HomeMy WebLinkAboutPermit File 4001 Peters Lane .
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G'i £ Y O _ City of Anacortes Permit#: BLD-2007-0728
904 6th Street Issue date: 10/11/2007
P.O.Box 547
Expire date: 10/10/2008
. ` to' Anacortes, WA 98221-0547
� ,./ (360) 293-1901
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Job Address: 4001 PETERS LN Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3948 Project:
APN: P100322
Remarks: Repair porch add proch roof and provide trim.
Owner: POPE JOHN P Contractor: D.E. JONES CONSTRUCTION CO.
Address: 4001 PETERS LN Address: 6535 WHISTLE LAKE RDI,
ANACORTES WA 98221-3948 ANACORTES WA 98221
Phone: Phone:
License#: DEJONB6p6
General Information: Fees:
Building Valuation 6000 Building Permit Fee 56.50
Plan Review Fee 36.73
State Building Code Fee 4.50
Total Calculated: 97.73
Deposits/Receipts: 0.00
Total Due: 97.73
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IFS 2:
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. F. o
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 8
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER "
TE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OW HORIZED AGENT ISSUED BY
0,ly_oa Residential Building Permit Application
';> Building Department
'.%00, P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: t-oo-/ igL7'a' (
CONTRACTOR ElApplf nt PROJECT DESCRIPTION `_ l t
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Address 3C A c_ \. VcbtaO `ROCC— �1\ C l
City/Staatt/e//Z/ip 2,-7�;0 neck/ r'/ (�y\ 6 9co -v J -t'C ( -
Phone / ( (3---dJ2-9AX /2ry 3' tR,l ,
State License# )1E)0U y (3L2?LExpL (o
PARCEL NUMBER
City of Anacortes License
PROPERTY OWNER U Applicant LEGAL DESCRIPTION
Name )se-,\Atn .-..."PO ; ff ^
Address tErQ l f e %re L-.L�h
City/State/ZipCiC ' CCZZ( PROJECT VALUATION
1-t
Phone FAX
761)00 loop
Number of Dwelling Units
E-Mail Address Number of Stories
Building Area:
0 Architect esiggn(err 0 Engineer 0 Applicant 1st Floor s.£ 2nd Floor s.f
Name tz . CM&Cip VI£j 1 , 3`d Floor s.f Basement s.f
Address 5&w S we � Ci\n Oov E Garage s.f Carport s.f.
City/State/Zip Deck s.f. Lot Area s.f.
Phone FAX
E-mail Address
CONTACT 0 Applicant LENDER
{"�\�� ram—\ LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name /��.Q\ �J b`� IN VALUATION PER RCW.
Address J Name
City/State/Zip Address
Phone FAX City/State/Zip
E-mail Address Phone No. . -
CONTINUED ON THE BACK __
67 !S6
Residential Mechanical Fixtures
Fuel Type
❑ Natural Gas 0 Electric 0 Wood ❑ Propane Gas 0 Other
Type of Equipment Number of Type of Equipment Number of
Fixtures Fixtures
Furnace<=100K BTU Clothes Dryer
Boilers/AC/Heat Pump Gas Water Heater
Gas Outlets Gas Fireplace
Ventilation Fans Fireplace Insert
Stove,Appliance Other Units
Range Hood
Residential Plumbing Fixtures
Type of Fixture Number of Type of Fixture Number of
Fixtures Fixtures
Toilet Clothes Washer
Bathtub Electric Water Heater
Shower Utility Sink
Dishwasher Hose Bibb
Hand Sink Water Piping
Kitchen Sink w/Disposal Additional Fixtures
I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLYI�,
WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMIT ALL
CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS
LICENSE. STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT
PROPER LICENSE.
APPLICANT'S SIGNATURE DATE
Last Updated 11-29-05
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1 o CITY OF ANACORTES
WASHINGTON
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coe's�, BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 4001 Peters Lane
STREET&NUMBER
Owner: Christenson Bras.
