HomeMy WebLinkAboutPermit File 5113 Doon Way •
�.T Y O _ City of Anacortes ;
Permit#: BLD-2012-0024
904 6th Street Issue date: 01I30/2012
P.O.Box 547 Expire date: 07/28/2013
'. 'Cl / Anacortes, WA 98221-0547
' 'w-f (360) 293-1901
Job Address: 5113 DOON WAY Permit Type: Plumbing Permit
ANACORTES WA 98221-2909 Project:
APN: P60051
Remarks: Install backflow preventer&irrigaton system.
Owner: DAVID WATSON Contractor:
Address: 5113 DOON WAY Address:
ANACORTES WA 98221-2909
Phone: Phone:
License#:
General Information: Fees:
#of Backflow Devices 1 Plumbing Permit Fee 27.00
Total Calculated: 27.00
Deposits/Receipts: 0.00
Total Due: 27.00
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
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE O OWNER OR AUTHORIZED AGENT ISS
i
:s.tYo� PLUMBING PERMIT APPLICATIONBuilding DepartmentP.O. Box 547 Anacortes. WA 982214°os'�l Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: 51 13 3ooH Wigq _ ___ 1
CONTRACTOR
Name PROJECT DESCRIPTION
TIC IKro evil-rIN4 LJATz� Lim;
Address Foot. 3 PR,Nbu'Q SyS Mit. t NS7A+4..
City/State/Zip gam c.w.o.'. .24c4t Row wit
Phone FAX Permit Fee 20.00
State Licence# - Exp Fixture Type Fee Each No. Amount
City of Anacortes Business License# - Toilet 7 00
PROPERTY OWNER Bathtub _ 7 00 ,
Name 7)f V 2 ,- G.t.)9-r-SPM _ Shower 7.00
Address 5 113 �0®NI, 1.001i Dishwasher 7 00 1
City/State/Zip FtNifteD1Z2S W A• _!n 8 22 I Hand Sink 7 00
Phone 3,0 317-S-51 1 FAX
f� Kitchen Sink 7.00
O A'E-mail AddressrV2 t .( AO—.. emh Clothes Washer 7.00
APPLICANT "� Electric NWT 7 00
Name 2bAV'� S wi4 IsD4 Utility Sink 7.00
Address SM ItiLG Urinal 7.00
City/State/Zip Water Interceptor 7.00
Phone FAX Drinking Fountain 7.00
E-mail Address Slop Sink 7.00
CONTACT Water Piping 7.00
Name 0 I%h G Y Hose Bibb 7.00
Address Grease Interceptor 7.00
City/State/Zip Additional Fixtures 7.00
Phone FAX
TOTAL FEES DUE
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
ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.
J 0., I 20/12
APPLICANTS SIG TURE DATE
Last Updated 11-29-05
0 ,
?t' FOR INSPECTIONS CALL: CITY OF ANACORTES ....rlimmT141 7900
•
! 293-1901 BUILDING PERMIT
' 24 Hrs. Notice Requested Site Address 5113 Doan Way
• NAME(OR NAME OF BUSINESS) PLUMBING
Pobert J. Trembly
f
<,. MING ADDRESS
k� 8611313 Doan Way No. TYPE OF FIXTURE 09.ITEM FEE
; CITY TELEPHONE NUMBER Water Closet 1 $
k knacortes, WA 98221 293-9796 Bathtub
NAME Lavatory •
# t Shower ,
E ADDRESS Kitchen Sink
= Dishwasher '
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
•
4orthsound Landscaping Urinal
13710 co ADDRESS Drinking Fountain
Fidalgo Bay Road Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
utnacort.es , WA 98221 293-4236 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
NORTHSL213JA 421
x ECResidential 0 Non-Residential PERMIT $
❑ New ❑Add ❑Alter D Repair TOTAL FEE $
r ❑Building 0 Plumbing 0 Mechanical MECHANICAL
0 Sign 0 Demolition El Other 0 GAS ❑ OIL ❑ ELECT. 0 OTHER
Legal Description of Property or Tax Account Number Na TYPE OF EQUIPMENT FEE
Lot 37 Block of
Skyline No. 11 3827-000-037-0002 AirCond. Unit $
{ - Refrigeration Unit— HP
t: Boiler— "'' HP
Forced Air System— BTU/KW
• Describe Work Floor Furnace
Install 72 lin. ft. of 5 ft. high Wall Heater
wood fence per sketch submitted. Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
❑ Single Family Residence 0 Multi-Family Residence Range Hood
❑ Office ❑ Retail ❑ Storage ❑Church Air Handling Unit— CFM
t' ❑ Restaurant g❑ Other Fence 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 limitation and become null
and void if the building or work authorized by such permit is not corn- PERMIT $
mewed within 180 days from the date of permit issuance,or if the building
' or work authorized by such permit is suspended or abandoned at any time TOTAI, FEE $
after the work is commenced for a period of 180 days. CAI,FEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the Building $
property for which this permit is issued or am an authorized represen- Plan Check
tative of the owner. 0. 00
Al provisions of laws and ordinances governing this type of work will Plumbing
be cr implied with whether specified herein or not,including routine calls Mechanical
foripectio. Sign
Demolition
/� //0 Energy omharge
*;Id2< - YAgpst ` y State Surcharge
. Strect'Setbrdt 'Side Yard Setback Rear Yard Setback Other Fent.e . TOTAL $ t0 f1 00
i
Use Zone Occupancy Group 'type of Coast. Conditions:
Lot Area Wean Sit Dwelling Units
❑Yes ❑No .
