HomeMy WebLinkAboutPermit File 5504 Doon Way us-
OF CITY OF ANACORTES
WASHINGTON
v h
vc ot`' BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Emily Restdence
Located At: 5`,Y€ Itcu Way
SIRE r&NUMBER
Owner: Mien Construction
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg Permit# 34453. Date Of Issue: 1O;L5-33
0cc.Group: �A`'�" Use Zone:
Has Been Inspected And Occupancy Is Hereby Authorized,
This 6th Day Of April 19 94
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
� C� �{
DATE: 7 n-d Ui- C `� r PERMIT NO:
CITY OF ANACORTES
BUILDING PERMIT APPLICATION
SITE ADDRESS: SRO` , O1` / & ! ^�
ASSESSOR'S NUMBER: 3 22 -000 -0(62p - D� /
LOTS 6 9 BLOCK '7 or ,ck7 ,/Id e-
LL i zi'r 'iY'yi 2C'::4;`a.':.,. ':"'`:�„" 23` i?..4 "' .:„. '!4C "':"v
NAME: 41-1.- 11) CObi/ST . NAME: / /74._ NAME: MI /7/ Jr
MAILING ADDRESS: - MAILING ADDRESS: MAILING ADDRESS:
Pa. Box 5/ 7 smn 6:
CIITY: STATE: ZIP: CITY: STATE: ZIP: CITY: STATE: ZIP:
/i II%(D r C
PHONE: PHONE: PHONE: LIC NO#:
, c13 s 27J-`"I l9LC e C- /c \TL
CONTACT PERSON:1;M Ill 1/e." �Q PHONE: p i-7754/ FAX: n9- '9070
...::..........::: .... ...... ....................... .. ... ....... :.,.._. , ::...... ... .,.:y'..ryry.gg.}��(1...:'�♦ �y:. : 9:»y,.:a>::?'::G!:.;'i?':...'::.':i?::.i?<»:i...:..`:;:::"':?i<c.:;,z,4a;.:n..ii.:.,...:.:`;:.:
RESIDENTIAL NON-RESIDENTIAL OTHER
SINGLE FAMILY: RETAIL: STORAGE:
MULTI-FAMILY: OFFICE: ASSEMBLY:
APARTMENT: RESTAURANT: ACCESSORY:
CONDOMINUM: BANK: AUTOMOTIVE REPAIR:
SENIOR HOUSING: MANUFACTURING: OTHER(SPECIFY) :
OTHER(SPECIFY) : OTHER(SPECIFY) :
,::.::::.......:.:.....:.; :. ........:..<. .. ... :C :4; .::: lJL.1AV":::r:<...<.>..:.........:.;.::;.><.a'.:. i9i: '..ejy::fti?i'.y"'i?i: :3is:'i :
' BUILDING: REPAIR: SHORELINE /WETLANDS Y dp
PLUMBING: GRADING & FILL: WATER ON / ADJ TO PROP Y
MECHANICAL: ft./ DEMOLITION: SOILS REPORT Y
SPA/HOT TUB: OTHER: SENSITIVE AREA Y
POOL: J LATECOMMERS AGREEMENT Y
NEW CONSTRUCTION: ✓ FIRE HYDRANT<(250 FT) Y N
ADDITION: VARIANCE Y
ALTERATION: COVENANT ® N
DESCRIBE WORK: $ /Ct rizei L`- Sm.,/jt_C P/ein /GY
<:::.:: . ........ . ........ GENERAL`:iTi�1FC?I2NIF1'Y_�OP1:i::'" :.'s";;.ii ?:.1''r::''``::>i";: ;' %"„:'< .>i>'3::;<s`i:ai<ii:::':.;ii
STREET SETBACK: QO FT LOT AREA: 7700 SF CARPORT AREA: ��// SF
1ST SIDE SETBACK: 5 FT NO. OF DWELLINGS: ,} / GARAGE AREA: //54 SF
2ND SIDE SETBACK: /0 FT LOT COVERAGE: ®27 SF NO. OF STORIES: ( SF
REAR SETBACK: 20 FT 1ST FLOOR AREA: /,353 SF DECK AREA: /Cp� ?SF
USE ZONE: /e / • 2ND FLOOR AREA: SF MISC. : SF
PigOCC. GROUP: g y+-x j 3RD FLOOT AREA: SF
TYPE OF CONST: V N BASEMENT AREA: SF
PROJECT VALUATION(LABOR AND MATERIALS COST) * 3Q
NOTICE
THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDINO CODE,
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 HERBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH
' THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF TEE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES
GOVERNING THIS TYPE OF WORK WIL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR
' INSPECTIONS. l p
SIGNATURE : /�-C�Jai"' DATE : -2( / 3
-------- -
FOR OFFICE USE ONLY
.............. 0 .............................. ....