Constructed By Owner
OWNER OR CONTRACTOR
Bldg.Permit# 9738 Date Of Issue. ®5-92
R3
Occ.Group: Use Zone:
Has Been Inspected And Occupancy Is Hereby Authorized,
2$tJr,, August 92
This � ),Day Of19
//11. L. i
te, AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
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! 4 °d.-, r? Certificate of insulation
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The undersigned certifies that Owens-Corning Fiberglas insulation has been installed in accordance
I with the manufacturer's recommended application of the product. 3
�;- CD Types of Insulation
t, Batts Blowing Wool Coverage ,
Kraft Unfaced Foil FS 25 Cubed Standard R-Value Thickness Area 1
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Attic �
1 3( _ , 1 C _ Wails
riti _ _ _ _J_ _ _ Floors
We used bags of Loose Fill material covering sq. ft. 1
n;
21001 - 21-er s La no CI.Y C��1�-�5 i U .
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street address city, state, zip
Fiberglas bi ing wool is non-combustible, non-corrosive and inorganic.
Signed
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I installer ) -
PACIFIC INSULATION ' PACIFI*163M8 '7 I
company to lic e # 3
3415 JAMES ST., BELLINGHAM WA 98226 �
city, state, zip date z.i
1 , Keep this certificate with your other valued papers. If you ever sell this property, this certificate
} should be passed on to the purchaser. 17,
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9738 4001 Peters Lane Christenson Bros. 5-6-92 VN R3 RM
Single Family Residence
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FOR INSPECTIONS CALL:
CITY OF ANACORTES PERMIT ,
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 400 t peter Lane
NAME(OR NAM OF BUSINESS)
Christenson tiros PLUMBING `
MAILING ADDRTSS No. TYPE OF FIXTURE[ORf ITEM FEE_
166/ Memorial Hwy
• CITY TELEPHONE NUMBER Water Closet $
Mt. Vernon, WA 98273 424-8/06 Bathtub
NAME Lavatory
Shower - - -
ADDRESS Kitchen Sink
. I Dishwasher
81 CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer _
NAME Water Heater
' Christenson Bros Urinal
a '
, i ADDRESS Drinking Fountain
Floor Sink or brain
CITY TELEPHONE NUMBER Slop Sink
u Water Piping
• STATE LICENSE NUMBER CITY LICENSE NUMBER
i CHRISS$11OQO
Cl4tesidential ❑ Non-Residential PERMIT $
❑,New ❑Add ❑ Alter 0 Repair TOTAL',FEE $
• ❑ Building 0 Plumbing 0 Mechanical MECHANICAL
0 Sign 0 Demolition :Other 0 GAS 0 OIL ❑ ELECT. ' 0 OTHER
. Legal Description of Property or 71,x Account Number No. TYPE OF EQUIPMENT FEE
9 Block
Pe first Addition AirCond. Unit $
' Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
New Fence Wall Heater
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 Pre-manufactured Stove or Fireplace
NOTICE Gas Piping
This permit is issued by the Building Official and,under the provisions
' of the Uniform Building Code,shall expire by limitationiind become null
' and void if the building or work authorized by such permit is not com- PERMIT $
menced within ISO days from the d de of permit issuance,or if the building TOTAL FEE $
- or work authorized by such permit is suspended or abandoned at any time
after the work is commenced for a period of ISO days. l
TOTAL FEES PALLIATION FEE
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 represen- Building $
tative of the owner. Plan Check 0.00
All p of laws ordinances governing this type of work will Plumbing
be ed with wheth • rein or not,including routine calls Mechanical
•
for i 'ens. Sign
' Demolition
/tit-• 71:9r Energy Surcharge
Signature of owner or Authorized Agent (Pate) State Surcharge
Street Setback Side Yard Setback Rai5titd Setback Other Fence 10.00
TOTALS 10.00
a Use Zone Occupancy Omup Type of Covet. Conditions:
Lot Area Want Site Dwelling Units
❑Yet ❑No
Fa Spinkkn Required No.of Stories Bedrooms Occupant Load
❑Yes ONo
Size of Bldg. Plana Checked By:
" WEN SIGNED AND DA'7;fLttMMA MIB IS YOUR PERMIT
Poetise*(M . -Mari to do tharabMidsrth.dwok.ae swing to the condition
- Sean and aeen't1Et s-ra's aipovad'biss and1$naauma prteRitg thrmto,subject to
amputees with the tackiness of the OTT OF ANACdR1ES.
