HomeMy WebLinkAboutPermit File 3320 F Avenue 1
OF CITY OF ANACORTES
WASHINGTON
D y I
COF<4 BUILDING DEPARTMENT
; CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family REsidence
a
Located At: 3320 F AVenue
STREET&NUMBER
Owner: Pacific Summit Construction
Constructed By: Owner �l
OWNER OR CONTRACTOR
Bldg.Permit if GGM97-0141 Date Of issue: 7-22-97
Occ.Group: R3 Use Zone: R2 III
Has Been Inspected And Occupancy Is Hereby Authorized, 'I
This 14th Day Of October 19 97
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : C0M97-0141
P.O. BOX 547 APPLIED: 07/07/97
ANACORTES, WA 98221 ISSUED: 07/22/97
(206) 293-1901 EXPIRES: 07/22/98
SITE ADDRESS: 3320 F AVE
ASSESSOR'S PARCEL NO. : 4676-000-059-0000
PROJECT DESCRIPTION: New single family residence
— OWNER — CONTRACTOR — LENDER
PACIFIC SUMMIT CONSTRUCTION PACIFIC SUMMIT CONSTRUCTION
4809 242ND AVENUE SE 4809 242ND AVENUE SE
ISSAQUAH WA 98029 ISSAQUAH WA 98029
206-391-0779 206-391-0779
PACIFSC110CA
— FEES
TYPE OF WORK •NEW AREA (sf) VALU...$: 86689 Code Amount---- By- Date---- Receipt
TYPE OF USE •SF LOT • 8982 REQUIRED SETBACKS---- ESPL $ -100.00 MD 07/22/97 7220
CENSUS CATEGORY •101 1ST FLR • 1513 FRONT • 20 ft PLCK $ 256.10 MD 07/22/97 7220
ZONING 2ND FLR 0 SIDE(1)..: 5 ft PRMT $ 394.00 MD 07/22/97 7220
:R2 BASEMENT 0 SIDE(2)..: 10 ft PMEC $ 73.00 MD 07/22/97 7220
OCCUPANCY GROUP GAR/CARPORT...: 400 REAR • 20 ft PPLM $ 111.00 MD 07/22/97 7220
:R3 •? :? :? OTHER 0 REQUIRED PARKING-- STBC $ 4.50 MD 07/22/97 7220
TYPE OF CONSTRUCTION TOTAL • 0 IMPT $ 400.00 MD 07/22/97 7220
:5N •? •? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 STRM $ 1126.00 MD 07/22/97 7220
OCCUPANT LOAD STORIES • 1 COMPACT • 0 INSP $ 50.00 MD 07/22/97 7220
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf SEWR $ 1500.00 MD 07/22/97 7220
FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN •0
:/GAS/ / /: 0-3 HP • 0 COMM. INCIN •0
FURN < 100K BTU: 1 3-15 HP • 0 RELOC/REPAIR...: 0 TOTAL $ 3814.60
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 • 3 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1
VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • 0
VENT W/0 APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0
EVAP COOLERS...: 0 GAS OUTLETS • 1
HOODS • 1
WATER CLOSETS...: 2 WASHING MACHINES: 1 FLOOR DRAINS • 0
BATH TUBS • 1 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 1
SHOWERS • 1 LAUNDRY TRAYS...: 0 HOSE BIBBS • 2
DISHWASHERS • 1 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 3 WASTE INTERCEPT.: 0 ADD'L FIXTURES..: 0
KIT SINKS W/DISP: 1 DRINKING FOUNT..: 0
I herebyacknowledge read thispermit and state that the above information is correct and agree to comply with all
l ge that I have g mp y
ordinances and laws regulating activities covered by this permit.
Issued by Ap licant or Owner's Signature
II
24 Hour Notice Required For All Inspections
com_prmt, Rev: 11/04/93
C 41
:' CITY::OF`: ANA°CORTES EVILDIN DEPART : :�::;
•: RESIDENT L CHECKLIST` ' :. : : .: ; :;: :
(This form is to be completed prior to issuing the building permit)
Site Address: 313a0 F- O—"''k. Date: -7 - )-°—'? -7
Owner: PQ.C,Tj'v�,�.:t, S......--a-3---
Assessors No. Lot 5 9 Block Addition pfox-, to f (--CO
OK NA OK NA
❑ Fire Department Access 0 $R Fire Hydrant Located within 250 feet
❑ a Fire Flow Required ❑ C1--- Covenant Not to Oppose Future LID
❑ EP, Water Extension 0 1 - Sewer Extension
❑ C, General Road Improvements 0 -gi, Shoreline or Wetlands
❑ Drainage Plan Approved ' ❑ Site Plan
❑ Variance Required 0 Covenant Approval
❑ P9k Plat Facts and Findings Compliance 0 a8 Regulated Slopes
❑ 'B-._, Fill on Site c!a 0 Survey in File
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Plans Examiner: B'—" . Date: ) --2-----._
(Signature)
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