HomeMy WebLinkAboutPermit File 3805 Copper Pond 0926602-1 0023 09/24/2009 001 1
Permit Fees 008456 438.90
G1 r Y C> City of Anacortes Permit#: BLD-2009-0348
904 6th Street Issue date: 09/24/2009
P.O.Box 547?>2 ;CO; Anacortes, WA 98221-0547 Expire date: 03/23/2011
'raw; (360) 293-1901
9G,Og :
Job Address: 3805 COPPER POND Permit Type: Mechanical Permit
ANACORTES WA 98221-1154 Project:
APN: P108206 I'
Remarks: Install gas fireplace
Owner: JAMES MOORE Contractor: CRAFT STOVES INSTALLATIONS, IN
Address: 3805 COPPER POND Address: 900 W DIVISION ST
ANACORTES WA 98221-1154 MOUNT VERNON WA 98273-3226
Phone: Phone: (360) 336-2532
License#:
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 38.90
#of Gas Piping 1 Total Calculated' 38.90
Deposits/Receipts' 0.00
Total Due' 38.90 ',
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.
Olaect, L(17)e 6411L
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
`vt,,o+ MECHANICAL PERMIT APPLICATION
Building Department
P 4 P.O. Box 547 Anacortes, WA 98221
roost' Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: 38oc' C.opP, po.
CONTRACTOR
Name CRA Siovo 4-$5424100/170:a irt/_c_ PROJECT DESCRIPTION
0 New Work
Address :9(X) ‘S i 0i V IS I o41
rr ,�- Alteration
City/State/ZipJUun,f"v1R^lacl aJka-.. 4}z -73
Phone 3Go-336-an L— _FAX g(so-y)y-C979 Permit Fee 23.50
State License#C 2.4FTSI 470/37 Exp 36 3AN Teo r 1 Type of Equip. Fee Each No. Amount
City of Anacodes Business License# Air Cond.Unit 10.65
PROPERTY OWNER Refrigeration Unit 10.65
Name .1 n. I'r'1aol-La Forced Air System 14 80
Address 32OC CApc/2tpone/ Floor Furnace 14.80
City/Stale/Zip Arvvrcv,n}no- I.JA q$2:2( Wall Healer 14.80
Phone a-93—/9 FAX Clothes Dryer 10.65
E-mail Address .SCrr.42rti ,jl Linn;2sJ• ✓Ver Ventilation Fan 7.25
APPLICANT Range Hood 10.65
I Name eaa -l-Skeve, I tvs1-0i/aho.-a Gas Fireplace 10.65 / /0,6C
Address goo UJE.3T ht J1C aA Gas Water Heater 10.65
City/State/Zip thou,/ I/.enaro.J LJ ra cl 3 2 13 Gas Piping 4.75 / 9,7
Phone 3(ao-336—a-C32 FAX 1-6 -4 at/-S57N Other(Describe)
E-mail Address la ,ckeuus Ura-sk �Cv;.-car& r✓. '
CONTACT TOTAL FEES DUE 3T co
Name b6.44
Address
' City/State/Zip
Phone 34.o-334.-31"3t FAX
E-mail Address
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPUCATION AND STATE THE INFORMATION IS CORRECT,AND
AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS
PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CURRENT
WASHINGTON STATE CONTRACTORS UCENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE
ISSUED JOB SITES CONTRACTORS1SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE
_23s- �
APPLICANTS SIGNATURE DATE
Last Updated 11-2905
`,z Y o` CITY OF ANACORTES
WASHINGTON
e?yo oat" BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At:
3805 Copper Pond
STREET&NUMBER
Owner: Christenson Bros.
Constructed By: Owner
OWNER OR CONTRACTOR
COM96 -0091 4-7-97
Bldg.Permit# Date Of Issue:
j R3 R2
Occ.Group: Use Zone:
Has Been Inspected And Occupancy Is Hereby Authorized,
This 29th Day Of September 19 97
„I
R OR,
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
1
COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : C0M96-0191
P.O. BOX 547 APPLIED: 09/06/96
ANACORTES, WA 98221 ISSUED: 04/07/97
(206) 293-1901 EXPIRES: 04/07/98
SITE ADDRESS: 3805 COPPER POND
ASSESSOR'S PARCEL NO. : 4661-000-037-0000
PROJECT DESCRIPTION: New single family residence
— OWNER — CONTRACTOR — LENDER
CHRISTENSON BROS., INC. . CHRISTENSON BROS
1557-C MEMORIAL HWY 1557 MEMORIAL HWY
MT VERNON WA 98273 MT. VERNON WA 98273
424-8766
CHRISBI088QQ
— FEES
TYPE OF WORK •NEW AREA (sf) VALU...$: 106500 Code Amount---- By- Date---- Receipt
TYPE OF USE •SF LOT • 7605 REQUIRED SETBACKS---- PLCK 8 292.83 MD 04/07/97 6770
CENSUS CATEGORY •101 1ST FLR • 1754 FRONT • 0 ft PRMT $ 450.50 MD 04/07/97 6770
ZONING 2ND FLR 0 SIDE(1)..: 0 ft PMEC $ 73.00 MD 04/07/97 6770
:R2 BASEMENT • 0 SIDE(2)..: 0 ft ESPL $ -100.00 MD 04/07/97 6770 _
OCCUPANCY GROUP GAR/CARPORT...: 528 REAR 0 ft PPLM $ 111.00 MD 04/07/97 6770
:R3 :? •? •? OTHER • 155 REQUIRED PARKING-- STBC $ 4.50 MD 04/07/97 6770
TYPE OF CONSTRUCTION TOTAL • 0 SEWR $ 3291.00 MD 04/07/97 6770
:5N :? •? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 IMPT $ 400.00 MD 04/07/97 6770
OCCUPANT LOAD STORIES • 1 COMPACT • 0 INSP 8 50.00 MD 04/07/97 6770
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf
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 $ 4572.83
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 m 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...: 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 • 3 WASTE INTERCEPT.: 0 ADD'L FIXTURES..: 0
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.
Issued by Applicant wner' s 5 gnature
24 Hour Notice Required For All Inspections
com_prmt, Rev: 11/04/93