HomeMy WebLinkAboutPermit File 1600 Georgia Place 'T CiF City of Anacortes Invoice/Permit#: BLD-2015-0508
904 6th Street
Applied date: 10/08/2015
P.O.Box 547 Issue date: 10/08/2015
t' w• Anacortes, WA 98221-0547
Expire date: 04/05/2017
Job Address: 1600 GEORGIA PL Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-1368 Project:
APN: P99829
Remarks: Reroof existing residence
Owner: SARGENT COLLEEN K Contractor: SKAGIT ROOFING
Address: 1600 GEORGIA PL Address: 9672 FARM TO MARKET RD
ANACORTES WA 98221-1368 BOW WA 98232-7223
Phone: Phone: (360)428-1900
License#:
General Information: Fees:
Building Valuation 13300 Building Permit Fee 237.25
State Building Code Fee 4.50
Total Calculated: 241.75
Deposits/Receipts: 0.00
Total Due: 241.75
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 THER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. t y
SI NAT E OF OWNER OR AUTHORIZED AGENT ISS ED Y
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Finance Department
015474-0004 Maryellen 10/08/2015 11 :27AM
PERMITS AND INSPECTIONS
SKAGIT ROOFING
BLD-2015-0508
Reroof Single Family
Residence
Reroof existing residence
issued
2015 Item: BLD-2015-0508 241 .75
Payment Id: 80714
241.75
Subtotal 241.75
Total 241.75
CHECK 241 .75
Check Number 2312
Change due 0.00
Paid by: SKAGIT ROOFING
II II II II 11 II III II 111111 II
Thank you for your payment
CUSTOMER COPY
DUPLICATE RECEIPT
y
�.�" o�, CITY OF ANACORTES
WASHINGTON
ycoa-IL BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 1600 Georgia Place
STREET&NUMBER
Owner: John Sargent
Constructed By: Owner
OWNER OR CONTRACTOR
COM94-0179 10-12-94
Bldg.Permit# Date Of Issue:
R2
Occ.Group: R3 Use Zone:
Has Been Inspected And Occupancy Is Hereby Authorized,
This 23rd Day Of October 19 97
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
COMBINATION PERMIT
CITY OE ANACORTES PERMIT NO. : C0M94-0179
P.O. BOX 547 APPLIED: 10/12/94
ANACORTES, WA 98221 ISSUED: 10/12/94
(206) 293-1901 EXPIRES: 10/12/95
SITE ADDRESS: 1600 GEORGIA
ASSESSOR'S PARCEL NO. : 3809-511-002-0600
PROJECT DESCRIPTION: New single family
— OWNER — CONTRACTOR — LENDER
JOHN SARGENT
1612 GEORGIA PLACE
ANCORTES WA 98221
293-
— FEES
TYPE OF WORK -NEW AREA (sf) VALU...$: 111000 Code Amount---- By- Date---- Receipt
TYPE OF USE -SF LOT - 0 REQUIRED SETBACKS---- ESPL $ -100.00 MD 10/12/94 3009
CENSUS CATEGORY •101 1ST FLR • 1916 FRONT • 20 ft PLCK $ 299.33 MD 10/12/94 3009
ZONING 2ND FLR 0 SIDE(1)..: 5 ft PRMT $ 460.50 MD 10/12/94 3009
:RL BASEMENT • 0 SIDE(2)..: 10 ft PMEC $ 68.50 MD 10/12/94 3009
OCCUPANCY GROUP GAR/CARPORT...: 624 REAR • 20 ft PPLM $ 97.00 MD 10/12/94 3009
:R3 •? •? •? OTHER 0 REQUIRED PARKING-- STBC $ 4.50 MD 10/12/94 3009
TYPE OF CONSTRUCTION TOTAL • 0 SEWR $ 3121.00 MD 10/12/94 3009
:5N •? •? :? : NUMBER OF UNITS • 0 ACCESSIBLE.: 0 IMPT $ 400.00 MD 10/12/94 3009
OCCUPANT LOAD STORIES • 0 COMPACT • 0 MISC $ 20.00 MD 10/12/94 3009
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf INSP $ 50.00 MD 10/12/94 3009
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 $ 4420.83
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 • 2 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1
VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • 0
VENT W/O 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: 0
SHOWERS • 1 LAUNDRY TRAYS...: 0 HOSE BIBBS • 2
DISHWASHERS • 1 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 2 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.
A • ' `�
Issued by A;f leant or owneOLA- 's Signature
24 Hour Notice Required For All Inspections
com_prmt, Rev: 11/04/93
A
MATERIALS PROJECT: ! 4 Lbr 7
TESTING & LOCATION: &% 7A/�--1G ��r�At acat
CONSULTING, CLIENT: Lit-.ki, P4 .2P_(fcl Q/4
INC . CONTRACTOR: t.4-t 6C i
ENGINEER:
ARCHITECT:
CONTRACT NO. :
SPECIFICATION:
NUCLEAR COMPACTION TEST DATA REPORT NO.
TEST NUMBER 1 2 3 4 5 6 7
STATION
OFFSET
ELEVATION IZ't -zo'
MODE & DEPTH (Av"' �O` ear Cv"
WET DENSITY 1%54.3 1•• • !4( 0 1-4d z
MOISTURE '4.t Cs v G. / e•/
DRY DENSITY 1 •d 1Z4. I�7•q ) ' .O
% MOISTURE $•Z .0 3,q '��' •�'
MATL. NO.
% COMPACTION <7457 4t / .Q 44.1 _
REQ. % COMP. qS RSs- 45--
REMARKS:
MATL. SOURCE DESCRIPTION MAX. OPT.
NO. DENS. MOIST.
1 1 e et-1E S4 L K Eve•1 lxea-/Ere-- 7• 67
2
3
4
5
6
7
8
DISTRIBUTION Date Sent:
Tested by:
Original / 1i0.6i /� G
Copies e t75/ AiJ4 c&Ztc3 Date: (/-,- I.e-'
P.O. Box 309 : Mount Vernon, WA 98273-0309 : (206) 757-1400
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