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Home My WebLink AboutPermit File 4910 Paisley Place - ` +tJ :." City of Anacortes Invoice/Permit#: BLD-2014-0541 904 6th Street Applied date: 12/03/2014 N4011111111001116 P.O.Box 547 Issue date: 12/03/2014 0 Anacortes, WA 98221-0547 Expire date: 05/31/2016 Job Address: 4910 PAISLEY PL Permit Type: Reroof Single Family Residence ANACORTES WA 98221-3120 Project: APN: P59903 Remarks: Reroof with composition roofing Owner: TORGERSEN TOROLF R Contractor: MOUNT BAKER ROOFING Address: 4910 PAISLEY PL Address: 3950 HOME RD ANACORTES WA 98221-3120 BELLINGHAM WA 98226-9147 Phone: Phone: (360) 733-0191 License#: General Information: Fees: Building Valuation 5000 Building Permit Fee 111.25 State Building Code Fee 4.50 Total Calculated: 115.75 Deposits/Receipts: 0.00 Total Due: 115.75 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. Lif ix ad) "f\'')4 /` C2 SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUEIp BY 1891, Finance Department 014465-0048 Maryellen 12/09/2014 04:01PM PERMITS AND INSPECTIONS TORGERSEN TOROLF R BLD-2014-0541 Reroof Single Family Residence Reroof with composition roofing issued 2014 Item: BLD-2014-0541 115.75 Payment Id: 38725 115.75 Subtotal 115.75 Total 115.75 CHECK 115.75 Check Number 027969 Change due 0.00 Paid by: TORGERSEN TOROLF R 111 1111 III II II III I1 I1111, II Thank you for your payment CUSTOMER COPY DUPLICATE RECEIPT 1 Y C3 :,. City of Anacortes Invoice/Permit#:, BLD-2014-0541 904 6th Street Applied date: 12/03/2014 P.O.Box 547 Issue date: 12/03/2014 0 Anacortes, WA 98221-0547 ;:, �► ,,. Expire date: 05/31/2016 Job Address: 4910 PAISLEY PL Permit Type: Reroof Single Family Residence ANACORTES WA 98221-3120 Project: APN: P59903 Remarks: Reroof with composition roofing Owner: TORGERSEN TOROLF R Contractor: MOUNT BAKER ROOFING Address: 4910 PAISLEY PL Address: 3950 HOME RD ANACORTES WA 98221-3120 BELLINGHAM WA 98226-9147 Phone: Phone: (360) 733-0191 License#: General Information: Fees: Building Valuation 5000 Building Permit Fee 111.25 State Building Code Fee 4.50 Total Calculated: 115.75 Deposits/Receipts: 0.00 Total Due: 115.75 III 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. SIGNATURE OF OWNER OR AUTHORIZED AGENT IS BY if 0 ) Y_ rik‘z C., Y.' i / 1 , i 1E91 Finance Department 014465-0048 Maryellen 12/09/2014 04:01PM PERMITS AND INSPECTIONS TORGERSEN TOROLF R BLD-2014-0541 Reroof Single Family Residence Reroof with composition roofing issued 2014 Item: BLD-2014-0541 115,75 Payment Id: 38725 115.75 Subtotal 115.75 Total 115.75 CHECK 115,75 Check Number 027969 Change due 0.00 Paid by: TORGERSEN TOROLF R 10 il 11 111[11111 I III 11111111111111111 IIO Thank you for your payment CUSTOMER COPY DUPLICATE RECEIPT 49 10 riSsicSt- 1-- tcl- 4 2'-- C-5:-, :.21D CY:777 cci---T- l'o Kt/by TH r / c-1 1 (07 ...,-, /Lio I LV I m : 7 10=. :2 CT IF7E LC-- 9( OLEEr -a 1-- .-------- - . . ___--- fcrMIJ7V7 CERLATION , ` INGEGEN�EM `! INSIRATIDN ;;v�TM Certificate of Insulation The undersigned certifies that Owens-Corning Fiberglas insulation has been installed in accordance with the manufacturer's recommended application of the product. Types of Insulation Batts Blowing Wool Coverage Kraft Unfaced Foil FS 25 Cubed Standard R-Value Thickness Area Attic Walls X Floors We used bags of Loose Fill material covering sq. ft. LAM G' P12CR _ rzCL)C street address city, state, zip Fiberglas blowing wool is (�` n-combustible, non-corrosive and inorganic. Signed �' irr Y,X_A L \ S u L.\—li .J` 1 (Nc k 1 to 4'N-X company state license # \ \ \t -- 1 I l- rc),o -5 0 city, state, zip date Keep this certificate with your other valued papers. If you ever sell this property, this certificate should be passed on to the purchaser. �,t Y o„ CITY OF ANACORTES WASHINGTON ycoP�"co BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the (Description of Building or Structure): '-<<o ckfi nC a. Located At [_-14 in I'6 ! 