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HomeMy WebLinkAboutPermit File 2220 J Avenue Cityof Anacortes Permit#: BLD-2012-0047 904 6th Street Issue date: 03102/2012 . P.O.Box 547 Expire date: 08/29/2013 ' 1)o Anacortes, WA 98221-0547 �fliiil� {360) 293-1901 Job Address: 2220 J AVE Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3725 Project: APN: P31799 Remarks: Addition to home Owner: STEPHEN BOLLES Contractor: Address: 2220 J AVE Address: ANACORTES WA 98221-3725 Phone: Phone: License#: General Information: Fees: Building Valuation 108000 Building Permit Fee 837.70 #of Clothes Dryers 1 Plan Review Fee 294.45 #of Clothes Washers 1 State Building Code Fee 4.50 #of Gas Fireplace 1 Mechanical Permit.Fees 59.30 #of Water Closets 1 Plumbing Permit Fee 48.00 #of Ventilation Fans • 2 Total Calculated: 1,243.95 #of Lavatories 2 Deposits/Receipts: 0.00 Total Due: 1,243.95 _Ij A THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR I : CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. T 4 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AL[:ii PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR 1- NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. • • ( 2..."04( SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY Page 1 of 1 Grace, Michelle From: Sue Steve Bolles [navigator628@hotmail.com] Sent: Wednesday, August 21, 2013 11:01 AM To: Grace, Michelle Subject: 2220 J Avenue August 21, 2013 Michelle Deaton, Permit Technician City of Anacortes, WA RE: Permit#BLD 2012 0047 Bolles, 2220 J Avenue Michelle, Due to a serious illness, I have been unable to work on our project. I am requesting that our permit be put on a "Hold" status until I am able to finish thework. I can be reached at navigator628@ hotmail.com, or by phone at 360-588-9278. Thank you, • Steve Bolles 8/26/2013 . pko ICC.,-06.,LC-5, 04 Re : u !l v R IS 2012 T f 13 ( BEN Abe b. FWOR ( copi G_)) eraQc.-Tuv ‘E 13 Comp .-no o o •-Mug7, OQinILL-) C) . c b ► POWT- CW -Ttic5 10' +ALL. A La k .47- 7 V (RoDR 1)L,A1, e ) COoKrc- -( . 0 222o 4 A 74- �,, Anacortes Planning & Community Development Dept. ,AinktPermit Center 4,ret- P.O. Box 547, Anacortes,WA 98221-0547 PH(360)293-1901 Ryan Larson, Director • Don Measamer,Building Official FAX(360) 293-1938 February 15, 2012 Steve Bolles 2220 J Avenue Anacortes, WA 98221 RE: Plan Review notes for the addition at 2220 J Ave. Dear Steve, Please address the following items so I can complete the plan review. 1. Show dimensions for wall lengths from ends to windows and doors. 2. Provide details showing how the building walls resists lateral loads (wind and seismic), either by meeting the prescriptive requirements in the 2009 International Residential Code Section R602.10, or by engineered design. 3. Show point load amount(in pounds) from girder truss end bearing on new 6 x 8 header over new"walk thru". The header is undersized for the load. An alternative may be to use a girder truss here as part of the engineered roof truss package. 4. The floor beams are inadequate for the load at the given span(they will work for a 7 foot span;just add more posts &footings). 5. Show all structural headers over window& doors on either the floor plan or roof framing plan. 6. Provide another floor plan(for county assessor). There may be further comments after I review the additional information. Sincerely, Paul Ingalls Building Inspector/Plans Examiner City of Anacortes t2- co 0 I`orn w G 1.