HomeMy WebLinkAboutPermit File 4914 Macbeth Drive .0�.j-• C� :' City of Anacortes Permit#: BLD-2013-0381
904 6th Street
Issue date: 09/10/2013
_ P.O.Box 547 Expire date: 03/09/2015
"r- 10 Anacortes, WA 98221-0547
:.VIA ' (360) 293-1901
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Job Address: 4914 MACBETH DR Permit Type: Mechanical Permit
ANACORTES WA 98221-3026 Project:
APN: P59784
Remarks: Install water heater
Owner: POST FAMILY TRUST Contractor: FAST WATER HEATER
Address: 4914 MACBETH DR Address: 12601 132ND AVE NE
ANACORTES WA 98221-3026 KIRKLAND WA 98034-3306
Phone: Phone: (425)636-7084
License#: FASTWWH948BC
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 WITHIN 180 DAYS, OR aE '
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. `-9 C4
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL cR
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 CONSTRUCTION. .
by ivvi.co
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE BY �ir �
44 C�► City of Anacortes Permit#: BLD-2013-0381
904 6th Street Issue date: 09/10/2013
P.O.Box 547 Expire date: 03/09/2015
s Anacortes, WA 98221-0547
(360) 293-1901
Job Address: 4914 MACBETH DR Permit Type: Mechanical Permit
ANACORTES WA 98221-3026 Project:
APN: P59784
Remarks: Install water heater
Owner: POST FAMILY TRUST Contractor: FAST WATER HEATER
Address: 4914 MACBETH DR Address: 12601 132ND AVE NE
ANACORTES WA 98221-3026 KIRKLAND WA 98034-3306
Phone: Phone: (425)636-7084
License#: FASTWWH948BC
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
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 CONSTRUCTION.
•
DS... 6
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISqVD BY
6 S f-r) 0 9
MECHANICAL PERMIT APPLICATION
(1s,",47 Building Department
`,p``° ',,2', P.O. Box 547 Anacortes, WA 98221
.a�.o1 Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: LI C( l ' H 2r ryr
CONTRACTOR
Name 6S+ '0 °f G f PROJECT DESCRIPTION
Address_
11715 North Creek Parkway South, STE C-106 ClNew Work
,, 1 1 LI
City/State/Ziipp_66��� 17 6.4( 4. )j, t ®7 Alteration
Phone'"t1JUt 4Q C D j ,t FAX -50 ed O`� Permit Fee 23.50
State License#7\S\ \r t-lei- "S C- xp ' /4-/1 Type of Equip. Fee Each No. Amount
City of Anacortes Business License# SUS COC =2.- Air Cond.Unit 10.65
PROPERTY OWNER /� ',,� Refrigeration Unit 10.65
Name R.'1k 1\t�1 �l Forced Air System 14.80
Address LA"/ l 1 1 pH,�, / 'egij�t ( Floor Furnace 14.80
City/State/Ziip� ` at l�f t t LA 11 ci E ' Wall Heater 14.80
Phone y^"ate_q3`�3'369 FAX Clothes Dryer 10.65
E-mail Address Ventilation Fan 7.25
APPLICANT Range Hood 10.65
Name s, V N. '0( Gas Fireplace 10.65
Address\ 11715 North Creek Parkway South, STE C-106_ Gas Water Heater 10.65 1
City/State/Zip r F,J 0 4i et` il\i e ( -'c A ' , Gas Piping 4.75
Phons42-- l` FAX S Co -ro Other(Describe)
E-mail Address ',_ S-k-W Ae-C\f (k4 ,c- covl
CONTACT TOTAL FEES DUE
Name cL Ca JD \J C
11715 North Creek Parkway South,STE C-106
Address
City/State/Zip.¢¢ 3O k4i _x-1,, v 'ne ` I !�
Phones it�'� 77 L J t4'- FAX/A*2-5 tri t,e 7`.i •S.E-mail Address ,. i. Z° 11.3'1�( ( �i- (1. 4 a( 1
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATION IS CORRECT,AND
AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS
PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CURRENT
WASHINGTON STATECONTRACTORS LICENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE
o
ISSUEDf N JOB SIT HERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.
