HomeMy WebLinkAboutPermit File 1617 O Avenue II 0 ,(4- va-
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- O City of Anacortes Permit#: BLD-2004-9501
C G' 904 6th Street
e+! ! P.O.Box 547 Issue date: 03/22/2004
` 0 Anacortes, WA 98221-0547 Expire date: 03/22/2005
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Job Address: 1020 17TH ST Permit Type: Sewer Repair Permit
ANACORTES WA 98221 Project:
APN: P55150
Remarks: Abandon existing sewer and install new line to existing single family residence.
Owner: PEARL MIKE R Contractor:
Address: Address:
Phone: Phone:
License#:
General Information: Fees:
Sewer Inspection Fee 1 Sewer Inspection Fee 50.00
Total Calculated: 50.00
Deposits/Receipts: 0.00
o oo Total Due: 50.00
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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 L CAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
(/G` ZL 57 VO4' Pr)) la/6j(e (3-e_CC-740 C
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
`\T Y' o CITY OF ANACORTES
WASHINGTON
?ycop``' BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
single Family Residence
Located At: 1020 17th Street
STREET&NUMBER
Owner. Mike Pearl
Constructed By: Mike Pearl
OWNER OR CONTRACTOR
Bldg. Permit#: ELD-2003-8856
Date Issued: July 21, 2003
Occ. Group: R3 Use Zone: R4
Has Been Inspected And Occupancy Is Hereby Authorized.
This 12th Day of
August 20 05
+ -
At9 FIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
_ I
y � �
Y ! CITY OF ANACORTES
.WASHINGTON
'D N
qpp P1�" BUILDING DEPARTMENT .-1
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 1020 17th Street
STREET&NUMBER
Owner: Mike Pearl
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg. Permit#: BLD-2004-9917
Date Issued:
Occ.Group: 113 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized.
This 22nd Day of August 20 05
Pak P ,h,,Ient,-
AUTHORIZING OFFICIAL J
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO.: MEC2001-00006
P.O. BOX 547 APPLIED: 01-01-18
ANACORTES,WA 98221(360)293-1901 ISSUED: 01-01-18
EXPIRES: 02-01-18
SITE ADDRESS: 1020 17TH STREET
ASSESSOR'S PARCEL NO.: 3772-095-012-0019
TYPE OF WORK: NEW
TYPE OF USE: RES
PROJECT DESCRIPTION: New Gas Piping.
OWNER CONTRACTOR
MIKE PEARL
6421 CAMPBELL LAKE ROAD
ANACORTES,WA 98221
Primary Phone: Primary Phone:
Phone 1: 360-293-2717 Phone 1:
License#:
Equipment Fees
Equipment Type Quantity Type By Date Receipt Amount
Gas Outlets 1 PRMT MRD 01-01-18 0105982 $28.25
Total: $28.25
NOTES:
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 state and federal laws regulating activities covered by this permit.
Issued By: Applicant or Owner's Signature
:, 1;, t p3 II All Inspections
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G1' 1 0 c.. City of Anacortes Permit#: BLD-2003-8856
904 6th Street Issue date: 07/21/2003
P.O.Box 547 Expire date: 07/20/2004
°;°' 0) Anacortes, WA 98221-0547
1 Ids'.= (360)293-1901
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Job Address: 1020 17TH ST
ANACORTES WA 98221
APN: P55150
Permit Type: Renew Building Permit
Project:
Remarks: Renew Permit No. COM2001-00065 for new single family and converting old single family into accessory structure.
Applicant: PEARL MIKE R Owner PEARL MIKE R
Address: Address:
Phone: Phone:
Contractor:
Addressr:
Phone:
License#:
General Information: Fees:
Renew Building Permit Fee 220.25
Total Calculated: 220.25
Deposits/Receipts: 0.00
lif * in i is Total Due: 220.25
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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 INSPEEC72TIONS.
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Applicant Signature Issued by
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CS`T Y 0 .. City of Anacortes Permit#: BLD-2004-9917
904 6th Street Issue date: 08/13/2004
`1 P.O.Box 547
114 Anacortes, WA 98221-0547 Expire date: 08/13/2005
' ' (360) 293-1901
»r..
Job Address: 1020 17TH ST Permit Type: Renew Building Permit
ANACORTES WA 98221 Project:
APN: P55150
Remarks: Renew Permit No. COM2001-00065 for new single family and converting old single family into accessory structure.
