HomeMy WebLinkAboutPermit File 2110 Creekside Lane •
� Y City of Anacortes Invoice/Permit#: BLD-2015-0180
z 904 6th Street
P.O.Box Applied date: 04/20/2015
y Issue date: 04/20/2015
��r0' Anacortes, WA 98221-0547 Expire date: 10/16/2016
� (360) 293-1901
Job Address: 2110 CREEKSIDE LN Permit Type: Mechanical Permit
ANACORTES WA 98221-2400 Project:
APN: P83766
Remarks: Install heat pump(2)
Owner: JEAN EISENSTEIN Contractor: BARRON HEATING&A C
Address: 2110 CREKKSIDE DR Address: 5100 PACIFIC HWY
ANACORTES WA 98221 FERNDALE WA 98248-9080
Phone: (360)299-9777 Phone: (800)328-7774
License#:
General Information: Fees:
#of Heat Pumps 2 Mechanical Permit Fees 44.80
Total Calculated: 44.80
Deposits/Receipts: 0.00
Total Due: 44.80
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS+,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED:f' l
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PR 7ISIOt
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, lrH .n
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER TATE; 1317,
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. '
NyAa I
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE BY +c,
,_: ,..
•
� Y City of Anacortes Invoice/Permit#: BLD-2015-0180
z 904 6th Street
P.O.Box Applied date: 04/20/2015
y Issue date: 04/20/2015
��r0' Anacortes, WA 98221-0547 Expire date: 10/16/2016
� (360) 293-1901
Job Address: 2110 CREEKSIDE LN Permit Type: Mechanical Permit
ANACORTES WA 98221-2400 Project:
APN: P83766
Remarks: Install heat pump(2)
Owner: JEAN EISENSTEIN Contractor: BARRON HEATING&A C
Address: 2110 CREKKSIDE DR Address: 5100 PACIFIC HWY
ANACORTES WA 98221 FERNDALE WA 98248-9080
Phone: (360)299-9777 Phone: (800)328-7774
License#:
General Information: Fees:
#of Heat Pumps 2 Mechanical Permit Fees 44.80
Total Calculated: 44.80
Deposits/Receipts: 0.00
Total Due: 44.80
•
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rx Fr Ti'.
1rn „,
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS+,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED:f' l
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PR 7ISIOt
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, lrH .n
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER TATE; 1317,
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. '
NyAa I
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE BY +c,
,_: ,..
��Y 4:_ City of Anacortes Permit#: BLD-2014-0093
� l ��I`` 904 6th Street
Issue date: 03/17/2014
P.O.Box 547 Expire date: 09/13/2015
t 'Of Anacortes, WA 98221-0547
viA " (360) 293-1901
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Job Address: 2110 CREEKSIDE LN Permit Type: Mechanical Permit
ANACORTES WA 98221-2400 Project:
APN: P83766
Remarks: add gas line
Owner: BILL CARLISLE Contractor: RONK BROS INC
Address: 2110 CREEKSIDE Address: 2917 COMMERCIAL AVE
ANACORTES WA 98221-8674 ANACORTES WA 98221-2737
Phone: Phone: (360)855-1025
License#:
General Information: Fees:
#of Gas Piping 1 Mechanical Permit Fees 28.25
#of Gas Water Heaters 0 Total Calculated: 28.25
Deposits/Receipts: 0.00
Total Due: 28.25
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.
SIG RE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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City of Anacortes
Finance Department
904 6th Street
Anacortes, WA 98221
City of Anacortes
014020-0006 Maryellen 03/17/2014 10:22AM
PERMITS AND INSPECTIONS
BILL CARLISLE
BLD-2014-0093
Mechanical Permit
add gas line
issued
2014 Item: BLD-2014-0093 28,25
------
28.25
Subtotal 28.25
Total 28.25
01CHECK 28,25
Check Number 011320
Change due 0.00
Paid by: BILL CARLISLE
Thank you for your payment
CUSTOMER COPY
DUPLICATE RECEIPT
--- ----
MECHANICAL PERMIT APPLICATION
AI 1r°ARA, Building Department
P.O. Box 547 Anacortes, WA 98221
001%4 Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: 2- I I 0 Cree s We- I.-vl .