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. ' ' - C9 ) b C I )
NT S SIGNATURE DATE
Last Updated 11-29-05
•
y 'I
`,z Y o CITY OF ANACORTES
WASHINGTON
a r
qC OP.c�' BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Fanily Residence
Located At: 4914 Macbeth
STREET&NUMBER
Owner: Wally & Barbara Post
Constructed By: Keu Lyon
OWNER OR CONTRACTOR
Bldg.Permit# 8791 Date Of Issue. 5-23-91
0cc.Group: it /A1 Use Zone: RL
Has Been Inspected And Occupancy Is Hereby Authorized,
This 10 1Day Of September 19 91
J' AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
o
•-s,T Y„ p' . City of Anacortes Permit#: BLD-2002-8012
�'':; 904 6th Street
Issue date: 08/12/2002
P.O.Box 547 Expire date: 08/12/2003
\ Co Anacortes, WA 98221-0547
W/ (360) 293-1901
0 IC
Job Address: 4914 MACBETH DR
ANACORTES WA 98221
APN: P59784 •
Permit Type: Single Family Alteration/Repair Permit
Project:
Remarks:
Applicant: WALLACE POST Owner: POST BARBARA J TRUSTEE
Address: 4914 MACBETH DR Address: 4914 MACBETH DR
ANACORTES,WA 98221 ANACORTES WA 98221
Phone: (360)293-0746 Phone:
Contractor: SCHWABE CONSTRUCTION
Addressr:
Phone: 293-4340
License#: SCHWAC*101DM
General Information: Fees:
Building Valuation 14000 Building Permit Fee 104.50
State Building Code Fee 4.50
Total Calculated: 109.00
Deposits/Receipts: 0.00
Total Due: 109.00
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,1
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THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL
EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING
MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN
AUTHORIZED AGENT OF THE OWNER.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS.
rY/ZahFIl all '4:01W
Applicant Signature Issu d y
0 10 20 CO. 60
SCALE . : :7 -7 I.' 0"I r.•...-..e•3
IRON PIP _
# RO 1/2
0.2' H--••• R • 1135' p - 3° 58' 44" L = 78.82'
_ �,. __ _ RON PIPE
0 1 .zi
1
1
1 1
•
EXISTING
0 C.o WOOD RAIL
r-
FENCE
124
1 Ce I
ui1 I I 1
in ui
o
N N
ia. f
CO CLe
1 , I
1 1
o „
p = 10° 20' 43.. .°S' L 7018 0900 I
L =A,1�5.07' R = 1025' a = 3° 58' 44" L = 71.184 ,• •........... ....,•
t
ir
.N i
,/ MACBETH DRIVE
,,:.-..r... p- ill = 1000' p= 24° 23' 27" 4' L =.425.70' w-7-"..-
NOTES
• - INDICATES SET WITH
SURVEY OF LOT 124
YELLOW CAPP INSCRIBED D.S. 9622 ���,
O - INDICATES EXISTING IRON PIPE FOUND k. '`f;,"4
O - INDICATES MONUMENT IN CASE AV'' ,::.,., � . SKYLINE NO. 8
�� ' `A 0R WALLACE POST
DON SEMRAU AND ASSOCIATES / r_,j ,f
SURVEYING • ENGINEERING • PLANNING .° JOB NO. 8 -071
2.124 RIVERSIDE DRIVE -SUITE 107 , 'gyp s-g AUGUST 2�, 1987
MOUNT VERNON,WASHINGTON 98273. .. . . _. ii;4 SO
206-424-9566 . . `fit tko F.B. 23. PG. 53
.1 ei� ` .nlE't , 41,, .:.N-14.1 • i:.'
t. {, {.` W r i,r,. ,. ?i'� '"�-' '��lC1711111T_9K,!A,r'.11„!''- - d�
: ;� ., �eacli Cluby nc. � .w f
‘4;Sirt { 3 CST'_,:. � 1'q1 n gatitg 'v,o;. 1'.1 ,1 r ,N,. .: r, „?,.`it,
ry� t a .,Y,' >. il t` ..i.J.'" .. •�'F'..p9kt �, dT'��' #,�'���'��f•.''"^'._tji,l't fr4.;.,:, • ' : . • 1
•
�,. .A`.•wi•', h '.94 a r.1'd..-. i.I'..
