HomeMy WebLinkAboutPermit File 3203 F Avenue 1
‘1 v ox. CITY OF ANACORTES
WASHINGTON
cot`� BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At:
3203 F Avenue
STREET&NUMBER
Owner: Pacific Summit Construction
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg.Permit#COM97-0213 Date Of Issue: 12-3-97
Occ.Group: R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized,
This 7th Day Of
April 19 98
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
• ■
COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : COM97-0213
P.O. BOX 547 APPLIED: 12/01/97
ANACORTES, WA 98221 ISSUED: 12/03/97
(206) 293-1901 EXPIRES: 12/03/98
SITE ADDRESS: 3203 F AVE
ASSESSOR' S PARCEL NO. : 4676-000-064-0000
PROJECT DESCRIPTION: New single family Residence
— OWNER — CONTRACTOR — LENDER
PACIFIC SUMMIT CONSTRUCTION A-1 CHIMNEY REPAIR
4809 242ND AVENUE SE 1217 S0 6TH STREET
ISSAQUAH WA 98029 MT VERNON WA 98273
206-391-0779 428-8813
A1CHIR*122MR
— FEES
TYPE OF WORK •NEW AREA (sf) VALU...$: 113000 Code Amount---- By- Date---- Receipt
TYPE OF USE .SF LOT • 9237 REQUIRED SETBACKS---- ESPL $ -100.00 MD 12/03/97 7758
CENSUS CATEGORY •101 1ST FLR • 1242 FRONT • 20 ft STBC $ 4.50 MD 12/03/97 7758
ZONING 2ND FLR • 480 SIDE(1)..: 5 ft SEWR $ 1500.00 MD 12/03/97 7758
:R2 BASEMENT 0 SIDE(2)..: 10 ft IMPT $ 400.00 MD 12/03/97 7758
OCCUPANCY GROUP GAR/CARPORT...: 577 REAR • 20 ft STRM $ 1126.00 MD 12/03/97 7758
:R3 •? :? •? OTHER 0 REQUIRED PARKING-- INSP $ 50.00 MD 12/03/97 7758
TYPE OF CONSTRUCTION TOTAL • 0 PLCK $ 302.58 MD 12/03/97 7758
:5N •? •? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 PRMT $ 465.50 MD 12/03/97 7758
OCCUPANT LOAD STORIES • 2 COMPACT • 0 PMEC $ 82.00 MD 12/03/97 7758 li
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf PPLM $ 132.00 MD 12/03/97 7758
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 $ 3962.58
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 • 5 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1
VENT SYSTEMS...: 0 <= 10000 cfm.: 0 W00DSTOVES • 0
VENT W/O APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0
EVAP COOLERS...: 0 GAS OUTLETS • 1
HOODS • 1
WATER CLOSETS...: 3 WASHING MACHINES: 1 FLOOR DRAINS • 0
BATH TUBS • 2 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 1
SHOWERS • 1 LAUNDRY TRAYS...: 0 HOSE BIBBS • 2
DISHWASHERS • 1 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 4 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.
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Issued by App icant or Owner's Signature
24 Hour Notice Required For All Inspections
com_prmt, Rev: 11/04/93
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(This form is to be completed prior to issuing the building permit)
Site Address: 3nnn tc A.,s_ Date: t\ - S.-9 7
Owner Pa,c.;C: e- 5,.. : r
Assessors No. Lot 6'-1 Block Addition Noatzow 4&c.047- ,
OK NA OK NA
Z ❑ Fire Department Access g ❑ Fire Hydrant Located within 250 feet
RI ❑ Fire Flow Required ❑ I ' Covenant Not to Oppose Future LID
❑ g Water Extension ❑ S, Sewer Extension
❑ ® General Road Improvements ❑ La Shoreline or Wetlands
Zc1 ❑ Drainage Plan Approved a ❑ Site Plan
❑ g- Variance Required ❑ a Covenant Approval
a ❑ Plat Facts and Findings Compliance ❑ a Regulated Slopes
❑ g Fill on Site + 0 Survey in File .
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Plans Examiner: 0 VIA Date: i‘- a-5- 9 7
(Signature)