CONTRACTOR I ✓ a.166�
Name -Ronk- ems IVvC-- PROJECT DESCRIPTION
Address 2-I p ►'►ortkier-vl Ave . ❑ New Work
1 A CD I I,eLj I WA- % t t Alteration
City/State/Zip VV NCO '1
Phone 3(o)' �S�r✓- 102S FAX 3(Q0-8s' --I D27 Permit Fee 23.50
State License# RDIJi13**282-N3 Exp 812311E Type of Equip. Fee Each No. Amount
City of Anacortes Business License# Z q s cot 1 3 3 Air Cond.Unit 10.65
PROPERTY OWNER
�j Refrigeration Unit 10.65
Name ✓I I 1 Ca 1( S( .- Forced Air System 14.80
Address 2-1 10 C.-re `"S I d e n' ' Floor Furnace 14.80
City/State/Zip Pl ACl.U3r-e S f WA- cis 224 Wall Heater 14.80
Phone NCO"'2q3 -(O048 FAX •,�-,� Clothes Dryer 10.65
E-mail Address Car"I I SIB rl[?dc4v O. Y Ventilation Fan 7.25
APPLICANT Range Hood 10.65
Name "Rd Y1<- ISM S - Gas Fireplace 10.65
Address Gas Water Heater 10.65
City/State/Zip Gas Piping 4.75 I 4.75
Phone FAX .'^ /�,� Other(Describe)
E-mail Address robin @.I'onk h�nscon1
CONTACT J TOTAL FEES DUE 2'8'25
Name 12.OI0 V1 — -(Oh IC. -14 1 V)49
I
Address
City/State/Zip
Phone FAX
E-mail Address
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION 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 LICENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE
ISSUE N JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.
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A LICANT'S SIGNATURE D E
Last Updated 11-29-05
p` N City of Anacortes
'� .' 6 �,:`"� 904 6th Street Permit#: BLD-2014-0078
5 Issue date: 03/07/2014
� '. P.O.Box 547 Expire date: 09/03/2015
< ',:ky:t*Ippr Ct� Anacortes, WA 98221-0547
c+=, (360) 293-1901
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Job Address: 2110 CREEKSIDE LN Permit Type: Mechanical Permit
ANACORTES WA 98221-2400 Project:
APN: P83766
Remarks: Gas piping
Owner: WILLIAM AND SUSAN CARLISLE Contractor:
Address: 2110 CREEKSIDE LN Address:
ANACORTES WA 98221-2400
Phone: Phone:
License#:
General Information: Fees:
#of Gas Piping 1 Mechanical Permit Fees 28.25
Total Calculated: 28.25
Deposits/Receipts: 0.00
Total Due: 28.25
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 REGU ING ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
zi
ATUR F 0 R OR THORIZED AGENT ISSUED BY
p` N City of Anacortes
'� .' 6 �,:`"� 904 6th Street Permit#: BLD-2014-0078
5 Issue date: 03/07/2014
� '. P.O.Box 547 Expire date: 09/03/2015
< ',:ky:t*Ippr Ct� Anacortes, WA 98221-0547
c+=, (360) 293-1901
ray 1+"7- -:
Job Address: 2110 CREEKSIDE LN Permit Type: Mechanical Permit
ANACORTES WA 98221-2400 Project:
APN: P83766
Remarks: Gas piping
Owner: WILLIAM AND SUSAN CARLISLE Contractor:
Address: 2110 CREEKSIDE LN Address:
ANACORTES WA 98221-2400
Phone: Phone:
License#:
General Information: Fees:
#of Gas Piping 1 Mechanical Permit Fees 28.25
Total Calculated: 28.25
Deposits/Receipts: 0.00
Total Due: 28.25
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 REGU ING ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
zi
ATUR F 0 R OR THORIZED AGENT ISSUED BY
y p� Tag of cAxtacttttes�
I is nsl2inOnt
9CpP�� BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY # I -:L i
This is to certify that the (Description of Building or Structure):
Located At: I 1 C Cyr eji K c cnJ_k
STREET& NUMBER
Owner: MO-CM
Constructed By: t`"C-P-ll it
ZOWNER OR CONTRACTOR
Bldg. Permit #�7O 3 3 Date Of Issue: 7- I 1 -0
Occ. Group: I` I Use Zone: RL ' PLC/
Has Been Inspected And Occupancy Is Hereby Authorized,
- This Of 19 2B.