°" d "' ' ESTRICTIOhl 1
•:Vtit �:')t 6 'i ,.'' V.:::• 41 1°4;1,ir' H E'I G H Tt.t' 'R
x` ti !,. ;IA .ty17. . 1k• F O' :OiTP'•' FtEI
,GI-IT L. I M I -TAT
A T
414AI O N
t 1
q•;j`. �1rITO: i•ARCHI @TERTURAACOMMITTEE ' SKYLINE, BEACHCLB, INC..•
�}grA.4.,d.( �(.� 1f `,1'tYf71; 1?.1.:. ,, l: :.:g.ticx '.�, .i •.!t...4-2.: •-j,• .
a,�Ii;�.certifrya}l�hat�,�yI ":am: swat e;t'', of the restriction'; in..the covenants •
h 'i;�+ prohitiiting 41'atstructure ';'.+from being built`; :higher than 14 feet•
i �j 1,,pp above'''the ehighest'tpoint`,on , its lot, and that:�''I' will comply with
''"°` >,1y3, ��t.yfi1 that restriction in ,.the 'construction of my residence described in
the attached. plans. -, '' I .understand that if the construction should
_ in fact • H be found to exceed the 14 feet limit' I shall be
`'''' ` responsible for bringing the building into compliance with the
' 1'ia'•;;<'' :::-.G.;., '- restriction at my expense.
;;' i,, :;' ,;';. . I understand that my , lot is not to be used as a storage site for
• ; . building #'.materials ' except as are needed for the construction of ,
`',,,;my home. to •.; be built'.. upon that lot, and that I , have one year to
HI. complete: construct1on and• remove all excess _ building materials.
', Further:"`I 'assume responsibility for remast,inp all debris from the i
street"and adjarent lntc whirh may he 'nattered as a result of my
rnnstritrtion, i. r. dirt, gravel, cement or other materials u5.p11 1
by myself or my contractors. I also understand cement trunks or
hampers must nat_he cleatte.d_nn_any other lot other than my own.
1
•
UPON COMPLETION OF THE HOUSE, VERIFICATION OF THE HEIGHT MUST BE
SUBMITTED TO SBC, VERIFICATION MUST BE DONE BY A CERTIFIED i
SURVEYOR WITHIN 60 DAYS AND THE COST WILL BE THE BURDEN OF THE
OWNER. IF NOT SUBMITTED BY THE OWNER, THE ARCHITECTURAL
COMMITTEE HAS THE RIGHT TO CONTRACT FOR SAID VERIFICATION AND
. INVOICE THE OWNER.
• • Upon completion of this improvement, the Architectural Committee
• shall be . notified in it
wring. so that they may inspect the
:;:,il '. ' " premises for compliance of covenants. /'�
. SIGNED: . V r
a.' y •
. DATE: Sr- 7- if
.. :' O�^ +; - ,': ' � ' LOTs / Ly DIVISION �
` rl'a".1. itek `,t•`'1BUILDERr,S SIGNATURE: •(•1 ea • .c :-
I. y . „ •
ram S:F:t1444.1,11!e f' :''�i .. .. • ;... , `5,:�'''E'j f:j.
HATE 0 44 a,:;xi,' .vt${',"•:..ajar•:... ;t'S °� '
t,,., .I •r 1I'? I?r::Ai.Itl 01.'UIi,.10C. 6011'.bAl'IUl>�viw Al lACOnMS; WA OQ2c f1'Y 0141: 2 >{ 241re001 •
CAUTI N -
• This card mu'st..be posted•in a •conspi Clots place,on the premises.
INSULATION. CERTIFICATION
THIS IS TO CERTIFY THAT, IN CONFORMANCE.WITH THE CURRENT THERMAL PERFORMANCE STANDARDS (REV.ISED CODE
OF WASHINGTON, TITLE 10.27, STATE'OF WASHINOTON'1-AND APPROVED PLANS, INSULATION HAS BEEN INSTALLED IN
THE BUILDING}}LOCATED AT:
• Lk t1L4 ' ARC, octFk FLUA-Go2reS . LA .•
ADDRESS•OP PROPERTY CLOG, PIeflMIT HO.
•
Vapor barrier at 4 mil polyethylene or equivalent must'be installed in craWl space.
