HomeMy WebLinkAboutPermit File 2215 Lake Park Drive Y O ., City of Anacortes Invoice/Permit#: BLD-2014-0346
904 6th Street Due date: 07/31/2014
P.O.Box 547 Issue date: 07/31/2014
°`• CIS= Anacortes, WA 98221-0547
Expire date: 01/27/2016
Job Address: 2215 LAKE PARK DR Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-8733 Project:
APN: P99134
Remarks: Tear off and install laminated composition
Owner: JOHN GRAYSON Contractor: ESARY ROOFING&SIDING CO INC
Address: 2215 LAKE PARK DR Address: 420 PEASE RD
ANACORTES WA 98221-8733 BURLINGTON WA 98233-3114
Phone: (360)708-1577 Phone: (360) 757-0933
License#:
General Information: Fees:
Building Valuation 34795 Building Permit Fee 492.75
State Building Code Fee 4.50
Total Calculated: 497.25
Deposits/Receipts: 0.00
Total Due: 497.25
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DA 'S, Q fF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMgNCEI]z
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISKYNI
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR-NOT,t i
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER%TATE,D_
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 44.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY ft,
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FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT ;';"! 9631
293.1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address2215 Lake Park Drive
NAME(OR{.NAME OF BUSINESS) PLUMBING
se Pan
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
P.O. Se* 606
CITY TELEPHONE NUMBER 3 Water Closet $ 8.00
Anitckbrtee, WA 98221 293--0525 1 Bathtub 2 .00
NAME: 4 Lavatory 8.00
2 Shower 4 .00
' ADDRESS; 1 Kitchen Sink 2 .00
1 Dishwasher 2.00
CITY TELEPHONE NUMBER 1 Laundry Tray 2.00
1 Clothes Washer 2. 00
' NAME 1 Water Heater 2. 00
Sam Payne Urinal
a
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
0 1 Water Piping 2. 00
STATE LICENSE NUMBER CITY LICENSE NUMBER
Cat tal ❑ Non-Residential PERMIT $ 3 00
C ❑Add 0 Alter 0 Repair TOTAL. FEE $ 35 00
C)(Rnilding C9 Plumbing t*Mechanical MECHANICAL
C] Skin ❑ Demolition ❑ Other CS.OAS ❑ OIL ❑ ELECT. ❑ OTHER
Legit Description of Property or T x Account Number Na TYPE"OF t i1 ENT FEE
Lot 30 Block of •
Parkside 4552-000-030-0009 Air Cond. Unit S
Refrigeration Unit— HP
Boiler— HP
1 Forced Air System— BTU/KW 9 0(1
Describe work Floor Furnace
New Single Family Residence Wall Heater
Unit Heater _
Clothes Dryer
Occupancy Use 5 Ventilation Fan 32 50 •
[kSingle Family Residence 0 Multi-Family Residence Range Hood
❑Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace •
NOTICE 1 Gas Piping -; ,OF)
This permit is issued by the Building Official and,under the provisions ,
of the Uniform Building Code,shall expire by limitation and become null
and void if the building or work authorized by such permit is not com- PERMIT $ 1 5 ,00
mended Within ISO days fry the date of permit issuance,or if the building 59 , SC
or work authorized by such permit is suspended or abandoned at any time TOTA6'PEE $
(after the work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE
ay affixing my signature. I hereby certify that I am the owner of the r
property for which this permit is issued or am an authorized represen- Building 101 , 380.00 $ 4 SE§ , e(
tauve of the owner. Plan Check 2.35 .IA2
All provisions of laws and ordinances governing this type of work will Plumbing 5 .`h0
be complied wi _specified herein or not,including routine calls Mechanical `�9 .
for ina*tio . Sign
---"'� Demolition
. r /92 . Energy Surcharge
r Sywmse d Owner Agent (Dee) State Surcharge 4 . 50
Other Sewer 2839 .00
Sweet Setback 20,Side Yard Sidney t co, Rear Yard Seibert 20' TOTAL $ 3,611 .00
uee zone Ocrarpanry am`Jup type d Cams. Cootlitions: !,
Rural R3 art)
Lot Area Vacant She Dwelling Units
Oka ❑No I
Pun Sprinlden Required Na ofStories Bator Occupant
vpant ta
❑Yee lNo :9
Size dBldg. Plans ChWlS BY
2068 Lyle Cornish
hr�Sl AND SATED SILOS.THE S YOUR PERIM
Pennon le- .. to ih the sbovedndgwd oak,aeesdurg to the conduces
tenon and approved plena lad apeelBstlone pertaining thane subject to
eotapaaaee with the*dimness d the CITY OF ANAOORTRS.
04/01 /92
Permit Issued BY 1 V . 1; P" s I,41 (-mr(i( 0
Building Official (Due)
Edwin Frank.
PERMIT t•-:: 9631
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GO V o,,, CITY OF ANACORTES
WASHINGTON
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9CoatW BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure).
Single Family Residence
Located At.
2215 Lake Park Drive
STREET&NUMBER
Owner: Sam Payne
Constructed By: owner
OWNER OR CONTRACTOR
Bldg.Permit if 9631 Date Of Issue: /'^1M92
Occ.Group: R3 Use Zone: Rural
Has Been Inspected And Occupancy Is Hereby Authorized,
15t r1 December 92 5 This Day Of _ 19 '
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SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. G
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