HomeMy WebLinkAboutPermit File 2214 Lake Park Drive �`T1X (5 Cityof Anacortes
• G •.. Invoice/Permit#: BLD-2016-1158
904 6th Street Applied date: 03/31/2016
"1 _ P.O.B 547
? Box Issue date: 03/31/2016
'' ,0, Anacortes, WA 98221-0547
i f Expire date: 09/27/2017
' ,� �i�i (360) 293-1901
Job Address: 2214 LAKE PARK DR Permit Type: Mechanical Permit
ANACORTES WA 98221-8733 Project:
APN: P99088
Remarks: New gas water heater.
Owner: JAMES MOIR Contractor:
Address: 2214 LAKE PARK DR Address:
ANACORTES WA 98221-8733
Phone: Phone:
License#:
General Information: Fees:
#of Gas Water Heaters 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHII180 DAYS, 0)4 IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK It COMMENCEDi
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PF#(JVISIN
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,4HE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT0.I1
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. :ID
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IGNATURE OF OWNER OR AUTHORIZEDT-- ISSUE J (A
�`T1X (5 Cityof Anacortes
• G •.. Invoice/Permit#: BLD-2016-1158
904 6th Street Applied date: 03/31/2016
"1 _ P.O.B 547
? Box Issue date: 03/31/2016
'' ,0, Anacortes, WA 98221-0547
i f Expire date: 09/27/2017
' ,� �i�i (360) 293-1901
Job Address: 2214 LAKE PARK DR Permit Type: Mechanical Permit
ANACORTES WA 98221-8733 Project:
APN: P99088
Remarks: New gas water heater.
Owner: JAMES MOIR Contractor:
Address: 2214 LAKE PARK DR Address:
ANACORTES WA 98221-8733
Phone: Phone:
License#:
General Information: Fees:
#of Gas Water Heaters 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
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N. D _ 0 CO 7C I-+
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHII180 DAYS, 0)4 IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK It COMMENCEDi
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PF#(JVISIN
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,4HE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT0.I1
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. :ID
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IGNATURE OF OWNER OR AUTHORIZEDT-- ISSUE J (A
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Y 0, CITY OF ANACORTES
WASHINGTON
vc(71P-cW BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Eke: ).,y Ras idene
Located At: 2214 Lake Park Drive
STREET&NUMBER
Owner: Gait Peterson
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg.Permit# Date Of Issue:
Occ.Group: Use Zone
Has Been Inspected And Occupancy Is Hereby Authorized,
This 5 ` Day Of usc.^_a!be7219
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
• /■
PLUMBING PERMIT
CITY OF ANACORTES PERMIT NO. : PLM94-0039
P.O. BOX 547 APPLIED: 09/19/94
ANACORTES, WA 98221 ISSUED: 09/19/94
(206) 293-1901 EXPIRES: 09/19/95
SITE ADDRESS: 2214 LAKE PARK DR
ASSESSOR' S PARCEL NO. : 4552-000-010-0009
PROJECT DESCRIPTION: irrigation system
— OWNER — CONTRACTOR
GARY PETERSON
133 JOHES STREET
MIDDLETOWN RI 02842
401-848-9311
TYPE OF WORK •ADD KIT SINKS W/DISP: 0 WTR PIPING/TREAT: 1
TYPE OF USE •RES WASHING MACHINES: 0 HOSE BIBBS • 0
ELEC WTR HEATERS: 0 GREASE TRAPS • 0
WATER CLOSETS. . . : 0 LAUNDRY TRAYS. . . : 0 ADD'L FIXTURES. . : 0
BATH TUBS • 0 URINALS • 0
SHOWERS • 0 WASTE INTERCEPT. : 0
DISHWASHERS 0 DRINKING FOUNT. . : 0
LAVATORIES • 0 FLOOR DRAINS • 0
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 25.00 DM 09/19/94 2980
TOTAL $ 25.00
I hereby acknowledge that I have read this permit and state the above information is correct, and agree to comply with all
ordinances and laws regulating activities covered by this permit.