UTI4ORIZIf G OFFICIAL✓
SEE REVS.S fps SP€CI ME TS.
1
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TO,C0.4 CITY OF.ANA ORTES
BLDG. g PLUMBING,I4 MECHANICAL-1
PERMIT N2708'3
TB 293.1901
�A Date - / /
J 79
PERMISSION IS HEREBY GRANTED TO:
OWNER( c- K >/Jf- P 17,-;c/-'/l,5vu i • <..
STREET /
ADDRESS C2//O r i)..- t i/t /'o Ade
Location where work AS to be done
CONTRACTOR. it,)Lx. ic
TO ERECT 1 INSTALL 0 - OR REPAIR 0
IN THE FOLLOWING MANNER:) `>d/tf%,C c_ t J-n /c), / i'• f. r
?a A 4S'cz,C .-;1..Alio -
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
PLANS FOR CONSTRUCTION WERE NOT ❑ SUBMITTED
WERE L2IL..
WORK TO BE DONE BY OWNER at CONTRACTOR It
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOW$:
TYPE APPROXIMATE VALUE 1
PERMIT FEES
OF WORK
State Building Code Surcharge 1 Cy
State Energy Study Surcharge / �
�
Building it i c,00 , 7 St a0
Plumbing and W.S.
o�,
Mechanical
yU Co
Plan Check Fee Joe A ,'r yriii 16 7`••e/
}t cti 'K )y S%C'm.i y4 , .19/ 2.al o-
7/1 5 d
TOTAL I 13 i .-i7/f
LEGAL DESCRIPTION 7u 4.:. �ux' SY i , 10.17-ru
'i '�^ r_'�C�C - Oo 3 -OtlO 4
CITY INSPECTOR
* CITY OF AIyACORTES
. BLDG. De PLUMBING 0 MECHANICAL ❑
PERMIT } 2 7041
Telephone 293-1901• _ [t
Aneoortes,WA Date NI Hi 0 ^"` 19 CI
PERMISSION IS HEREBY GRANTED TO:
s:
OWNER (t.,.r..,;.,fr.S 1... X4, , ,t,.-'
STREET /
ADDRESS ) Y`//Cr-4 r: .liter_°." (44,AJr
Location where work is to be done
CONTRACTOR r Zi flYR
TO ERECT 9 fINSTALL ❑ OR REPAIR ❑
IN THE FOLLOWING M���A}NNER: jCk�erailir'tr:fi "r4 . r- • `: C.
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED -
PLANS FOR CONSTRUCTION WERE NOT 0 WERE$SUBMITTED
WORK TO BE DONE BY OWNER X CONTRACTOR a
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
APPROXIMATE VALUE
TYPE PERMIT FEES
OF WORK
State Building Code Surcharge L J ,7)
State Energy Study Surcharge
Building
Plumbing and W.S.
