HomeMy WebLinkAboutPermit File 2219 Lake Park Drive Y C,t ' City of Anacortes Invoice/Permit#: BLD-2017-0281
6 904 th Street
904 x re Applied date: 05/25/2017
P.O47
Issue date: 05/2512017
102 Anacortes, WA 98221-0547 Expire date: 11/21/2018
Job Address: 2219 LAKE PARK DR Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-8733 Project:
APN: P99135
Remarks: Reroof with 56 squares of composition roofing
Owner: ROBERT HUNTLEY Contractor: OLD SCHOOL ROOFING
Address: 2219 LAKE PARK DR Address: 4226 HOLLYDALE LN
ANACORTES WA 98221-8733 OAK HARBOR WA 98277
Phone: (360)420-4668 Phone: (360)499-6528
License#: OLDSCSR968JG
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 411.95
Building Valuation 26088 State Building Code Fee 4.50
Total Calculated: 416.45
Deposits/Receipts: 0.00
Total Due: 416.45
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN1180 DAB$, O Ift^
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK I5;COMMaICET3
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIC-7N8`
OF LAWS AND DINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR MOT, rtii-_J
GRANTING OF A ERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER 'TATF;hK'
LO W R G TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. J
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SIGNATURE F 0 ER OR ALITHAGENT BY
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sT„p4, Re-Roof Building Permit Application
City of Anacortes Building Department
IC700 P.O. Box 547 Anacortes,WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
Type of Permit: (check one) residential ❑Commercial
Project Address: 2--Z" \ ,-Q��� <'\c )c'`v Parcel ID# U ci 1 3
Owner: I
olo �' 0-�s-� \ t•) Phone Number: 3�b - ao- `f 6 6 6
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Address: ?2\`\ LeAce Qa \� c v e- City: A ry Cl-t5 State: i'i3A Zip Code:clf322 j
Contractor: 0\\ �oo� +�� Phone Number: 3 b -2 !8g1
Address: \A7-2-b \-\(XVf o\e. Lo•N e-. City: \\,�\0\ State: Zip Code:9 8 z77
Contractor's License Number: �)—t' SC.S V\ CAS G Expiration: H - - 2o18
Type of Roofing:G 7r PA\D� Number of Layers: �- Number of Squares:
Class of Roofing: VA ❑ B ❑C Installing or replacing sheeting: 0 (OA\Q v (k o N
Work Scheduled to Begin: -� C: \ 7 Work Scheduled to End: 'b
The following is required for NON-Residential Buildings:
❑ All Non-Residential projects will require a site visit prior to the issuance of the permit for
obvious signs of fatigue, condition of existing roofing and number of existing layers.
❑ Two copies of the installation specifications and U.L. listed roof assembly.
❑ Building square footage:
❑ Occupancy Group Office Retail
Churc`k Restaurant
School
Project Valuation: $ ( 0
I hereby certify the above information is correct and that the construction on,and the occupancy and the use of
the above described property will be accordance with the laws, rules and regulations of the State of
Washington. The applicant will be responsible for providing a method of safely accessing roof for inspection. A
final inspection and approval shall be obtained when the re-roofing is complete.
Applicants Signature Date
Revised September 11,2008
y
\t Y OA, CITY OF ANACORTES
WASHINGTON
BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 2219 Lake Park Drive (�(
STREET&NUMBER
Owner: Scott Southwick 6i
Constructed By:
OWNER OR CONTRACTOR
Bldg.Permit#COM98-0055 Date Of Issue: 3-26-98
R2
Occ.Group: R3 Use Zone:
Has Been Inspected And Occupancy Is Hereby Authorized,
This 5th Day Of August 98 19
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
i ■
COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : COM98-0050
P.O. BOX 547 APPLIED: 03/16/98
ANACORTES, WA 98221 ISSUED: 03/26/98
(206) 293-1901 EXPIRES: 03/26/99
SITE ADDRESS: 2219 LAKE PARR DR
ASSESSOR'S PARCEL NO. : 4552-000-031-0000
PROJECT DESCRIPTION: New single family
— OWNER — CONTRACTOR — LENDER SCOTT SOUTHWICK M&M BUILDERS
3815 WEST 6TH STREET 5809 SANDS WAY
ANACORTES WA 98221 ANACORTES WA 98221
299-1264 293-2771
MNBUIDL091K8
— FEES
TYPE OF WORK -NEW AREA (sf) VALU...$: 212872 Code Amount---- By- Date---- Receipt
TYPE OF USE •SF LOT • 18000 REQUIRED SETBACKS---- ESPL $ -100.00 MD 03/26/98 8172
CENSUS CATEGORY •101 1ST FLR • 2371 FRONT • 30 ft PLCK $ 465.08 MD 03/26/98 8172
ZONING 2ND FLR • 955 SIDE(1)..: 10 ft PRMT $ 715.50 MD 03/26/98 8172
:R2 BASEMENT 0 SIDE(2)..: 5 ft PMEC $ 82.00 MD 03/26/98 8172
OCCUPANCY GROUP GAR/CARPORT...: 828 REAR • 20 ft STBC $ 4.50 MD 03/26/98 8172
:R3 •? •? :? OTHER 0 REQUIRED PARKING-- PPLM $ 139.00 MD 03/26/98 8172
TYPE OF CONSTRUCTION TOTAL • 0 SEWR $ 3483.00 MD 03/26/98 8172
:5N •? :? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 IMPT $ 400.00 MD 03/26/98 8172
OCCUPANT LOAD STORIES • 2 COMPACT • 0 STRM $ 1126.00 MD 03/26/98 8172
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf INSP $ 50.00 MD 03/26/98 8172
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 $ 6365.08
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 • 5 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: 1
SHOWERS • 1 LAUNDRY TRAYS...: 0 HOSE BIBBS • 2
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. I
Issued by App ican or Owner' s Signature
24 Hour Notice Required For All Inspections
comprmt, Rev: 11/04/93
PLUMBING PERMIT
CITY OF ANACORTES PERMIT NO. : PLM98-0047
P.O. BOX 547 APPLIED: 11/13/98
ANACORTES, WA 98221 ISSUED: 11/13/98
(206) 293-1901 EXPIRES : 11/13/99
SITE ADDRESS : 2219 LAKE PARK DR
ASSESSOR' S PARCEL NO. : 4552-000-031-0000
PROJECT DESCRIPTION: Backflow Device. -_-- 1
— OWNER — CONTRACTOR
SCOTT SOUTHWICK LAND IMPROVEMENT SERVICES
3815 WEST 6TH STREET 408 198 AVENUE NE
ANACORTES WA 98221 SNOHOMISH WA 98290
299-1264 1888-701-5263
LANDIS1034K8
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 $ 27 . 00 MD 11/13/98 9270
TOTAL $ 27 . 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.
NCB—& ,N 2cth
Issued by Applicant or Owner ' s Signature
24 Hour Notice Required For All Inspections
plm_prmt, Rev: 06/11/92
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