............................... ..... .. ... ..... . .. .... ......................................................................
.. .........................
..............................................................................................................................................
STEEP SLOPE: ENGINEERING REQUIRED:
WETLAND: WAC 51 COMPLIANCE REQ:
---
SHORELINE: SKYLINE APPROVAL:
SOILS REPORT: CLEARIDGE APPROVAL:
WATER METER SIZING: r_________ VISTA TWO APPROVAL:
UNSTABLE SOIL: OTHER:
PLANS REVIEWED BY: DATE:
.......
........................ ................................................................................................................................................................................................................................
PROJECT VALUATION INFORMATION FEES
ESTIMATED VALUATION: ,BUILDING PERMIT:
FIRST FLOOR: /1 7, .3C) 21Z/ PLUMBING PERMIT:
SECOND FLOOR:_ CiAMECHANICAL PERMIT:
THIRD FLOOR: ..IPLAN REVIEW:
GARAGE: 000 tv SEWER FEE:
DECK: I te 41)
„SEWER INSP FEE:
MISC: L,/ RADON TEST KIT:
A/IMPACT FEE:
!"..- "TATE CODE:
sTOTALIVALUATION:-- - . . Sacbc:Z.
I/MISC. FEES: Alipt,
......
Iljil,k*Au=gwawq::a24a55@me
000S6OVIaZWag=i:MMREF
Toins...u;;; ......... ...........................................................................................
DEPARTMENTAL APPROVALS '
PLANNING DEPARTMENT APPROVAL: SEE ATTACHED
PUBLIC WORKS DEPARTMENT APPROVAL: SEE ATTACHED
FIRE DEPARTMENT APPROVAL: SEE ATTACHED
SITE PLAN REVIEW: SEE ATTACHED
a (
• BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD93-0453
P.O. BOX 547 APPLIED: 10/11/93
ANACORTES, WA 98221 ISSUED: 10/15/93
(206) 293-1901 EXPIRES: 10/15/94
SITE ADDRESS: 5504 DOOR WY
ASSESSOR'S PARCEL NO. : 3823-000-069-0007
PROJECT DESCRIPTION: New Single Family Residence
— OWNER — CONTRACTOR — LENDER I
ALLEN CONSTRUCTION ALLEN CONSTRUCTION
P.O. BOX 817 P.O. BOX 817
ANACORTES WA 98221 ANACORTES WA 98221
293-7754 299-9070
ALLENC*108JL
TYPE OF WORK NEW AREA (sf) VALU. . . $: 83000
TYPE OF USE •SF LOT • 7700 REQUIRED SETBACKS----
CENSUS CATEGORY • 101 1ST FLR • 1383 FRONT • 20 ft
ZONING 2ND FLR 0 SIDE • 15 ft
:RL BASEMENT 0 REAR • 20 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 484 REQUIRED PARKING--
;R3 :2 :2 :? •
OTHER • 164 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
: 5N : ? :? :? NUMBER OF UNITS • 1 COMPACT • 0
OCCUPANT LOAD STORIES • 1 IMPRV SURF. : 0 sf
0: 0: 0: 0: BUILDING HEIGHT. : 0 ft
— FEES — NOTES
Code Amount---- By- Date---- Receipt
ESPL $ -100.00 MD 10/15/93 1615
PLCK $ 248.30 MD 10/15/93 1615
PRMT $ 382 . 00 MD 10/15/93 1615
STBC $ 4.50 MD 10/15/93 1615
SEWR $ 2972 .00 MD 10/15/93 1615
IMPT $ 400. 00 MD 10/15/93 1615
MISC $ 20. 00 MD 10/15/93 1615
INSP $ 50.00 MD 10/15/93 1615
TOTAL $ 3976.80
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. ���/+
7 l I.IUL2 10 l2t, r(TI t 12 d:g1
Issued byApplicant or wner' s Signature
24 Hour Notice Required For All Inspections
bld_prmt, Rev: 06/11/92
U
• PLUMBING PERMIT
CITY OF ANACORTES PERMIT NO. : PLM93-0142
P.O. BOX 547 APPLIED: 10/11/93
ANACORTES, WA 98221 ISSUED: 10/15/93
(206) 293-1901 EXPIRES: 10/15/94
SITE ADDRESS: 5504 DOON WY
ASSESSOR'S PARCEL NO. : 3823-000-069-0007
PROJECT DESCRIPTION: New Single Family Residence
— OWNER — CONTRACTOR
ALLEN CONSTRUCTION
P.O. BOX 817
ANACORTES WA 98221
293-7754
1 WTR PIPING/TREAT: 1
KIT SINKS
TYPE OF WORK NEWW/DISP:
TYPE OF USE •RES WASHING MACHINES: 1 HOSE BIBBS • 0
ELEC WTR HEATERS: 0 GREASE TRAPS • 0
WATER CLOSETS. . . : 2 LAUNDRY TRAYS. . . : 0 ADD'L FIXTURES. . : 0
BATH TUBS • 2 URINALS • 0
SHOWERS • 0 WASTE INTERCEPT. : 0
DISHWASHERS • 1 DRINKING FOUNT. . : 0
LAVATORIES • 2 FLOOR DRAINS • 0
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 90. 00 MD 10/15/93 1615
TOTAL $ 90.00
I hereby acknowledge that I have read this permit and state the above information is correct, and agree to comply with all
ordinances and laws regulating activities covered by this permit.