Mechanical
Plan Check Fee ).477. ..13.3
/// TOTAL 9 36 5 CJ
LEGAL DESCRIPTION 7 4- "„) - ',t• , 4 y 1 e.J7.. : /it/l-
b
CITY INSPECTOR
FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT N! 9629
293-19111 BUILDING PERMIT
• 24 Hrs. Notice Requested Site Address 2110 Creeks i des
NAME (OR NAME OF BUSINESS) PLUMBING
Jack Thomsen
MA
Creeks i' 21de Na TYPE OF FIXTURE OR ITEM FEE
CITY TELEPHONE NUMBER Water Closet $
Anacortes, WA 98221 293-7998 Bathtub
NAME Lavatory
Shower
ADDRESS Kitchen Sink
Dishwasher
CITY TELEPHONE NUMBER Laundry nay -
BAKE Clothes Washer
Rob Peterson Urinalea
Water Heater
ADD Drinking Fountain
1 29 A V on A 2 1 en Floor Sink or Drain
c i�TIT TELEPHONE NUMBER Slop Sink
ur i ington, WA 98233 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
I OBPEE*097D2
DrItesidential 0 Non-Residential PERMIT $
❑New ❑Add 1±1.Alter ❑Repair TOTAL'FEE $
erBuilding 0 Plumbing 0 Mechanical MECHANICAL
❑ Sign ❑ Demolition ❑ Other ❑ GAS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description of Property or 7ht.Account,)Jttmbef Na TYPE OF EQ[11P11�NT FEE
Lot Block of
Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Descbe Abrk i skylight I i II}lt Floor Furnace
Cut
Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
C J Single Family Residence ❑ Multi-Family Residence Range Hood
❑ Office ❑ Retail ❑Storage ❑ Church Air Handling Unit— CFM _ ,
0 Restaurant ❑ Other Pre-manufactured Stove or Fireplace
NOTICE Gas Piping
This permit is issued by the Building Official and,under the provisions -
of the Uniform Building Code,shall expire by limitatiop and become null
and void if the building or work authorized by such.liermit is not corn- PERMIT $ "
' Lanced within 180 days from the date of permit issuance,or if the building TOTAL FEE $
or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the Building 500.00 $ 10,k70
property for which this permit is issued or am an authorized represen-
tative of the owner.
All provisions of laws and inattces governing phis type of work will
Plumbing
be complied with whether specified herein or not/including routine calls Mechanical
for inspections. Sign -
Demolition
—=, Energy Surcharge
Sigeaee at Owner or AwhoriaedAgerd (Dere) State Surcharge 4. 30
Street Setback Side tens Setback Rear %id Setback Other
TOTAL S 14. 30 _
•
Use zone Occupancy Group 'YPe of Comm. Conditions:
Lot Area Vann Site Dwelling Unit F
D Yea ONo
Fire Sprinklers Required Na of Stories Bedrooms Occupant Load
❑Yea ❑No
Site of Bldg. Puns Checked By:
WHEN SIGNED AND DATED BELOW,TEO Ill YOUR PUR1RF
Pandemics le gas :pwa to do N:dote*cad Inak meecediog fo the eandluoam
bream and sent darn Unlidgeond*is sod apselatedons petaidaig e®pWaes dioaaa CDT OF AN theta,subject to
04/0 1/92
• Permit Issued Byr j /
f Z.1.�`,. 7�Lit, (:ter'0C.-t,.-
Building Official (Dirt)
Edwin Frank
PERMIT it 9629
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pomirt 7023
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INSULATION CERTIFICATE 005569
CREEKSIDE VILLAGE DEVELOPMENT COMPANY CREEKSIDE VILLAGE PHASE I
P. 0. BOX 973 2110 CREEKSIDE LANE
ANACORTES, WA. 98221 ANACORTES
UNIT 3 PLAN A
le of Material Manufacturer Thickness Sq Ft Covered R Value Width t Bags Wt/Bag
[TIC BLOW
INSUL-SAFE III BLOWING WOOL CERTAIN-TEEDCERTAINTEED 11.00 1435.00 30 28.00 35.00
Total Sq Ft Installed: 1435.00
NTERIOR WALLS
R-13 3.58'x15'x90' KRAFT @ 121.88 OC OWENS-CORNING 3.58 1482.00 13 15.00
Total Sq Ft Installed: 1482.00
NEEWALLS
R-19 6.25"x23'x90° KRAFT @ 115 CT CERTAINTEED 6.25 115.00 19 23.00
Total Sq Ft Installed: 115.00
LAT CEILING-BATTS
R-30 10.0"t241)(48° KRAFT @ 80 CT CERTAINTEED 10.00 48.00 30 24.00
Total Sq Ft Installed: 48.00
LOPED CEILING
R-19 6.25"x23'x90" KRAFT @ 115 CT CERTAINTEED 6.25 130.00 19 23.00
Total Sq Ft Installed: 130.00
NDERFLOOR
R-19 6.25"x15.25"x90°UNFACED @ 75 OCOWENS-CORNING 6.25 1745.00 19 15.25
Total Sq Ft Installed: 1745.00
Remarks:
Sono-Thera Insulation, Inc. SO NO IT } 264UG