Weatherstrlping, caulking, gasketing and/or other treatment to prevent air Ieat<age must be Installed around all exterior openings.
ROOFS - -
Typa•of Materiel Manufacturer Thickness R Value" 1
(Or trade name) ' '
EXTERIOR WALLS
Typo of Material YtBaa .GLA- 'S . .Manufacturer AAA•.Jv k L.L.E Thickness (a/bt RValue" i9
(Of trade name)
•CEILIN.GS.•
'BAITS:',
• Type of Material r t3Eecct_asS Manufacturer /• ,Rnl V t t..L.G. Thickness t 0 R Value" 30
•
(Or trade:name). '
3(0 Sq. Ft. Covered
BLOWN:. }- 1�k
Typo of Malarial no-eac L..AS$ Manufacturer - AA'nbJt 1.L.6' Thickness 13 No. Begs o27 -
• (Or trade nano)
\c Wt./lice (LkQ I Sq:Ft. Covered. • R.Value•' 3O '
FLOORS �-
'Type of Material `1 B' eG.�!}S.S Manufacturer MA-ri V.t.-L t, Thickness' to la- R Value' 19
(Or trade
SLAB" ON GRADE namel' .
. Typo of Material Manufacturer 'Thickness R Value" '
'Or trade name) •
Width of Insulation, inches
•
:FOUNDATION WALLS• (if required)
'Type of Material _ ' Manufacturer Thickness . R Value
•
(Or trade,name) • -
DUCT AND/OR PiPE INSULATION
Type of Material • . .Manufacturer _ Thickness R•Value''
General Contractor (Builder) Contractor's Registration Number
By Title Date
Sub-contractor (insulation Applicator/parry/r5 '('rrsu.k "i- 0(ass Contractors Registration Number I/n 2 1!hi
(Insul' n, Masonry, ate.) ' (Statte_"SAtJtE': If same el eneral Contractor)
vti
By 'f et.....,_ • ' Title • Date ?- I -C9 /
•
'Revised Coda of Washington • Thermal Performance Standards, declares: Upon completion of the installation of insulation, a card corti/yin(
'that the insulation has been Installed in conformance with The requirements of this 1977 amendatory act shall be completed and signed by the
builder or insulation applicator. For this purpose, any certification card which contains all the essential data may 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 or bags installed to obtain ilia"El" value '
' listed, The card must be posted at a conspicuous location within the building and will indicate the installation date,
'R Votue (thermal resistance) moans the measure from the Iesistanco of a rrtaterial•or building component.tc the passage of heat.The resistance
value (R) of mass type insulation shall be for'the material only,"'R"values shall be as listed In the current'ASHRAE Handbook of Fundamentals,
cr at tested in eccortiance;vylth currenteappilcakie standards,•
.No certification of occupancy or Angler'certification that a newly si constructed dpartmont house three stories or less In height, home, or other ,
residential dwelling Is habitable shall be'&sued by such a building department unless the'structure at least satisfies the minimum energy Insulation G
standards established pursuant to this chapter.• 1
CITY OF ANACORTES
- i. - - -
2?
DATE M y /5-1 19 9
SITE ADDRESS 49 II- Mil-cBFrei
OWNER thtDESIGNER r CONTRACTOR
NAME(OR NAME OF BUSINESS) NAME / NAME:
W4LL1 4 BM tAM4 spier Oloili orclE2 KEJ L70,0 6',tir ctic•1e
MAILING ADDRE MAILIN ADDRESS: MAILrNdADDRESS:
Cri3(t - iv ' /! 7 3,-"4 57:
CITY: CITY•
IIN'r1-G°R.j'55 �N"W Cc�2T c S
ATE ZIP: A STATE: ZIP: S ATE ZIP:
WA f - -vl a/4' TI2-7.-/I
TELEPHONE NUMBER: 'TELEPHONE NUMBER: TELEPHONE NUMBER:
9-13 - 07)f6 i — yn1-
II
PROJECT COORDINATOR: TELEPHONE NUMBER: 11 STA- CITY LICENSE NO.