Fire Sprinklers Required Na of Stories Bedrooms Occupant Load
("y4
k• ❑Yes ❑No
Size of Bldg. Plans Checked By:
WHEN SIGNED AND DATED BELOW,WIN N YOUR PERMIT
' Permission is hereby given to do the above described work according to the conditions
hereon and aeeudog to the approved plans and spdficalkos pertaining therto,subject to
compliance with the ordinances of the CITY OF ANA
Permit Issued By I, 4 06/06/90
Building • ate)
Edwin Frank PERMIT Ns
1900
c Y O.c UTfig of nacurtes
lr:ashittgtntt
?9COR<� BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY #
This is to certify that the (Description of Building or Structure):
SJA/6LG rAmi y eas 57auile.
Located At: 5//3 (7oon 4JAy
STREET& NUMBER
Owner:
Constructed By: 47v,r' X 2r4'
OWNER OPICONTRACTOR
Bldg. Permit # 5 07P 0 Date Of Issue:
7 �9—aG ‘
Occ. Group:F pj m"/ Use Zone: K —2-
Has Been Inspected And Occupancy Is Hereby Authorized,
This al. Day Of SBEl/�l 19147.
AUTHORIZING OFFICIAL
SEE HE golf SIDE FQR2lecC14I. REQUIREMENTS.
,0
CITY OF ANACO#tTES
BLDG. M PLUMBING IZI MECH ICAL Q
- PERMIT NI
€ Telephone 293-5173
s
ANACORTES, WASH. DATE / 6, 19
�
p PERMISSIOJI IS HEREBY GRANTED TO:
OWNER KY 44'4c/ 7�.t)7'r;,7t 1'✓fit CI
I' STREET ' 1
ADDRESS `Pi3 - y4/ 11,49
LOCATION WHERE WORK IS TO BE DONE
• CONTRACTOR 2/41/&4%.if lc at/s -'.pelf %i"..' `19
TO ERECT . ' INSTALL 0 OR REPAIR 0
e
�' I HE FOLLOWING MANNER^. i r9,fr r, ^-Mfl'i r ` aHi d.�1 .,_
( am. r . ,t ''Za,�tr_ x/i r� {,� wfu
,-.r 4. r. 0... U,�,. A:, A. ." 7
1 PERMIT EXPIRES ONE YEAR FROM DATE ISSUED - w
PLANS FOR CONSTRUCTION WERE NOT SUBMITTED e
WEREi i WORK TO BE DONE BY OWNER Yet CONTRACTOR '
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS; '-
TYPE APPROXIMATE VALUE 'OF WORK PERMIT FEES
ISSUING fir D0
BUILDING G. c/ !'7QQ aQ v'II'W- c'
GAS PIPING 3 G✓
PLUMBING AND W.S. . L. G i
P
4 SEWER CONNECTION INSP. / ,' c.,
1 MECHANICAL +_ ✓u .)
PLAN CHECK FEE ` .) '
t
iMISC. it- D"
TOTAL if /, ,fY j`' ii75.' ;(1
LEGAL DESCRIPTION T ', cv / f
i
FOR IkEPECTIONS CALL, CITY OF ANACORTES /-" P.O. BOX 547
29'3-5173 • BUILDING DEPAR'IN= 904-6th STREET
244HRS. NOTICE REQUESTED PERMIT APPLICATION ANACORTES, WA 98221
(or Name of Business) APPLICANT
� � USES FORWDRK
L chrze—pi C.- ( 19 / Cy, THIS PEWIT WELL BE APPLT
gm /�/Mani t pis // 'r REARING
6 City Telephone Number No. Type of Fixture or Item FEE
/p a c c`Yes I Z G J—3 Y7,, 'Zv Water Closet (Toilet) $ LI `o
`r^i/Name
IF y ! 7 1/ Bathtub, L( 00
Witt 6�r /J�- �/�1.���� a, Lavatory (Wash Basin) Ua�.
