HomeMy WebLinkAboutPermit File 4905 Doon Way rG1T Y O :� City of Anacortesottv Permit#: BLD-2011-0317
904 6th Street Issue date: 09/08/2011
•
P.O.Box 547 Expire date: 03/06/2013
z+'a' CO; Anacortes, WA 98221-0547
Job Address: 4905 DOON WAY Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2905 Project:
APN: P77617
Remarks: Reroof SFR.
Owner: GODDCHIC FAMILY TRUST Contractor: MT. BAKER ROOFING
Address: 5574 BROAD VIEW AVE NE Address:
TACOMA WA 98422-1413
Phone: Phone: (360)293-5298
License#:
General Information: Fees:
Building Valuation 7200 Building Permit Fee 123.75
State Building Code Fee 4.50
Total Calculated: 128.25
Deposits/Receipts: 0.00
Total Due: 128.25
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, ORU
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED.r,.til.-•
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. A(tic,
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR0
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.
Ica -h) QouRiVi
Qsµ tSIGNATURE OF OWNER OR AUTHORIZEDNT ISSUED -
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City of Anacortes
1 Finance
1125203-1 09/12/2011 8R1 TO
Mon Sep12,2011 08:54AM Trans#8-8
Name: GUDDCHIC FAMILY TRUST
Addr: 4905 DOON WAY ANACORTES,WA 98221
8 $128.25 8000 - Permit Fees
* Customer #: 009148
* Permit #: BLD-2011-0317
1 ITEM(S): TOTAL: $128.25
Check (4123) PAID $128.25
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ot. Re-Roof Building Permit Application
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city of AnAcorte>Building Department.
+cosh P.O.Clot 547 Ana ortes,WA 08221
Phone No.:3b0,293.1901 'AX:3o0.293.1938
Type of Permit:(check one) 'St Residential 7 Commercial
Project Address: 14/905 DDO+.) _ \I Parcel ID# P Veril7
Owner: , 1 _M—Sk}s 1/1-o Phone Number �3)33`1- iti 3 9 � '
�`(Z� 98 rt,
Address: �4� w CvYariSon) NWy City: d L State: Zip Code: __
Contractor: 1'T ARAke go0F1 il ; J t.C-.. Phone Number: 360 933 O) ( -- 7140i,
Address: 3?SD I-lor<2. k0 City: RcawNil State:_ WA Zip Code: S • i°0
Contractor's License Number: 1r r CAK kt O 55 t^l., Expiration:___.I 2-9/Zo!?—
Type of Roofing: LAminhri° S h& s Number of Layers: I Number of Squares: 3
Class of Roofing: LA ❑B EC Installing or replacing sheeting: _le S
Work Scheduled to Begin: r q I t5 Work Scheduled to End: i/I?_^
The following is required for NON-Residential Buildings:
r_ All Non-Residential projects will require a site visit prior to the issuance of the permit for
obvious signs of fatigue,condition of existing roofing and number of existing layers.
Li Two copies of the installation specifications and U.L.listed roof assembly.
Building square footage:
Occupancy Group Office _Retail
Church - _ Restaurant
_School
y
Project Valuation:$ 1/2-00
I hereby certify the above information is correct and that the construction on,and the occupancy and the use of
the above described property will be accordance with the laws,rules and regulations of the State of
Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A
final inspection and approval shall be obtained when the re-roofing is complete.
Applicants Signature Date
Revised September 11,2008
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'E CITY OF ANACORTES
SLOG. ❑ PLUMING-❑ M€CHANI;CALD' •
Ca,jiti to PERMIT NE 74Si
Telephone 293-1901
Anecortes.WA Date /Jt if - il 195/~
PERMISSION IS HEREBY9RANTED TO: •
OWNER ✓ crr 64.1riAsf)
STREET "
ADDRESS "/ U > .Ioc,&t A/. y
/ Location where wilt*is to be done
CONTRACTOR L J a! c 440/-IC;rt i i%t/
TO ERECT0 INSTALL ❑ OR REPAIR ❑
IN THE FOLLOWING MANNER: tt1J%Ca' 4'''.
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PERMIT EXPIRES ONE YEAR FROM DATE ISSUED- I
WERE NOT
PLANS FOR CONSTRUCTION SUB ITTED
WERE D
WORK TO BE DONE BY OWNER ❑ Ce
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: I.
TYPE APPROXIMATE-VALUE OF WORK PERMIT FEES..
State Building Code Surcharge 1
State Energy Study Surcharge
Building ! , J;u,a 7 ,
Plumbing and W.S.
- -Mechanical
-Plan Check Fee
TOTAL w t
LEGAL DESCRIPTION tir;1 ILI afr7Lr...,€ t.)'� 76
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' CITY INSPECTOR
- CITY OF ANACORTES
BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
61 9
THIS IS TO CERTIFY that the (description of building
or structure): .....Z:1-"tket, t.C:re2<V>CC'je
,A•tf.'_:7_311.7..agefera-'42::Tte
Owner: /4:7,4, C;49/' 'VW,/
Street and No • -4C-Al."?‘.")57. fl:::71.141Afifil:ii
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Contractor:etc 4.6e-ce i,riarefi re Zone•
Building Permit No • '9292"
Occ.Group: fe—a Use Zone:
has been inspected and occupancy is hereby
authorized:
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} Building 4 insjpector
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PERMITS ISSUED . .
ADDRESS' , . . 4/-90.C- Der-Ca.- ----.1--)k-eir---..--•
TYPE PEE1,I1T NO. 11,Di .,CTIOI.N0
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