Kati' ioa I KEPI-VS 9- (q!ea
RESIDENTIAL'+ k) NON-RESIDENTIAL IM NEW ?4 ADD 111
ALTER NI REPAIR ' II BUILDING MI PLUMBING III
SIGN 1111DEMOLITION 1. OTHER 111
LEGAL DESCRIPTION OF PROPERTY AND ASSESSOR'S NUMBER
LOT [ BLOCK pad( T' OF sky LINE fag,pis
ASSESSOR'S NUMBER 36,9V-Do O - (2 Y — (0007'
DESCRIBE WORK tiny S/,)OLc Fern! Gjf /e€5li 6/Ct
OCCUPANCY USE
MULTI-FAMILY -- U OFFICE -. • RETAIL U
STORAGE „„ • CHURCH MI RESTAURANT+ SCHOOL
OTHER ■ PLEASE SPECIFY
GENERAL INFORMATION
STREET SETBACK SIDEYARD SETBACK REAR YARD SETBACK USE ZONE
o $ TI _ o P L
OCCUPANCY GROUP CEO;r s CTION TYPE q COT AREA VACANT SITE
g-3 -1 kat/ 4e iity(ter° ?-5-0%� YES NO In
DWELLING UNITS SIZL OF BLDa. SQ.F'T.) NO�OF STORIES NO.OF BEDROOMS
- -DECK1SQ.FT.) FIRST jr(SQ.FT-.) SECOND FL.(SQ.FT) THIRD FL.(SQ.Ft) I
300
S MEN S . SQ. GARAG S CH C ED
7-Y _ 0y$ ,�9A
ANY WATER ON OR ADJACENT TO PROPERTY go ..
SALT WATER MO CREEK imi POND Eli LAKE MI
M • R -- OTHER -_-----^ NM
-
LATECOMERS AGREEMENT YES 0 NO El
FIRE HYDRANT WITHIN 250 FEET YES 1111 NO
PROJECT VALUATION: 9 i,�. ,. 71109C, creE
��
•
., swt lal V,�a .caya ah '�1h ..IR. t -4",, .443:.u'- i• j,u'�:. , s 1r-...,'.. n%_?'.� r b .a'
,J,? Jnm.l+3 14__fl'')4 S - 66,465 : . OVER
a&kXOa - la,ah8
6AS x 1G: 10,36E
CITY OF ANACORTES
"3.;.....:... ' ;,,.,
r R • k s " •
PLUMBING MECHANICAL
CONTRACTOR: TA 4 R (R1c, Kopf) , CONTRACTOR: L./V1,✓E HeA-7-No9
PHONE: p 3-07-1 r PHONE: 4.9 3- SY3
NO. TYPE OF FIXTURE OR ITEM NO. TYPE OF EQUIPMENT
3 WATER CLOSET AIR COND.UNIT
3 BATHTUB _ REFRIGERATION UNIT HP
1 LAVATORY BOILER HP
SHOWER FORCED AIR SYSTEM 751zo ally KW
KITCHEN SINK FLOOR FURNACE 7
f DISHWASHER ' WALL HEATER
LAUNDRY SINK UNIT HEATER
CLOTHES WASHER CLOTHES DRYER ,4/4 ,674.5
A R H A ER N I IO
URINAL RANGE HOOD ye,
DRINKING FOUNTAIN AIR HANDLING UNIT CFM
4 ' FLOOR SINK OR DRAIN PRE-MANF.STOVE ORtREPLAC9gyV,
SLOP SINK ( GAS PIPING To
uJJ
I WATER PIPING IELEVI OIL III ELE 1111 GASIII
GPS Ls
" "14.7tW ar". °m"«""z �'" FPSe:: f "L.'S,"°' '»?"1'4 •`Tit 3 '-�` -.',"•*, "y,i. k 44 7. ;-
NOTICE
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 COMMENCED WITHIN 180 DAYS FROM THE DATE OF PERMIT ISSUANCE,OR IF THE BUILDING OR WORK AUTHOR-
IZED BY SUCH PERMIT IS SUSPENDED OR ABANDONED AT ANY TIME AFTER THE WORK IS COMMENCED FOR A PERIOD
OF ISO DAYS.