-- .1 C',1 O • N G6O' LEGAL S 89'59'22" E 726.33' ESCRIPTIom mow VISNED \ MON V I1-l4-20i1 I 1 22ND STREET . 11-14 I o 7 I- 412.5' I LEGAL DESCRIPTION 0 I o I 1 ry ilD vl ul N I I 11. I N 89'32'58" E 117.25 a _ - N O b Co W 1N �1 coI 1 i Z1 �I a 0 $ AF�/9404190097 0 0 d Ed f- - N 7ty I C' Z Y�L1 I N I 40' , O en 155.20' I N 89'32'56" E IO0A0' N 89'32'56" E 171.63' 0 0 I o a m LOT AREA = 18,784 SF m 0 I cr.r . E%ISBK hi GARAGE m Itu- 1-3 o ERISIINC 2220 o 1.r � zhJ O N 1b POINT OFF Y , BEGINNING\ %P-zL N 89432'56" 170.90' 1 00' EXIST. ASPHALT jr 12' EASEMENT FOR INGRESS AND EGRESS- N 8a'3256" E '_'70.31' I I • MON 0 'H'AVENUE & BAKER VIEW COURT VISITED 11-14-2011 GRAPHIC SCALE Jildm 3T 0 32 0 i_a I II ( IN PEET ) 1 Lt,L = 30 fL . AUDITORS CERTIFICATE RECORD OF SURVEY AT THE REQUEST OF DALE K. HERRIGSTAD AUDITOR DEPUTY AUDITOR LEGAL DESCRIPTION That portion of the Northwest 1/4 of the Southwest 1/4, Section 24, Township 35 North, Runge 1 East, W.M., described os follows: BEGINNING of a point 412.5 feet East of a point 660 feet South of the Northwest corner of said subdivision; thence South 318 feet; thence East 100 feet to the TRUE POINT OF BEGINNING: thence East 165.2 feel, more of less, to the West line of "J" Avenue extended; thence North 98 feet; thence 'West to a point North of the TRUE POINT OF BEGINNING; thence South to the TRUE POINT OF BEGINNING. TOGETHER WITH A non—exclusive easement for ingress and egress purposes over and across a strip of sand 12 feet in width immediately abutting upon the atoredescribed properly io the South. All situate in the City of Anacortes, County of Skogil, Stole of Washington. NOTES.- 1. THE LEGAL DESCRIPTION FOR THIS SURVEY IS A STATUTORY WARRANTY DEED RECORDED UNDER AUDITOR'S FILE #200012280132 RECORDS OF SKAGIT COUNTY, WASHINGTON. 2.i SET RE—BAR AND RED CAP P.L.S. ff 27807. 3.®SET BRASS CAP IN CONCRETE P.L.S. #27807. ) 4,®SET PK NAIL IN ASPHALT. 5. 0 FOUND EXISTING REBAR AND CAP P.L.S. 08992. 70 b. FOUND MONUMENT WITH CASE AND COVER. 7. EQUIPMENT USED: Pentax 323N Total Station, sr B. MONUMENTS TIED ON 11--14-2011. 6, ERROR OF CLOSURE MEETS WASHINGTON STATE SURVEY STANDARDS. 7. SURVEY METHOD: STANDARD FIELD TRAVERSE. tJ 8. BASIS OF BEARINGS: CENTER UNE OF "H" AVENUE S O'27'04" E 7/ —3 D , Itewtm lll7p 1uy11,uirroai.Le, Il r,HERq/c y C %OSIE.R�6 � W 'rGift{i'RITOIf6IVIlkl Tefigt. .(ik SURVEYORS CERTIFICATE THIS RECORD OF SURVEY CORRECTLY REPRESENTS A SURVEY MADE BY ME OR FINDER MY DIRECTION IN CONFORMANCR WITH THE SURVEY RECORDING AC? AT TEE REQUEST OF STEPHEN BOLLES OF SKAGIT COUNTY. IN NOVEMBER 2011. DALE K. HERRIGSTAD, P.L.S. 1 Certificate No. 22807 Rote _ .1, 7,1 SHEET 1 OF 1 g. MON 099TH k RECORD OF SURVEY FOR: Stephen Bolles il J'AVENUE 2220 J Avenue DWG.: 5989 VISAED Anocortes, WA 98221 5 11—t4-2D11 OWN BY: DKH A PORTION OF THE SE 1/4 OF CHECK 8Y: OH . SECTION 24, TOWNSHIP 35 N., RNG. 1 EAST, W.M. a CITY OF ANACORTES, SKAGIT COUNTY, WASHINGTON DATE: Nov. 2011 .$ HERRIGSTAD ENGINEERING & SURVEYING SCALE. I°=36 LaLa 4320 Whistle Lake Road, Anacortes, WA 98221 (360) 299-8804 J08 NO.: 989 - 2, u Cityof Anacortes Permit#: BLD-2012-0047 904 6th Street Issue date: 03102/2012 . P.O.Box 547 Expire date: 08/29/2013 ' 1)o Anacortes, WA 98221-0547 �fliiil� {360) 293-1901 Job Address: 2220 J AVE Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3725 Project: APN: P31799 Remarks: Addition to home Owner: STEPHEN BOLLES Contractor: Address: 2220 J AVE Address: ANACORTES WA 98221-3725 Phone: Phone: License#: General Information: Fees: Building Valuation 108000 Building Permit Fee 837.70 #of Clothes Dryers 1 Plan Review Fee 294.45 #of Clothes Washers 1 State Building Code Fee 4.50 #of Gas Fireplace 1 Mechanical Permit.Fees 59.30 #of Water Closets 1 Plumbing Permit Fee 48.00 #of Ventilation Fans • 2 Total Calculated: 1,243.95 #of Lavatories 2 Deposits/Receipts: 0.00 Total Due: 1,243.95 _Ij A THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR I : CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. T 4 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. AL[:ii PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR 1- NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. • • ( 2..."04( SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY Page 1 of 1 Grace, Michelle From: Sue Steve Bolles [navigator628@hotmail.com] Sent: Wednesday, August 21, 2013 11:01 AM To: Grace, Michelle Subject: 2220 J Avenue August 21, 2013 Michelle Deaton, Permit Technician City of Anacortes, WA RE: Permit#BLD 2012 0047 Bolles, 2220 J Avenue Michelle, Due to a serious illness, I have been unable to work on our project. I am requesting that our permit be put on a "Hold" status until I am able to finish thework. I can be reached at navigator628@ hotmail.com, or by phone at 360-588-9278. Thank you, • Steve Bolles 8/26/2013 . pko ICC.,-06.,LC-5, 04 Re : u !l v R IS 2012 T f 13 ( BEN Abe b. FWOR ( copi G_)) eraQc.-Tuv ‘E 13 Comp .-no o o •-Mug7, OQinILL-) C) . c b ► POWT- CW -Ttic5 10' +ALL. A La k .47- 7 V (RoDR 1)L,A1, e ) COoKrc- -( . 0 222o 4 A 74- �,, Anacortes Planning & Community Development Dept. ,AinktPermit Center 4,ret- P.O. Box 547, Anacortes,WA 98221-0547 PH(360)293-1901 Ryan Larson, Director • Don Measamer,Building Official FAX(360) 293-1938 February 15, 2012 Steve Bolles 2220 J Avenue Anacortes, WA 98221 RE: Plan Review notes for the addition at 2220 J Ave. Dear Steve, Please address the following items so I can complete the plan review. 1. Show dimensions for wall lengths from ends to windows and doors. 2. Provide details showing how the building walls resists lateral loads (wind and seismic), either by meeting the prescriptive requirements in the 2009 International Residential Code Section R602.10, or by engineered design. 3. Show point load amount(in pounds) from girder truss end bearing on new 6 x 8 header over new"walk thru". The header is undersized for the load. An alternative may be to use a girder truss here as part of the engineered roof truss package. 4. The floor beams are inadequate for the load at the given span(they will work for a 7 foot span;just add more posts &footings). 5. Show all structural headers over window& doors on either the floor plan or roof framing plan. 6. Provide another floor plan(for county assessor). There may be further comments after I review the additional information. Sincerely, Paul Ingalls Building Inspector/Plans Examiner City of Anacortes t2- co 0 I`orn w G 1.-- .1 C',1 O • N G6O' LEGAL S 89'59'22" E 726.33' ESCRIPTIom mow VISNED \ MON V I1-l4-20i1 I 1 22ND STREET . 