x 10/23/91
' Permit Issued By . , t, '', i. f- L.Q {.:-- i .. IC ti
Building Official (Dale) NY
0234
Edwin Frank
PERMIT
AO
FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT 'la 9738
293.1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 4001 Peters Lane
NAME(OR NAME OF BUSINESS)
Ctwtsteheon Bros PLUMBING
MAILING ADDRMemorial
a No. TYPE OF FIXTURE OR ITEM FEE
1667 Memorial Hwy
CITY TELEPHONE NUMBER 3 Water Closet $ 6•00
Mt. Vernon, WA 98273 424-8768 3 Bathtub 5.00
r NAME - 4 Lavatory 8.00
Ron Smith I Shower 2.00
ADI`RESS 1 Kitchen Sink 2.00
1000 6th Street i Dishwasher 2. 00
CITYTELEPHONE NUMBER I Laundry Tray 2.00
A11Rcortes, WA 98221 293-2585 Clothes Washer
NAME 1 Water Heater 2. 00
Christenson Bros Urinal
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
t Water Piping 2. 00
STATE LICENSE NUMBER CITY LICENSE NUMBER
a,; ,t:: ❑ Non-Residential PERMIT $ 3. 00
� sir ^��''0 Add ❑ Alter Q Repair TOTAL FEE $ 35, 00
I Plumbing [S Mechanical MECHANICAL
b°s<'• ❑ Demolition ❑Other ❑ GAS ❑ OIL ❑ ELECa. ❑ OTHER
- ='i Deacriptioa of pfriplti4t,.74n Ath,t I.`jytaber
Na i'YP.E`99`tb'(}fENT FEE
Lot 8' .Block of
Rapist Peters First Add. AirCond. Unit $
Refrigeration Unit— HP
Boiler— HP
i Forced Air System— BTU/KW 9 00
•
Describe Rork Floor Furnace
New Single Family Residence Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use 5 Ventilation Fan 32 50
OtSingle Family Residence 0 Multi-Family Residence Range Hood '
' CI Office ❑ Retail ❑ Storage ❑Church Air Handling Unit— CFM
0 Restaurant 0 Other Pre-manufactured Stove or Fireplace
. , NOTICE I Gas Piping 3 00
This permit is issued by the Building Official and,under the provisions
of the'U$itorm Building Code,shall expire by limitation and become null
and voiblIi�f�the building or work authorized by such permit is not com- PERMIT $ 15 00
menccd Within 180 days from the date of permit issuance,or if the building TOTAL FEE $ 59 50
or wotk authorized by such permit is suspended or abandoned at any time I,,
after the work is commenced for a period of 180 days. TOTAL FEES VAL[fATION FEE
By affixing my signature, I hereby certify that I am the owner of the Building 1451, 191 .60 $ 548 00
property for which this permit is issued or am an authorized represen-
tative of the owner; Plan Check 300 00
3 b 00
All prov of laws ;' .t"•• • -: governing this type of work wi0 Plumbing
be comp -• with whether in or not,including routine calls Mechanical 59 50
for ins'- :Jns• ./iiii' / Sign
Demolition
/� �` 47't,,, Energy Surcharge -
Sistine ZSner or Aweorteed Ages (Due) State Surcharge 4 50
Street Seers sae lard Setback adr-va A Betas Other Sewer 2839 00
20 10-5 20 TOTAL. $ 3,792 00
Use Zorn RPf omnpoq•Group R 3 Type of Cons. VN Conditions:
Lot Ana Vann She 'Dwelling Units 1
1 Yes 0 No
Pin Spinkien Required Na of Stories Bedoun pi u Occupier Lod
Ws ( No
Size dBldg ytOedcornish
tl�l•R10NF0 AS DATA nos m veva PnlUT'
Psrwa a ii Y` yika fe de thwart ' work ante to the eadiYaa
herein es t saeeYl1g the approved pleat oat ipidlialki a petaiokg therm,subject to
miler with the tedirgees el the an OF ANACORTES.
05/05/92
Permit Issued By i r , / . : ,
Building!Withal (Date)
Edw, frank
=.fI 4, PERMIT t4 , 9738