Variance Y Lot Coverage: 3,32/of (27.7%) Deck Area: 3(03 sf Covenant Y SP I 1"Floor 2371 sf. Flood Zone X A AE VE Project Valuation(Labor and Material Cost): 0 t ooD . THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE,AND SHALL EXPIRE BY LIMITATION li AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN I80 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS. SIGNATURE: I Pr - ' I DATE: 8-2-4-05 c„y L 1 i, ;� -k , . ✓ ....Y,.,._.,r:.oc C. c...,, .::. .,,q.<i,..3i.`.).:,.L�,.,..�.... .,�� y.c..: E},:.,: ,n,..,...04,.>;:<z':<y>:-:?..eY'.r...'BSc..Y,.>,_;;r._. ..,•....... .. r ,r. ;,Y ' . 3,� ,Y G:.`:.:. .rn:vn.. ��_:. TAT: $Tl � •t�i": TECTTAT, v -T,'' IYTT - T''P`LICA;_ ::IC� '>� ....n `:,.x•,<s:a.::::Y:,:.a;.::.,,rc:;.ia.•c:,-:<.1,.:,.,-<....,<c...:.,. �'...,.:. .:.: ':..0 i.:...:;-,.<r,r•c `.i _ SITE ADDRESS: a�J CFkERRy LAME (e{ov3g' T.}.D.)ASSESSOR'S NO .: LOT: v6 TOE. D,2c//k2bS BLOCK: ADDITION: j..:. .,$ : .,... _r..,., ...."::.w,..:,.'.::.(... ..., ::z:�-;x: c .,<-,ry?..no,.:.nsy....r'_,'.:.a .. .v., 1 . ,..m,c .:: .. . ^('.. 'y'�..{_i.a:i.:..: ....:.:. ..: .. r.<.6.�•....,..)....:..:... .,:..v....,.v.�.''.y;.+.. .: . 'yy . :...:,. . a.r.,._.:...v,,.,..... ...0.:�►2�r1L... ........r..✓. ...........:......F .. %. ..T'�Sl�: �l1ii!R_:?:c:. [". n. . ..,.i...::<... ../.:._1.Y:..,.nu....ii..:.nt:n...v..:.n.p.........rt.%:...a%..q.q.7:_,,::...:.. .....r�..Q. .r..v ,%u.:::3:rn..:.:::.n.<Y..:: .:.......... . . ......._n ..... ........ ...... :.., . .< Name: IRViMG Coe.SSfrcrietror? CotacrLAtior✓ Name: IRvwc, 4)sta°etiovU toeib RAtra4 Mailing Address: 81q Cow au AL AVE. , SurtE "G" Mailing Address: gtq eoNo4 Gee t L hue. ,5ertt "G City: cdvices State: 1.34s Zip: ggyy I City: hNaaco -rr6 State: w R Zip: ggzz I Phone No.: 3/o 2.13- to354- Phone No.: 3/co 2S3 354 Contractors License No.: tRwedca,44K6, e<c,...,rirer,e:..,..f,:: ',..:r.:c.:.:.....r..:.:.�.o:...n,:, _,,.<.... : ::^ .... .,,. ,.n J. /...:... ...,..u.a..<::y C'::":.n:,...4r',..N<S"ry, . ::... �<..r«..'h.<:< ::<:.<.:%::.xi<;:;:;.,vijr.;:'i:.:�agj: ,...;.i....n.vr.£.,.r:�,. rY•xf>{Y.,:.Yic:Y%r• ,r.. C",:.:.::< ,...r, .,:.r,....:;,••a:a:...,:c r:a ::i<' .r..u.:...i. %'. IB :SL./.<.: .e'.f..,: r.:.7...!a:<.; v::/:.. .�.. v�.:ri n:.�.: ,a .44A1.��L,:1{{di�;n :i%}}%�4>:i«: >3s f,. b,:.:.k� .,:.::::Y,:...«: k<.�.%�..:...,.:.:...:>:,,<.:...c:::<.... .Y.,.<:��.:r...<.<:,k.;{<Y ..v{.t;.i:....�.:.....:.::... . :.. .:..:. ::........,.:::.... ..9.,,..<..... ... NO: Type of Fixture NO: Type of Equipment 3 Water Closet 1.5 GPF Air Cond. Unit HP Z Bathtub Refrigeration Unit HP 1 Shower 2.5 GPM Boiler BTU/HP I Dishwasher 2.5 GPM / Forced Air System BTU 4 Lavatory 2.5 GPM Floor Furnace Kitchen Sink 2.5 GPM Wall Heater I Clothes Washer 1 Clothes Dryer Urinal Lo GPM 5 Ventilation Fan Drinking Fountain I Range Hood Floor Sink or Drain Air Handling Unit CFM / Slop Sink Pre-Manf. Stove or Fireplace ✓ Water Piping I Gas Fireplace 3 Hose Bibs I Gas Water Heater Back Flow Prevention Device Gas Piping Other(Describe) Other(Describe) GAS: V ELEC: OTHER; • THIS APPLICATION IS RECEIVED 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 AUTHORIZED AGENT OF THE OWNER. ALLPROVISIONS OF LAWS AND ORDINANCE GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH,WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTION. SIGNATURE: "— DATE: 8'24-erg- t t CITY OF ANACORTES BUIDLING DEPARTMENT RESIDENTIAL CHECKLIST (This loan is to be completed prior to issuing the building permit) 'CC2 Site Address: ail /! s e:Dat Contact Person: Phone No.: Assessors No.: Lot . Block Addition: S (Building Department Checklist for Completeness) • OK NA. OK NA ❑ Fire Department An-etc Q ❑ Fire Hydrant Located within?SO