Issued by Applicant or Owner' s Signature
24 Hour Notice Required For All Inspections
plm_prmt, Rev: 06/11/92
0 0
• MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO. : MEC93-0246
P.O. BOX 547 APPLIED: 10/11/93
ANACORTES, WA 98221 ISSUED: 10/15/93
(206) 293-1901 EXPIRES: 10/15/94
SITE ADDRESS: 5504 DOON WY
ASSESSOR'S PARCEL NO. : 3823-000-069-0007
PROJECT DESCRIPTION: New Single Family Residence
- OWNER — — CONTRACTOR
ALLEN CONSTRUCTION
P.O. BOX 817
ANACORTES WA 98221
293-7754
TYPE OF WORK. . . :NEW BOILERS/COMPRESSORS- DOMES. INCIN • 0
TYPE OF USE •RES 0-3 HP • 0 COMML. INCIN • 0
3-15 HP • 0 RELOC/REPAIR. . . : 0
FUEL TYPES 15-30 HP • 0 CLOTHES DRYERS. : 1
: /GAS/ / / : 30-50 HP • 0 GAS WTR HEATERS: 1
FURN < 100K BTU: 1 50+ HP • 0 STOVE, APPLI. . . : 0
FURN >=100K BTU: 0 AIR HANDLING UNITS-- FIRE LOG/LITE. . : 1
FURN - FLOOR. . . : 0 <= 10000 cfm. : 0 WOODSTOVES • 0
UNIT HEATERS. . . : 0 > 10000 cfm. : 0 OTHER UNITS • 0
VENT FANS • 3 EVAP COOLERS. . . : 0 GAS OUTLETS • 1
VENT SYSTEMS. . . : 0 HOODS • 1
VENT W/O APPLI. : 0
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 66.50 MD 10/15/93 1615
TOTAL $ 66.50
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 or Owner's Signature
24 Hour Notice Required For All Inspections
mecjrmt, Rev: 06/11/92
C ;
FINAL INSPECTION CHECKLIST
Inspection Date:
Address: 55.i-J �aoo�D�'> L
' i3-cam
Permit No. ate: ld`6-93 Zone: 2L--
Owners Name: Rik'") (0O5 '1 tJC rsn
Owners Address: P u- X 91 7
Contractors Name:
Occupancy Group: 03 Consruction Type: ,c-✓)
Variances: (J�J n Safety Glass:
Sewer Fee Paid: /Q - J5-9 z> Hand Rails:
KC Sewer Inspected: (e -_. Guard Rails: E 1 G�-
WSEC Compliance: v Traps: a
Attic Access: ®L`" iFbed Stove: O °
Smoke Detectors: El' Water Pressure: 73
P T&P Drain: v House Numbers: di-,
d—Insulation Cert: 6 - - Site Drainage: 6 a
Radon Test Kit: 3- a 4 -clef Curb Cut: d�^
Garage House Door: Crawl Space Insul: � PC
Bedroom Windows: Crawl Space Access: 0 DC
Water Heater Strap: Q '— Vapor Barrier:
D.W. Air Gap: &~� Water MeterBox: OL-
Auto Garage Door: 8 Outside Caulking: b -
Exterior Decks/Landings: e.__-
Exh. Duct/Dryer Vent Dampers: et"