HomeMy WebLinkAboutPermit File 3612 F Avenue y �
`,t O. CITY OF ANACORTES
WASHINGTON
y " BUILDING DEPARTMENT
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CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At:
3612 F Avenue
STREET&NUMBER
Owner: Pacific Summit Construction
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg.Permit# COM97-0196 10-21-97
Date Of issue:
0cc.Group: R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized,
25th February 98
This Day Of 19
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
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COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : COM97-0196
P.O. BOX 547 APPLIED: 10/13/97
ANACORTES, WA 98221 ISSUED: 10/21/97
(206) 293-1901 EXPIRES: 10/21/98
SITE ADDRESS: 3612 F AVE
ASSESSOR'S PARCEL NO. : 4676-000-048-0000
PROJECT DESCRIPTION: New single family
— 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...$: 122132 Code Amount---- By- Date---- Receipt
TYPE OF USE •SF LOT • 9100 REQUIRED SETBACKS---- ESPL $ -100.00 MD 10/21/97 7616
CENSUS CATEGORY -101 1ST FLR • 1054 FRONT • 20 ft PLCK $ 318.83 MD 10/21/97 7616
ZONING 2ND FLR • 875 SIDE(1)..: 5 ft PRMT $ 490.50 MD 10/21/97 7616
:R2 BASEMENT 0 SIDE(2)..: 10 ft PMEC $ 77.50 MD 10/21/97 7616
OCCUPANCY GROUP GAR/CARPORT...: 420 REAR • 20 ft PPLM $ 125.00 MD 10/21/97 7616
:R3 •? •? •? OTHER 0 REQUIRED PARKING-- STBC $ 4.50 MD 10/21/97 7616
TYPE OF CONSTRUCTION TOTAL • 0 SEWR $ 1500.00 MD 10/21/97 7616
:5N :? :? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 IMPT $ 400.00 MD 10/21/97 7616
OCCUPANT LOAD STORIES • 2 COMPACT • 0 STRM $ 1126.00 MD 10/21/97 7616
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf INSP $ 50.00 MD 10/21/97 7616
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 $ 3992.33
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 • 4 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...: 3 WASHING MACHINES: 1 FLOOR DRAINS • 0
BATH TUBS • 2 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 0
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.
I'-(C,,LPf_AI ba-)Alr-r
Issued by A plicant or Owner's Signature
24 Hour Notice Required For All Inspections
com_prmt, Rev: 11/04/93
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OCT 0 9 1997 a C
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(This form is to be completed prior to issuing the building permit)
Site Address: -?Ce i -- f-- G -1 Date: ib •— g — ci 1
Owner: @�e--:c;c. 6.-) ..«_----'—
Assessors No. Lot vrB Block Addition -c-Nov ti-z�.--.. t.Th
OK NA OK NA
❑ ❑ Fire Department Access 0 ❑ Fire Hydrant Located within 250 feet
❑ ❑ Fire Flow Required 0 0 Covenant Not to Oppose Future LID
❑ ❑ Water Extension 0 0 Sewer Extension
❑ 0 General Road Improvements ❑ 0 Shoreline or Wetlands
❑ ❑ Drainage Plan Approved ❑ 0 Site Plan 1
❑ ❑ Variance Required 0 0 Covenant Approval
❑ ❑ Plat Facts and Findings Compliance 0 0 Regulated Slopes
❑ ❑ Fill on Site 0 0 Survey in File
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Plans Examiner: Date1Or e 'a\---1
(Signature)
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