11-14 I o 7 I- 412.5' I LEGAL DESCRIPTION 0 I o I 1 ry ilD vl ul N I I 11. I N 89'32'58" E 117.25 a _ - N O b Co W 1N �1 coI 1 i Z1 �I a 0 $ AF�/9404190097 0 0 d Ed f- - N 7ty I C' Z Y�L1 I N I 40' , O en 155.20' I N 89'32'56" E IO0A0' N 89'32'56" E 171.63' 0 0 I o a m LOT AREA = 18,784 SF m 0 I cr.r . E%ISBK hi GARAGE m Itu- 1-3 o ERISIINC 2220 o 1.r � zhJ O N 1b POINT OFF Y , BEGINNING\ %P-zL N 89432'56" 170.90' 1 00' EXIST. ASPHALT jr 12' EASEMENT FOR INGRESS AND EGRESS- N 8a'3256" E '_'70.31' I I • MON 0 'H'AVENUE & BAKER VIEW COURT VISITED 11-14-2011 GRAPHIC SCALE Jildm 3T 0 32 0 i_a I II ( IN PEET ) 1 Lt,L = 30 fL . AUDITORS CERTIFICATE RECORD OF SURVEY AT THE REQUEST OF DALE K. HERRIGSTAD AUDITOR DEPUTY AUDITOR LEGAL DESCRIPTION That portion of the Northwest 1/4 of the Southwest 1/4, Section 24, Township 35 North, Runge 1 East, W.M., described os follows: BEGINNING of a point 412.5 feet East of a point 660 feet South of the Northwest corner of said subdivision; thence South 318 feet; thence East 100 feet to the TRUE POINT OF BEGINNING: thence East 165.2 feel, more of less, to the West line of "J" Avenue extended; thence North 98 feet; thence 'West to a point North of the TRUE POINT OF BEGINNING; thence South to the TRUE POINT OF BEGINNING. TOGETHER WITH A non—exclusive easement for ingress and egress purposes over and across a strip of sand 12 feet in width immediately abutting upon the atoredescribed properly io the South. All situate in the City of Anacortes, County of Skogil, Stole of Washington. NOTES.- 1. THE LEGAL DESCRIPTION FOR THIS SURVEY IS A STATUTORY WARRANTY DEED RECORDED UNDER AUDITOR'S FILE #200012280132 RECORDS OF SKAGIT COUNTY, WASHINGTON. 2.i SET RE—BAR AND RED CAP P.L.S. ff 27807. 3.®SET BRASS CAP IN CONCRETE P.L.S. #27807. ) 4,®SET PK NAIL IN ASPHALT. 5. 0 FOUND EXISTING REBAR AND CAP P.L.S. 08992. 70 b. FOUND MONUMENT WITH CASE AND COVER. 7. EQUIPMENT USED: Pentax 323N Total Station, sr B. MONUMENTS TIED ON 11--14-2011. 6, ERROR OF CLOSURE MEETS WASHINGTON STATE SURVEY STANDARDS. 7. SURVEY METHOD: STANDARD FIELD TRAVERSE. tJ 8. BASIS OF BEARINGS: CENTER UNE OF "H" AVENUE S O'27'04" E 7/ —3 D , Itewtm lll7p 1uy11,uirroai.Le, Il r,HERq/c y C %OSIE.R�6 � W 'rGift{i'RITOIf6IVIlkl Tefigt. .(ik SURVEYORS CERTIFICATE THIS RECORD OF SURVEY CORRECTLY REPRESENTS A SURVEY MADE BY ME OR FINDER MY DIRECTION IN CONFORMANCR WITH THE SURVEY RECORDING AC? AT TEE REQUEST OF STEPHEN BOLLES OF SKAGIT COUNTY. IN NOVEMBER 2011. DALE K. HERRIGSTAD, P.L.S. 1 Certificate No. 22807 Rote _ .1, 7,1 SHEET 1 OF 1 g. MON 099TH k RECORD OF SURVEY FOR: Stephen Bolles il J'AVENUE 2220 J Avenue DWG.: 5989 VISAED Anocortes, WA 98221 5 11—t4-2D11 OWN BY: DKH A PORTION OF THE SE 1/4 OF CHECK 8Y: OH . SECTION 24, TOWNSHIP 35 N., RNG. 1 EAST, W.M. a CITY OF ANACORTES, SKAGIT COUNTY, WASHINGTON DATE: Nov. 2011 .$ HERRIGSTAD ENGINEERING & SURVEYING SCALE. I°=36 LaLa 4320 Whistle Lake Road, Anacortes, WA 98221 (360) 299-8804 J08 NO.: 989 - 2, u Engineering and Development Services ,�.c 4 Cff Y () PO Box 547 Anacortes WA 98221 �Q� A C(. ; , TN 360.293 1920 FAX 360.293.1938 1- EMAIL engineering@cdyofanacortes org n ' v.) RIGHT-OF-WAY PERMIT APPLICATION a -®4; Dy ' RCW 19.122 Underground Utilities b. rr. ) `9C0 1 ' - • • CALL BEFORE YOU DIG -(800)424-5555 . '4•p W• ' App l" ant shall submit application 5 days prior to start of work and application shall include: 01' 1) Payment of assessed fee `[` ( rawing illustrating proposed work and its location. See checklist on e2of2. I_ 3) Liability insurance CG 2026 or similar. City named as additional insured. Minimum$1,000,000 each �.occurrence,$2,000,000 general aggregate and $2,000,000 products-completed operations aggregate limit. l '(4) Proof of both state and city business licenses -b-(5) Performance Bond—Construction cost x 150%before work begins - •8--(6)- eroachilialtakgrelffieat-Regnired To be completed by City: ri Yes I-, No Site Address: 0 `` ,,�- City Approved Exemption r Yes [_ No 2 2 2 .