Shower
Address
/0.07 f r7 T `7 7 j Kitchen Sink 6 Disp. Z uo
City
I Telephone Number II Dishwasher 2 vP
`�I Ha cry✓ i 7 9 3"- 3-e' 0 I Laundry Tray zoo
Name / Clothes Washer 2 c'a
{ C j - ) Water Heater '�- c'�
Ifi I/l)J�e/l �-CO
Addr s Urinal _
I ! { 0 17;-/ j/ '" Drinking Fountain
City -'� Telephone Number Floor - Sink or Drain
C n u, CD v/ Ia 2 9 ✓_.3 t&7 J slop Sink
State License Number
L- y, a 67C I 4 2 M 1 Water Piping $ Treating Equip. Z cc
Waste Interceptor
dentiAl Demolish Plumbing Vacuum
Breakers
Qmrercialn5 MechanicalIn Sprinkler System ......."'se......."'sea
lbn—nercial Spa/Pool Add a`G
Alter Sign Repair
fE.!7 PERMIT $ �y-3 cx)
Legal Description of Property (Show Belau or Attach Foes Copies) TDTAL FEE $ U'7 cacJ
Lot Block of FEEMUUTUCAL NAT. GAS on LPG EIS.
p No. Type of Eguipeent FEE
jC� `-/ i//,1‘-Y- Air Cold. Units - H.P. Ea. $
�/J � / Refrigeration Units - H.E. ea.
P E GU L0,C,`P. Boilers - H.P. Fa.
Nature of Work Gas Fire A.C. Units - Tonnage Ea.
Air Systems - B.T.U. JO.n( M Ea. `t/ 0g)
Gravity Systems - B.T.U. M Ea.
Wall Heaters - B.T.U. M
Proposed Use Unit Heaters - B.T.U. M
Evaporative Coolers
1CTICE / Clothes Dryers L. j d
This permit Eemms null and void if work or construction authorized is Ventilation Fan
not wares cai within 180 days, or if construction or work is suspended
Ranor abandoned for a period of 160 days at any time after work is or-
Hood - Coma.
menoad. I hereby certify that I have read and examined this applica- Air Handling Unit C.F.M.
tics and know the same to be true and correct. All provisions of laws
and ordinances governing this type of work will be ornglied with Incinerator
whether specified herein or not, the granting of a penuit does not pre- / Gas Piping goo
sumo to give authority to violate or camel the provisions of any other
state or local law regulating construction or the perfoamance of coin- Tanks
strut` . —j loam Heaters -Wed stoves 6 s•e
shaGre o . - or4;::#ztr (Date)
ICE: PERMIT LIMIT ONE YEAR (Except ES DLITfQS AND MOVIM PEWITS
which shall be completed in sixty days.) PEWIT $ tei W
mom. FEE $ WD °"'
Side Yard Setback Street Setback Bear Yard Seth nk APPROXIMATE
Lt. //7 Rt. - 2-0 2..o TYPE VALUE PERMIT FEES
Use Zane lot Area Vacant Site Issuing - / g o C
/2 l_ 'l �& Yes No Building L 2 `i7`/ get/ oo a
Type of Li Ooa>Paocy (kouap No. Welling Units Gas Piping 0 O0 W
Size of Bldg. Sg.Ft. Carport Max. pcc. Load Plumbing $ W.S. 0/6, ou )
3rd Seaer Dorn. Insp. /j ca W
2nd Garage Fire Sprinklers Ra7'd. re:ban o1
l.ste.' / ,y Z Z Ceti S 2-K Yes _Apo 622 0 o Q
Basement Fire Place/Insert Mood Stove Plan Check Fee q) C.Q ^4
11.0 n
Deck Chutney Qnerhed 7 /-:, •: /Ge
State \.
le, yl3l� " q code � me 6\
1.
A /7% , O` iise " i-c
cc'
SANITA .lY SEWER HCOK -UP
11
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PRO . ecc.
-
A
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22o NOT To '3cite
RISES
. —C.O.
' 24' l.
P U LDNNQ
LOCATION: _ 5)15 Dae,N N4V Lr-3i
DATE:
TIME:
RECPT. 'NO.
DEPTH AT MAIN LINE :
CONTRACTOR:
INSPECTOR: .
COMMENTS: 411 Pvc Asrlh ozmiz,
I
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