Owner: PEARL MIKE R Contractor:
Address: Address:
Phone: Phone:
License#:
General Information: Fees:
Renew Building Permit Fee 220.25
Total Calculated: 220.25
Deposits/Receipts: 0.00
a -D MI CO Total Due: 220.25
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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 LOC LAW ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
oe
SIGNAT RE OF OWNER OR AUTHO IZE AGENT ISSU Y
C
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(This form Is to be completed prior to issuing the building permit)
Site Address: I b aO Date:
Owner:
Assessors No. ?ss k S 0 Lot 11 'b- Block '-(5 Addition A
OK NA OK NA
AEl Fire Department Access ❑ C3k Fire Hydrant Located within 250 feet
❑ J51- Fire Flow Required ❑ Ca' Covenant Not to Oppose Future LID
❑ Water Extension ❑ I Sewer Extension
s ❑ General Road Improvements ❑ no Shoreline or Wetlands
l 0 Drainage Plan Approved bI= ❑ Site Plan
❑ Variance Required ❑ 6- Covenant Approval
❑ ON Plat Facts and Findings Compliance 0 T Regulated Slopes
❑ Fill on Site 0-- ❑ Survey in File
i:, Fu ther;Gomments €
Zoning: p , L-\
Lot Size: (I21000 Se
Coverage Allowed: `Spa/0 = -S)o0°
Actual Coverage:
l
Plans Examiner: Date: 3/>25-) 01
(Signature)
TELEPHONE - 0w_I-
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eAil r#g garage: . . '. . : 0) P
2 A , I
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17'8"1 I
''MI= 1 C 6' I Proposed New House 40'8" ,j 20
10' --1 40'
m
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A
A$ NEW HOUSE SITE 0i s i
4-200 sf (footprint)
ekisting tru tur-e I DLID 1
Foundation Line _
384:s': HF, 1 10
k 16,,_. i Front I Building Envelope _. I
a o -Propt.Line'
c
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T Tree /I 4
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100 1 Power Poe 1
Curb Cut RECEIVED
\ North MAR 1.fp3 MAR 1115 2001
H 3/9/01
k 15' '1 "0"AVENUE 12.34 I '
' ' Scale: 1" = 15' BUILDING DEPT
-Centerline of"0"/CvefNe +__
SITE PLAN: Existing structures OWNER: Mike & Claudia Pear
Site Address: 1020 17th St.
Anacortes WA
(360) 293-2717 Page 1/3
•
TELEPHONE io
e _ sa c 26. (-2• .t•s3)...'
(LLB r____ 1� ;F_- n_ ___ y ( 5) -
1' L(-37� --rr (-33) .i' i-----
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3'
H existing strueture.: b „ ul �~ ..
wt(-39)i :; .. i• _
16' 4' 21"
u � C(-15.5) II
AS \ -- -uElding Setback,Envelope' -_e '! :: 1
e tisti?g gYru ture : . g .'
' • FoundiSn Lihe .;a �
C •
16 ' ('279 ('3 X e'(.}g) TsC�1Sk----- ..
rvew y ,frr' a ' Pr opt. Line , ! =
.i<• )
1
Tree I M
1 !I ✓ �� N • �.POMIIEH PAL ...
bc O r ry es9e;alk
(
CEiVED
North � •• 3rs/o MAR 15 2OC I
:
�•o°avertuE
12':34 .. ... .. . : .
. ... . • • • • DEPT
tilLtJ
30' -{ Existing structures with proposed house OWNER: Mike & Claudia Pearl Page 2/3
Is Site Address: 1020 17th St,
Scale: 1" = 15' Existing drainage Anacortes WA
(360) 293-2717
• - ,
TELEPHONE
0 < (•37) 7-, (-33)
eX[sting structure : G Li.
: Prnposed;D'riveWar#2 j' •.
IQ
(-29)'. Ni‘" !a, ..
• Storm & Down ,pouf Draithage
Ic 16' ± Td Curb COI
New Drainage u>✓ .,. .. ... ! (•15.5) o , .
E,Iistin AS New "'
,--------- . L'! ..
existing stru:ture I
.'New Honse.'•.. ... ',.,. ' I
i ., .. New Drainagei c
Main Driveway#1 ¢61
l"...: ...:. r,+'.. (-27) (-23) 'Poreh' .-it : .: '..h10.5).! \
...... .. ... . �I Propt. Lin
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( ) r .(•2 ) w . (-16) / }... r, .'
z Utilities trench w
Tree - Pn ER:PDLE. t
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•
a(0) �5.5) jsuture Sidewalk (9)
(-21) (-16) (-17) (-13) c
..,.. ; - '. • :` : )).1.::. Existing PS. ;C'#.It :.'.:.: •1 • : • ^•.:.1::... -• . r SIVD
..:...... .
is 30' I Existing structures with proposed house OWNER: Mike & Claudia Pear Page 3/3
k 15' H Site Address: 1020 17th St.
Scale: 1" = 15' New Drainage Anacortes WA
(360) 293-2717
/6/7 6vE- PAGE 1 or I
4 $ I
1 6 T I--I ST R E ET (80 ' R/W) Ci0 10 LEGAL DESCRIPTION : PER "WA NANTY DEEP" - A. F. # 768875 :
P:�
�^ 1—f • e "LOTS 11 AND 12, BLOCK 45 , "CITY OF ANACORTES" , ACCORDING TO THE
+ ( 760 . 00) �' fi0o 579 . 3? (1'L.4T .SA0 . 00) • • • t PLAT RECORDED IN VOLUME 2 OF PLATS, PAGE 4, RECORDS OF SKAGIT
1 °I . 0 1 COUNTY, WASHINGTON;
3 ecj' I 05 , o ,
q� SUBJECT TO L. I .D. O166 OP THE CITY OP ANACORTES"
"I „ •300 . 00.299r. 32•• " 40.00 a O
I 30.00 el ti 30.00 SUBJECT TO EASEMENTS, RESTRICTIONS, AND RESERVATIONS OF RECORD (IF ANY) .