---5V EDEN ASSIGNED PERMIT NUMBER: ('�f Parcel No. o� ZOIt ©1,Z`�I Owner Information (Required) Contractor Information (Required) Name ice-'- 0 9 Name -- 5�t! c2- 1\'V Pa1i Address 2220 Aug-- , Address City '0n.cr` ` L, _ City Phone n 5 Q oy7�/fl Phone Email ''��W,,.. ``.�CJCJ t!i l(� Email "" Address i\--3P ' Address Work Includes(check all that apply) 4. 11 Curb Cut C Water LI Sewer il �Storn3 Street Cut 11 Sidewalk 11 Phone L Other Describe Work to be Performed: (Notification of Utility Companies is Required) Z- c iZ 1 l -As-LKIS —lbSh M r,. .,s3a • Ps...NW--AkA.. ‘ • - 1.,-- 61( 1_ ity Approval Signature Dat signature below Applicant concurs that the Applicant shall defend, indemnify and hold the City, its officials,em- pl3yees and volunteers harmless from any and all claims,injuries,damages,losses or suits including attorney fees, arising out of or in connection with activities or operations performed by the Applicant or on the Applicant's behalf out of issuance oft " Permit,except for injuries and damages caused by the sole negligence of the City. cam- 9---t Z— k_k Applicant Signature Date @ \J t .) '( \_.1 _ �1 �l , , \,___ IL, \a Final Inspection Approval Signature Date c { oar - ) /11-1 iC c 1 NON-REFUNDABLE PERMIT FEE: (To Be Completed by City) ❑ Curb Cut $50.00 U Street Cut $50.00 0. Inside Travel Way $50.00 Dr."-Outside Travel Way $20.00 ❑ Sewer Inspection Fee $50.00 O Sewer Re-Inspection Fee $25.00 TOTAL FEE ASSESSMENT $ �O A Site Plan(to scale)must be attached that include all of the following: This checklist will aid the applicant in preparing a site plan. Permits that require installation of substantial improve- ments may require plans drawn and designed by a licensed engineer.Please check with City staff prior to submit- • ting your application. • Draw the plan to a standard Engineering Scale[1"=10', 1"=20"etc.]on a minimum size sheet of 8 '/2 x 11 and a maximum size of 11x17. • Include the owners name,the parcel ID number,site address, north arrow,drawing scale and date. • Include the contractor's name,address and phone number. • Existing Right-of-Way lines, property lines, edge of pavement,curb/gutter. sidewalks,driveways and plant- ing strips with dimensions between each. • Adjoining street name(s)to the reference property. • All existing public and private utilities in the area of the proposed project(Water. Sewer, Storm, Phone,TV. Gas and Power),dimensioned to the edge of pavement,curb/gutter, sidewalk,driveways, planting strips. • If applicable show easements, critical areas such as streams,wetlands and steep slopes. • • Proposed new construction.The proposed improvements shall be shown in heavier line type than the ex- isting information • Dimension the proposed new construction to the edge of pavement,curb/gutter,sidewalks,driveways, planting strips,or another identifiable site feature that will help identify the proposed improvements in the field. • Erosion Control Plan. • Traffic Control Plan per current MUTCD(See standard drawings at http://mutcd/fhwa.dot.gov). If the work requires any lane or street closures,the City of Anacortes Public Works Inspector must be notified a mini- mum of 48-hours prior to scheduled work for proper public notification by the City of Anacortes. Work within the City Right-of-Way is permitted by approval of the City Engineer. All work in the right-of-way must be