feet O Fire Plow Requited 0 0 Shoreline or Wetlands D Site Plan ❑ 0 Covenant Approval H.,5, ❑ Variance Required 0 ❑ Regulated Slopes ❑ Plat Facts and Findings Compliance ❑ ❑ Survey in File ❑ ❑ Fill on Site • I Received and Reviewed by: _ Data - - (Engineering Department Checklist for Completeness) OK NA OK NA - -_ ❑. ❑ Water Extension/Meter 0 0 Sewer Extension/Connection ❑ ❑ Street Improvements/Sidewalks ❑ ❑ Site Drainage Plan ❑ ❑ Covenant Not to Oppose Future LID ❑ . ❑- Latecomers Agtccutent ❑ ❑ Street Drainage 0 ❑ Driveway location,slope,culvert ❑ ❑ Storm Drain Extension Received and Reviewed by: Date FURTHER COMMENTS( Zoning 4 c ---- J LotSize: / 000 2 ..., . Coverage Allowed: 7-7 g' s a f OPEN SPACE Lci l mita MOE M s ne'DB'w 1Oom' -fir - - - - - - - - - - I / Qr ;LOT 58 - f ,12,000 sr I "Tt1e Orchards" umr I Ii STOO E Anpconcs, WA I -- \x - 10'j AARFIA WHACK LINE I :., r rm u. mama I i / I Open Deck �__ I Covered Deck I I 1 I 11 Residence b I iihr LOT 59 _� k' 1, LOT 57 PorchAdjacent Vacant Lot Adjacent Vacant Lot M "xn" T 7 i. 1 I ' 1 A ` ii wow AMA \\tI a°mna Garage ' / II 1 _ . . iz-0' r-0• cmI � Iraa I 1 T / / x FROM SETBACK UNE y. II e 4 — — �c fo'PUBLIC MIRY FAffYENf- - - — IPROPESED SS SM.na _ � mxwu wmm MM N_ a — — uxo S 1'RB'SB'W 1W.ro' — — Y C]Y^ — �o mu lawn o ��DIMPSIM O Mt PER �MI �� E a'X� •�f4 NA Olt 14 MOSAIC f Mir OxO/NnW Fweesim GM lat5DI WIT— MMaEEGa Amass tar ULCER Kota PROPOSED N tst"''"'-Si DURING CONSTRUCTION.THE RUNOFF WILL mvmur passi MR BE CONTROLLER WITH SILT FENCES AND man,wee INMV'"O^ CHERRY LANE SHALLOW SWALES TO PROTECT THE ADJACENT AND DOWNSTREAM PROPERTIES. vamw-uA ANY OR All OF THE FOLLOWING ADDITIONAL METHODS WILL BE USED AS NEEDED.CATCH BASIN INSERTS,STRAW WATTLES,DIVERSION SWALES,COVERING EXPOSED SOIL WITH PLASTIC. STREETS AND OUCHES WILL BE CLEANED DALY OF EROSION RUNOFF,IF Mn. •• — — y — •• -Ct e — MIMMS EDEMA WS ME 6 MIN MY PEE mapwa'r ISMS _ — /�—} MEOW was DEM E raw Me stow!mai �PER oxwonm M •ET ,.� ire vnunw Nue'nnrnu1AnTIO y LEE W SITE PLAN 'ITY OF ANACORTES "AS-BUILT" ' / r Storm JNTRACTOR: `/- -C— .-AT/DIVISION: /aft Y\,n/7 tS BLOCK DTADDRESS h-I203 (Itoit j tN `LoT rep, ATE: 1..-2, n - 0 :KNIT# � �:... ,� :ry ; . i`-' ' SCALE TS • s of tt0 '. PO rail -L. bOW N Z' 142 . s ... 7 ; '! 1 , 4. A ,ram D - . g Cle of its _- > . Ai., , iel ft 'N i "1 0 if+ UT I .1 y E E ASZ I ^EN iC J '741:tic_ , DlCATE DEPTH AND DISTANCES OFCLEANOUTS , • - C • ER 2 '( E kJ COVER SHEET .99 JRN22 P326 RETURN TO: ---- - -- City of Anacortes P .O. Box 547 Anacortes , WA 98221 9801220116 DOCUMENT TFFLE(S)(or transactions contained herein): LATECOMERS AGREEMENT REFERENCE NUMBER(S)OF DOCUMENTS ASSIGNED OR RELEASED: NONE I I ADDITIONAL REFERENCE NUMBERS ON PAGE OF DOCUMENT. C RA NTOR(S)(Last name,first name and initials): CITY OF ANACORTES 2. 3. 4. I ADDITIONAL NAMES ON PAGE OF DOCUMENT. GRANTEES)(Lave name,first none and initials): L41ST STREET WATERLINE ASSOCIATION 2 3 4. j I ADDITIONAL NAMES ON PAGE OF DOCUMENT. LEGAL DESCRIPTION(Abbreviated:i.e.,lot,block,plat or quartet,quarter, section,township and range): SW 1/4 of 25-35-1 I ADDITIONAL LEGAL(S)ON PAGE OF DOCUMENT. ASSESSOR'SPARCEvrAX LD. NUMEER: 350125-0-142-0008 , 350125-0-142-0107 350125-0-089-0003, 350125-0-090-0000, 350125-3-010-0100 Pi TAX PARCEL.NUMBER(S)FOR ADDITIONAL LEGAL(S) ON PAGE_5-_OF DOCUMENT. 