9_1 Alr STREET&NUMBER d Owner: i` 1 i Arti i Pr in � _ Constructed By:1'% )fFC) Cx er---,,'}^i-U I OWNER OR CONTRACTOR'' c Bldg.Permit# / / %`j Date Of Issue: 3 7D G� Occ.Group: 'h � Use Zone: >�\ (-} Has Been Inspected And Occupancy/pancy Is Hereby Authorized, This Ji Day Ofl l l{'01,y,(19 �." . •,rn AUTHO'R�Z�NcaFFidiAL�- ..� SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. • 0 ' lii .'. 24 Hrs. NOtice Requested S FOR INSPECTIONS CALL: . CITY OF.ANACORTES • • BUILDING PERMIT PERMIT NI ite Address I 1" (I ' t I - 7975. 293-1901 Pit NAME(OR NAME OF BUSINESS) : , s k PLUMBING ' i Ii..as cl ,0,1.ao . ;r j ., 1 MAILING ADDRESS J, No. TYPE OF FIXTURE OR ITEM FEE fit, V rril H •]k..1 , r 11 CITY TELEPHONE NUMBER Water Closet $ . t:: 1II, Vt..'i riot,, Idr i ' •• • : .' i :. ,' 'I'''...: _ Bathtub ' ' I. e NAME , . Lavatory I Shower : , t . • 't • 4 t ADDRESS I Kitchen Sink ,• ),-,„ 1 i Dishwasher • CITY TELEPHONE NUMBER 1 Laundry Tray i i t NAME . Clothes Washer i ._, Water Heater tr Hi It I, 14 ,11'•1 tut t it.iti Urinal . • tt ee ADDRESS . Drinking Fountain , i ,t) . 1,, , . . 1 i Floor Sink or Drain ,. - CITY ‘, TELEPHONE NUMBER - Slop Sink ' ,,i to is 1.1 t., ''. . Wn (1,:‘ *.' I /4. ' ' P.7.11 i Water Piping # u t STATE LICENSE NUMBER CITY LICENSE NUMBER 1 t k , I'll 1 1 IV I t 1 141 Q Residential 0 Non-Residential . PERMIT $ f it „1:3 New DAM 0 Alter 0 Repair TOTALtIFEE "I.4 \I Q Building 0 Plumbing 0 Mechanical . MECHANICAL ( „. 0 Sign 0 Demolition , ' 0 Other , g GAS 0 OIL :,CI ELECT. 0 OTHER i st Legal Description of Property or Tax Account Number ' No. TYPE OF EQUIPMENT FEE Lot '.. Block .... of .. Air Cond. Unit $ ; '4 li 1 I I:•-t . i Refrigeration Unit- HP Boiler- „s"' HP - • , Forced Air System- i.t Describe Work Floor Furnace •1. It• “ .401 '. 1 ..tiii 1 l' ..t..i 1. r-r! ,• - Wall Heater 4 Unit Heater Clothes Dryer I Occupancy Use • 1 Ventilation Fan , A . 0 Single Family Residence 0 Multi-Family Residence Range Hood _ b Office 0 Retail 0 Storage CI Church - Air Handling Unit- . CFM i. 0 Restaurant 0 Other Pre-manufactured Stove or Fireplace -I 1' NOTICE i -Gas Piping . , . 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 $ . # menced within 180 days from the date of permit issuanee,or lithe building TOTAL FEE $ • %i 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 VAIACATION FEE I. By affixmy sture,I hereby certify that I am the owner of the ing igna -k -a Build $ - ' II property for which this permit is issued or am an authorized represen- ing „.t,•. r" ' tative of the owner. Plan Check ' . 1 MI provisions of laws and ordinances governing this type of work will Plumbing be complied with specified herein or not,including rou' Mechanical s , i # ' for inspectio los-eill Sign Demolition it -ri 7,J po - Energy Suicharge f . : . - 1 cf Signature of Owner or Authorized Agent ) State Surcharge . ; 'r 1 - Other Side Yard Saback Rear Yard Setback l : - ToTAL $ ' 1 . ,, . . - Conditions: . Use Zone Occupancy Group Type of Cond. it Lot Area Vacant Site Dwelling Units 0 Yes 0 No . i ! it• Fire Sprinklers Required Na of Stories Bedrooms Occupant Load Ds -0 No Size of Bldg. Plans Checked By: L' I "" ' ',ft S: • WHEN SIGNED AND DATED IIELOW,WWI$yummier •7 Petmiadeo is beads Odien o do the above described watt,eotording to the coodidoos - ! t • hereon and accordhig togas sliocried plias ahli specillestions perteining therto,subject to t' t ,t rompliassee with the ordinates of the CITY OF AMMETER. ‘ti, , t••, ,," !, r 1 ! Permit limed BY f ".I I I CA-iti 617.--fit i Building Official (Date) t S I.•ir-t I It l I :arc PERMIT Nit 7975 . ,... :-..?