BY AFFIXING MY SIGNATURE,I HEREBY CERTIFY THAT I AM THE OWNER OF THE PROPERTY FOR WHICH THIS PERMIT IS
ISSUED OR AM AN AUTHORIZED REPRESENTATIVE OF THE OWNER.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER
SPECIFIED HEREIN OR NOT,INCLUDING ROUTINE CALLS FOR INSPECTIONS.SIGNATURE OF OWNER OR AUTHORIZED AGENT ( ^- //at DATE ill 51/7
CONDI 1 N
� � I
•\PM\BUIIDABLI D.PMEI • OVER
0 0
FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT N0 8791
299-1901 BUILDING PERMIT
24 Hrs.y,Notice Requested Site Address 4914 MacBeth
N (OR NAME OF BUSINESS) PLUNOMNG
Willy and Barbara Post
MAILING ADDRESS 1319-19th Street Na TYPE OF FIXTURE OR ITEM FEE
CITY TELEPHONE NUMBER f Water Closet $ 6.00
Anacortes, WA 98221 293-0746 3 Bathtub D '00
NAME
4 Lavatory 8.0V
Shower
ADDRESS —1 Kitchen Sink 4.0U
1 Dishwasher 2.0U
CITY TELEPHONE NUMBER 1 Laundry Tray 2.00
1 Clothes Washer id.00
NAME T Water Heater 1.00
1.en Lyon, Builder Urinal
IADDRESS Drinking Fountain
2117 32nd Street 1 Floor Sink or Drain 2 .00
CITY TELEPHONE NUMBER Slop Sink
0 Anacortes , WA 98221 293-8228 1 Water Piping 2 .0U
u
STATE LICENSE NUMBER CITY LICENSE NUMBER
K£NLYB*19186
dktesidential 0 Non-Residential PERMIT $ 2 .ULl—
❑New ❑Add ❑ Alter ❑ Repair
TOTAL FEE $ 4 t .UU
❑)'Building ❑!Plumbing ❑14vtechanical MECHANICAL
❑Sign 0 Demolition 0 Other LGAS 0 OIL 0 ELECT. 0 OTHER
Legal Description of Property or Tax Account Number Na TYPE OF EQUIPMENT FEE
12.4 B1 k of
11kyl the i% 8 3824-000- 124-0009 Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
1 Forced Air System— t 5,ODU BTU/KW 3 .00
Describe Work Floor Furnace
Construct new single family Wall Heater
residence per approved plans. Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
❑>Single Family Residence 0 Multi-Family Residence Range Hood
❑ Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ Restaurant 0 Other 1 Pre-manufactured Stove or Fireplace 0 .*0
NOTICE 1 Gas Piping c.00
This permit is issued by the Building Official and,under the provisions 1 gas tog - •5O
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 C .UU
menced within 180 days from the date of permit issuance,or if the building TOTAL FEE $ 4L .Ott
or work authorized by such permit is suspended or abandoned at any time
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 119,OU0.tl0 $ 48 t .00-
property for which this permit is issued or am an authorized represen- ,O
tad Plan Check ,4} .1 ve of the owner. 37 .0V
All provisions of laws and ordinances governing this type of work will Plumbing
be complied with whether specified herein or not,including routine calls
Mechanical 4L .0U
for inspections. Sign
_ % Demolition
rE . .r C.c•- f < . V ,1. ; .145 / Energy Surcharge
Simone a(Owner or Authorized Agent (Date) State Surcharge 4 .00
Other sewer + traffic impa :30LL .U0
Street "Setback 20Side Yard Setbacks , 1 0 Near Yard Setback 20 TOTAL $ 3,89a .bU
Use zone R L°aanc"° "0 3 Mt type 4rt. N cou V Conditions:
Lot Area 'e 2 rs() Site
Dwelling Unit 1
❑7a ❑No
Fire Sprinkkrzetoquirerl No.pf Stories Bedrooest Oceupent Load
❑Yes id No
Size or Bug. 1777 Plans checked By: Lob
w®r SIftNED AND DATED BELOW,TI g S YOUR enter
Peemisim Y bar*gives to do theshove diaemed stele.ceudin to the mad"
harem arid wading to the approved pYesigl thorto.subject to
•pliant with w ordinances or the CITY Or ANA
F
0 /23/91
Permit Issued By {v1Building Mc' (Date)
Edwin Fr nk
PERMIT 7141 Olt