bonded. The applicant and owner must use warning signs,traffic control, and barricades as necessary to ensure public safety in the work area. The applicant and owner must restore the right-of-way to previous condition. Perma- nent restoration may include overlays of portions of the right-of-way and restoration of landscaping which have been disrupted by excavation work. The applicant and owner are liable for damage to public and private property. Page 2 of 2 O306 'a.. r "b 0002 ..iy /0 , _o _ 00:2 102 P.. -; d t Fees 007889 $a e0 0 le ,m, Engineering and Development Services PO Box 547,Anacortes,WA 98221 1510041 ,�"' Telephone 360.293.1920 ,c Fax 360.293.1938 '''" "' E-mail engineering aacityofanacortes.orq ‘164 RIGHT-OF-WAY PERMIT APPLICATION Submit this application with payment at least five days before the work starts. Please complete both sides of this form. (City completes shaded sections.) SITE PERMIT A LOCATION: 2 I"06 NUMBER: 12,6(.10 to C1 � OWNER INFORMATION CONTRACTOR INFORMATION Name 5C-, lE Name 1 L�,ig ---k> Address 2 z20 Address City (', City State Zip c 2 'j State Zip Telephone .3/40 5 92-7 E3 Telephone License Number PROJECT INFORMATION Work Includes (check all that apply) ❑ Curb Cut ❑ Water ❑ Sewer ❑ Storm ❑ Gas ❑ Sidewalk ❑ Street Cut ❑ Phone ,,Power ❑ Cable ❑ Culvert Describe Work: 2. 1 T (i UN J Elk sf ii 41� cdZ) : TILL Pot PERMIT TYPE ❑Curb Cut$50 ❑ Street Cut$50 ❑ Inside Traveled Way$50 ). ''outside Traveled Way$20 SPECIAL REQUIREMENTS: Cali 1.800 424.5 t55.two.business days before you dig. Work within the City Right-of-Way is permitted by approval of the City Engineer. All work in the right-of- way must be bonded. The applicant and owner must use warning signs, traffic control, and barricades as necessary to ensure public safety in the work area. The applicant and owner must restore the right-of- way to previous condition. The applicant and owner are liable for damage to public and private property. 3-7-60['cation Approval Signature to Applicant Signature Date SITE DRAWING r-e -Fcr 0-A 1 . Show north arrow f.) 2. Label streets 3. Draw plan fa() CONSTRUCTION INSPECTED. AND APPROVED City of Anacortes inspector Date Permit Number ‘- . X 0 City of Anacortes Permit#: ROW-2011-0124 904 6th Street Issue date: `('�""�' P.O.Box 547 Expire date: 09/11/2012 �`' 0 ' Anacortes, WA 98221-0547 t ;r flopAS • Y.N.Nam^`••V Job Address: 2220 J AVE Permit Type: Right of Way Permit ANACORTES WA 98221-3725 Project: APN: P31799 Remarks: Repair down spout drain lines to storm drain Owner: BOLLES STEPHEN L Contractor: Address: 2220 J AVE Address: ANACORTES WA 98221-3725 Phone: Phone: License#: General Information: Fees: Cable N Outside Traveled Way 20.00 Inside Traveled Way N Total Calculated: 20.00 Outside Traveled Way Y Deposits/Receipts: 0.00 _Culvert N tural Gas N Total Due: 20.00 ower N Telephone N Sewer N Water N j Storm N Street Cut N Sewer Reinspection N if,• o--. h+• fFk •. Y a S: r-.i iY} 8 Co c 3w.� r 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 c: l- HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALLq.? PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER 'ATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY ... „ ------- 2_2_Z. 0 J A vi,,.--;'-- r) ...„,.. \ i . s, ) . ! N . , •'-,, -...1.; ? 1 ‘. ..."- :,''' V3 i , - (--,--,. ( ) : . . . : 42. . .,,.... ,.. .) /z — ' "-'"',,,,, 4 LI """........., : •s. i ki 1 '...K. P.4.... .,1....,,, 41/6 If Wro1010.... P..' 1, 114 VC' U ,..,-, e'i