Issued by Applica t or Owner' s Signature
24 Hour Notice Required For All Inspections
plmfirmt, Rev: 06/11/92
COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : C0M94-0093
P.O. BOX 547 APPLIED: 05/26/94
ANACORTES, WA 98221 ISSUED: 06/16/94
(206) 293-1901 EXPIRES: 06/12/93
SITE ADDRESS: 2214 LAKE PARR DR
ASSESSOR' S PARCEL NO. : 4552-000-010-0009
PROJECT DESCRIPTION: New single family
— OWNER — CONTRACTOR -— LENDER
GARY PETERSON
133 JOHES STREET
MIDDLETOWN RI 02842
401-848-9311
— FEES
TYPE OF WORK •NEW AREA (sf) VALU...$: 190000 Code Amount---- By- Date---- Receipt
TYPE OF USE •SF LOT • 18000 REQUIRED SETBACKS---- ESPL $ -100.00 MD 06/06/94 2542
CENSUS CATEGORY •101 1ST FLR • 1489 FRONT • 20 ft PLCK $ 427.70 MD 06/06/94 2542
ZONING 2ND FLR • 1111 SIDE(1)..: 5 ft PRMT $ 658.00 MD 06/06/94 2542
:RURAL BASEMENT 0 SIDE(2)..: 10 ft PMEC $ 71.00 MD 06/06/94 2542
OCCUPANCY GROUP GAR/CARPORT...: 719 REAR • 20 ft PPLM $ 153.00 MD 06/06/94 2542
:R3 •? :? •? OTHER 0 REQUIRED PARKING-- STBC $ 4.50 MD 06/06/94 2542
TYPE OF CONSTRUCTION TOTAL • 0 SEWR $ 3121.00 MD 06/06/94 2542
:5N •? •? :? : NUMBER OF UNITS • 0 ACCESSIBLE.: 0 IMPT $ 400.00 MD 06/06/94 2542
OCCUPANT LOAD STORIES • 2 COMPACT • 0 MISC $ 20.00 MD 06/06/94 2542
. 0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf MISC $ 50.00 MD 06/06/94 2542
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 $ 4805.20
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...: 0
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...: 1 HOSE BIBBS • 4
DISHWASHERS • 1 URINALS • 0 GREASE TRAPS • 0
LAVATORIES • 5 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.
Issued by Applicant or Owner' s Signature
24 Hour Notice Required For All Inspections
com_prmt, Rev: 11/04/93
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This card must be posted inpa0conspicuous place on the premises. hve I�,y ����y/ � \\,y.` I
INSULATION CERTIFICATION (J'a 1 L\ L CCA�� til'1,
THIS IS TO CERTIFY THAT, IN CONFORIWNCE'VITH THE CURRENT THERMAL PERFORMANCE STANDARDS (REVISED CODE
OF VASHINGTON, TIRE 19.27, STATE OF VASHINGTONI) AND APPROVED PLANS, INSULATION HAS KEN INSTALLED
IN THE BUILDING AT:
Oa Lk •
LAKE {A f&K bIzt,uc . Ahacortes tc`�ct •
ADDRESS OF PROPERTY •) BLDG. PERMIT NO.
Vapor barrier of 4 mil polyethylene or equivalent oust be installed in crawl space.
Weatherstripping, caulking, gasketing and/or other treatsent to prevent air leakage tusk be installed around all exterior openings.
EXTERIOR WALLS
BAITS: IU I(7
Type of Material FII /Q.0 5 Manufacturer // (�VL (Q� Thickness • 7S R Value a _/
t (or trade name)
BLOWN: At �]
Type of Material /I)/�1 Manufacturer Thickness R Value
(or trade Rase) '
Wt./Bag Sq. Ft. Covered" No. of Bags Used
CEILINGS
BATTS: e
Type of Material t hiss Manufacturer /a lan 1//�/ei Thickness I0 H R Value .30
(or trade name)
BLOWN: p f I G • G (� 2
Type of Material R OC-kC toad Manufacturer U.S Thickness /. 1 R Value ✓O
(or trade name)
•
310 Wt./Bag I .% S Sq. Ft. Covered 55 No. of Bags Used
FLOORS L,,1,,�, ran is Z rt
Type of Material' 1- !Ie y lass Manufacturer /,10Y{VI. e., Thickness 6.70 B Value 9
.1 (or trade name)
DUCT AHD/OR f PIPE ialULAji3O(1 'p -r-1 hIa �I 'tl 1 /f n3
Type of Material Y�OII P`Xf1 If?�t.Q- Manufacturer / FL Thickness 'f" R Value /1
General Contractor (Builder) Contractor's Registration Number
By Title Date
•
Sub-Contractor (Insulation(�9�Applicator) Barry's Insulation A Glass
�Contractor's Registration Humber
DARRYISI63NH /;
By&h44 t'v - @&Title a/7LQ4/T aft Date • 3t7 1g75
'Revised Code of Washington- Thermal Performance Standards, declare: Upon completion of the installation of insulation, a card
certifying that the insulation has been installed in conformance with the requirements of this 1977 amendatory act shall he
completed and signed by the builder or insulation applicator. For this purpose, any certification card which contains all the
essential data say be used. The insulation compliance card shall indicate the "R" value of insulation (material only) installed in
the ceilings, walls, floors, on the perimeter, and ducts. When loose fill insulation is used the card shall show the square-footage
and the number and weight of bags installed to obtain the "R"value listed. The card must be posted at a conspicuous location within
the building and will indicate the installation date.
R Value (thermal resistance) means the measure from the resistance of a material or building component to the passage of heat. The
resistance value (R) of mass type insulation shall be for the material only, "R" values shall be listed in the current ASHRAE
Handbook of Fundamentals, or tested in accordance with the current applicable standards.
Ho certification of occupancy or similar certification that a newly constructed apartment house three stories or less in height, F
home, or other residential dwelling is habitable shall be issued by such a building department unless the structure at least
satisfies the sinisum energy insulation standards established pursuant to this chapter.