98012 2011b B : I932FG3535 LATECOMERS AGREEMENT This Agreement is made and entered into this t /411 day of)(igloo(Ci 21995 by and between the CITY OF ANACORTES, a municipal corporation, herdinafter referred to as "City," and the 41" Street Waterline Association, the membership of which is listed on the attached Exhibit A,hereinafter referred to as"Developer"; WHEREAS, the Developer has installed certain improvements which consist of the following: A waterline with hydrants,valves and appurtenances along 41"Street from A-Avenue to Heart Lake Road. WHEREAS,the improvements have been accepted by the City; and WHEREAS, the Developer is desirous of entering into a Latecomers Agreement with the City, and; WHEREAS, the City has calculated the proportionate share of the cost of the extension that should be paid by other properties to be served by the extension; and WHEREAS, the City has agreed to collect said proportionate share of the cost of the extension before any water service is installed and return said share to the Developer; NOW,THEREFORE, it is agreed that: 1. The Developer will provide the City with the documentation of costs associated with the construction of the extension; 2. It is the Developer's duty to notify the City in writing of any change in address of the official representative; 3. If any assignment of the right of refund is made, the City may require proof of said assignment; 4. After ten (10) years from the date of this Agreement, the City shall be under no obligation to collect and/or refund any money connected with the extension; 5. If payment is made and any check is not cashed within five (5) years from the date of mailing,then the City may place said sum in the appropriate utility or street fund; 6. No refund shall be collected for any property owned by the Developer and abutting the extension; 7. It is agreed by the Developer that any existing dwelling unit abutting the right-of-way where the improvement is made which was previously served by a waterline may be connected thereto without payment; 9801220116 8 1 932F60536 STATE OF WASHffI N GTO COUNTY OF (',jGI // �1 t� I certify that I know or have satisfactory evidence that n O( m f ,^ t id.evmo n - n n11.0 is the person who appeared before me, and said person acknowledged that signed this instrument and acknowledged it to be 115 free and voluntary act for the uses and purposes mentioned in the instrument. 1he DATED: / ! ! 7 tiL _— � do Notary Pu lie nS tPR....., kq i++ t V.Z1/4estQN•'••.Sy++ My appointment expires ' /0�9 OZ i •t3 SOTARy m•N r PUBUC 'EY%'0 wAsi,. 5 990122O113 B i 3 2 PG 5 3 8 8. The extension and the parcels subject to the Latecomers charge, are shown on the attached drawing; 9. The Latecomers charge is$6,125.00 per parcel. The parcels to be assessed are represented on the attached map,labeled Exhibiit�B. Dated at Anacortes, Washington this I day of� 1U i I UW4 , 199'/. Developer's Representative: Norm Landerman-Moore J 2204-41' Street Anacortes, WA 98221 360-299-3731 Developer's Signature: This Agreement accepted by the City Council at its regular meeting of March 16, 1998. CITY OF ANACORTES H. Dean Maxwell,Mayor Al1ES • Geor tai City Clerk Treasurer 980122011E B:1I `-332PGU53 ID 26 Current Date; . Amount Unit Cost Units of Measure Quantity _Beginning - - End. Remai Water $6,125.00 LatecomerDatesI 1/11/19991 1/11/2009 C Sewer 0.00 AuditorsFileNoi 19901220116 i Storm 0.00 , .Street 0.00 LatecomerTitle' 41st St Waterline Association .- . . . - Sidewalk: $0.00 Section - . 141st Street&H Avenue 1 $6,125.00 Name(Develo' Norm Landerman-Moore Lot Number(s) I Amount Recieved $0.00 ii Adress(Develo i 2204 41st Street Block Number(s) I Date Received Addition - Acreage Receipt Number ! Warrant Number I 0 City(Develdper Anacortes ) State(Develo er WA Date Remitted P Parcel#1P32078 Zip Code(Develope 98221- Parcel#2 Additional Info Naine(Owner , . Hjort Parcel#3 Adress(Owner 2501 Francis Rd Tax ID Number 350125-0-092- 0008 City(Owrier Ir.Vernon w State(Owner) WA Zip Code(Owner), .198221 I 411 I .p. 1