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HomeMy WebLinkAboutPermit File 2319 Lake Park Drive 1009204-1 0004 04/02/2010 002 4 Permit Fees 00864E $145.00 ,CST X Off City of Anacortes Permit#: BLD-2010-0108 904 6th Street Issue date: 04/02/2010 • P.O .Box 547 t o • f/� Anacortes, WA 98221-0547 Expire date: 0912912011 rice Job Address: 2319 LAKE PARK DR Permit Type: Reroof Single Family Residence ANACORTES WA 98221-8732 Project: APN: P99138 Remarks: Reroof single family residence with composition roofing. Owner VAUGHAN WILLIAM J III Contractor: MOUNT BAKER ROOFING Address: 2319 LAKE PARK DR Address: 3950 HOME RD ANACORTES WA 98221-8732 BELLINGHAM WA 98226-9147 Phone: Phone: (360)733-0191 License#: MTBAKRI055ML General Information: Fees: Building Valuation 19015 Building Permit Fee 140.50 State Building Code Fee 4.50 Total Calculated: 145.00 Deposits/Receipts: 0.00 Total Due: 145.00 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 OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCCTTIIO���N. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY K' �` 1 v cJO Y o„ CITY OF ANACORTES ' TeWASHINGTON CORSW BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): Single Faraili Residence Located At: 2319 Lake Park Drive STREET&NUMBER Owner. Kelley Construction Constructed By: Owner OWNER OR CONTRACTOR Bldg.Permit# 9566 Date Of Issue: 3-9-22 Occ.Group: R3 Use Zone: Rural Has Been Inspected And Occupancy Is Hereby Authorized, This a0 hoay t J'ulyf 199 92 . 1. fj { // — " AtTRORVINc 04.101AI \IT' SEE REVERSE/SIDE FOR SPECIAL REQUIREMENTS. U— // 7 i 23 I ? P (1 1,/9-le- DR. iidriewert- iE/// C nic r a e: UA_itja-fr 3 - "AQ - 92-- m `x 11 Gt 01 M ca— 23 i Y u Z. ' v © r U,, Ro fr ii'T - mis/.1-/fit . ' • v 4 Ai cNs 315 so _ IC) a 0% ¢ II {h{ I. 4 142 131- D TOR INSPECTIONS CALL: OilyOF ANACORTES PERMIT 21334901 - BUILDING PERMIT 24 tire. Notice Requested Site Address c2a L? €..a€ a Park D t. i,+'.z NAME (OR'NAI*IE OF BUSINESS) " "` t•e1let;/ Cc.etiutr net ior) p" ri „ x MAILING ADDRESS ti ' No. = TYPE OF QII„'ITEM k ''. d21;2 Isrzrr'c4' 1:+1 i't xh . ' '.` ''.: ; CITY TELEPHONE NUMBER q, Water Closet $ i• -`ir ftr5,xi.:01 k.C1.1'.. I4i4 'lie;,'C1 't4I -• Bathtub 1 . . n NAME ' Lavatory .: •"'i 2 Shower 4i ,r�, ''' i ADDRESS 1 Kitchen Sink 1 Dishwasher S•' ' CITY TELEPHONE NUMBER I Laundry Tray 1 Clothes Washer - '-"r NAME I Water Heater Felicy Const r uc t i or: Urinal c at ADDRESS Drinking Fountain '€232 Bryce D r'i ve5 Floor Sink or Drain CITY TELEI'HQNE NUMBER Slop Sink . 8 rarracortes. WA 9€3221 293-4481 1 Water Piping ,-i•rr STATE LICENSE NUMBER CITY LICENSE NUMBER . - ' itELLECP$1SB €V e€7t>^ ' O'Rea' 0 Non-Residential PERMIT $ ',,(v'{} Chkew. Ade ❑Alter O Repair TOTAL FEE $ a,`-' •r"r('' O'Building O<Plumbing 0,Mechanical MECHANI€14L O Sign ❑ Demolition 0:Other DOAS I] OIL ❑ EliECT. ❑ OTHER • , Legal Description of Property or Tax Account Number •: t.', Lot 34 Hlack T�of • No. TYPE OF EQUIPMENT FEE Rai i k's i de A id-i t t On Air Cond. Unit $ Refrigeration Unit— HP Boiler— HP I Forced Air System— BTU/KW d `'•'}V , -: Describe Work Floor Furnace i ' New Single FaB)i11 Residents Wall Heater Unit Heater Clothes Dryer • Occupancy Use ' ' 't Ventilation Fan 0.-.-')r' DSSingle Family Residence 0 Multi-Family Residence Range Hood ' O Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM O Restaurant 0 Other 2 Pre-manufactured Stove or Fireplace 1.3.00 NOTICE 1 Gas Piping ;,.71., • This permit is issued by the Building Official and,under the provisions of the Uniform Building Code,shall expire by limitatidti Otd become null and void if the building or work authorized by such permit is not com- PERMIT $ 15•')O menced within lab days from the date of permit issuance tor if the building 6 .u.r%1 or work authorized by such'permit is suspended or abandoned at any time TOTAL .FEE $ b after the work is commenced for a period of 180 days:, TOTAL FEES VALUATION FEE By affixing my signature, I hereby certify that I am the owner of the Building 12..2,941 .60 $ 4 91 CN property for which this permit is issued or am an authorized represen- tative of the owner. Plan Check 269,On i ` Plumbing • :,'_s, oo All provisions of laws and ordinances governing this.rpe of work will 1.1)0 be complied with whether specified herein or not,including routine calls Mechanical • ,-i, for insp I o �J Sign - .J'- Demolition 11 L 1' Energy Surcharge - Symrre Of Om Itur or t,orized a' t ,(Dee) State Surcharge 4 - .3'J k N �Rar I.A 1. s lE Other Sewer 1:t3,',`?.C7+7 era[seMek 2:C+a Side Hed Setbaek I opt �a,o, 1 L' TOTA1y S .;,'7G•9 .�'.•'. . . Use Zone Pura 1 Occupancy Gawp Type of Coon. ill Conditions: . I:d Ara 1 G .!+Sl<.Micaes Sit Towelling i O�ee ❑No ' Fire Spinkk�Requ red Noid Stories Bedroa u Occ pni oad . : t ($4 . -Sae ct.aS14r,3u toquar a Feet wrL.g tee ornssi, s aPe*ADDED AND DAT®BELOW,This®YQ*vnatrr `• lime ss€'' .tphe Pinned*Sad apaaghd ttit An do the ahatbanabod sk ottiraing to the par tha to subje canalboat - ,, den ftlm' `the ordioams at the CITY OF ANACORTEB. Permit Issued By 7 ; - .f • d s;'l . : - r / i"...t� Budding Official (Dar) ." 10 1581 Edwin Prard ea PERMIT