I
' 7 SITUATED IN THE CITY LIMITS OF ANACORTES, SKAGIT COUNTY, WASHINGTON.
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� IN
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W I ` r.: 30.00 " „ " " n „ ., 30,00 / t- I ~ GENERAL INFORMATION :
W m F L' -
N
H •• ;o I;L.Cx]K elg 16 ' ALL):Y , n: j 1 ) SURVEY OF SUBJECT LOTS AND THE PREPARATION OF THIS "SURVEY MAP" WAS
w w .% a 41i bl30. rn C BASED ON THE FOLLOWING SOURCES :
Li-
-3 rn Ibk2'1 � )
29 . 93 0
_�11 I • � 3 0 I A) INFORMATION SHOWN ON THE ABOVE "WARRANTY DEED" .
I ri
:• B) INFORMATION SHOWN ON THE SUBJECT PLAT OF THE "MAP OF THE CITY OP
• .c
o ANACORTES" .
O I � 11 _ : 13 : 14 15 16 _ 17 18 19 20 • o I 0STREET MONUMENTS AND SURVEY MARKERS FOUND AS SHOWN ON THIS DRAWING.
c p, o , I (LOT DIMENSIONS WERE ADJUSTED ACCORDINGLY) .
D) INFORMATION SHOWN ON APPLICABLE RECORDED SURVEY MAPS .
I a v' I 0
0 01 2) SMALL PORTIONS OF AN EXISTING 16 ' 3E24 ' OLDER SUILDING, ALONG THE
29 . 93 29 . 93 I - NORTHERLY LINE Or LOT 11, ARE ENCROACHING ON THE ADJACENTRPW' S
_ (30.00) OF "O" AVE . , AND ALLEY, RY APPROXIMATELY 1 . 7 FT & 1 .0 FT RESPECTIVELY.
40.00 i
s 24n • 00= ;' ;9 . 4 "i 3) IMPROVED LOTS WITH EXISTING BUILDINGS .
4 0, I
,," ° I 4) NO UNDERGROUND CABLES, UTILITIES, ETC. , (IF ANY) WERE LOCATED OR SHOWN
-7 J ON THIS DRAWING.
r, . :
( 760 . 01 ) a� ,79 . 24 (P1. 11 380 . 00) — _
f ' , 759 . 4 _R 5) SURVEY EQUIPMENT USED - HEWLETT-PACEARD 3810-A (TOTAL STATION) .
I 1 WTI--I STREET (80 ' R/14) I
4 i 4
SYMBOLS .
BASIS•
OF BEARING :
O: REBAR 6 CAI' SET ( 2 / 02/ 01 ) 0' 50 ' 100 ' 150 ' 200 '
10- REFERENCE POINT
S C A L E : 1 " • 4 0 ' ASSUME !) LOCAL
1'F. O=- PK NAIL FOUND
O= STREET MONUMENT (FOUND 1N CASING)
St 7RVEY IN GOV'T LOT 2 - SEC _ 1 o-TWP _ 35N - RNO . 2E . .W . 1%4a
AUDITOR' 5 CERTIFICATE: LAND SURVEYOR' S CERTIFICATE: ;TILE R. PEARL
THIS MAP CORRECTLY REPRESENTS A SURVEY HADE BY PREPARED FORt 6421 CAAIPiiELL LAKE ROAD
FILED FOR RECORD ON THIS __ DAY OF , Jo01 NE OR UNDER HY DIRECTION IN CONFORMANCE WITH �N �. V� ANACORTES , WA 98221 TEL : ( 360) 293-2717
AT M. , IN VOLUME OF SURVEYS AT PACE THE REQUIREMENTS OP THE SURVEY RECORDING ACT AT �� V3/���j SCALE' l" 40' I DRAWN BY: Jit JOB NO: 2065-01
. THE REQUEST OF: .'LIKE PEARL �• i,� I UNDER AUDITOR'S FILE NUMBER: "
ON: J:+:JUARY 24 , 2001 . DATE' 2/6/01 APPROVED BY; JV DRAWING NO:
AT THE REQUEST OF JOHN J. VADAI , 2001 LOTS 11 6 12, BLOCi: 45 ,
DATED IN ANACORTES, , DESCRIPTION:
44 MAP OF THE CITY ANACORTES
/1 1
_ JOHN J. VADAI i ASSOCIATES 11ERIPIAN4
iKAGIT COUNTY AUDITOR BY' DEPUTY AUDITOR J J. VADAI Thongs;Thongs; 293-9591 6060 SANDS WAY - SUITE F, Anacor tea• '.:A ASSUMED 0
CERTIFICFIC ATE NO. 9636 (360)