HomeMy WebLinkAboutPermit File 4002 Peters Lane - 4
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C) Y o CITY OF ANACORTES
WASHINGTON
qC OF`Sy' BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY j
This is to certify that the(Description of Building or Structure):
Single Family _.,s;idencs
Located At: 4002 Peters Lane
STREET&NUMBER
Owner: Christenson Bros.
Constructed By Owner
OWNER OR CONTRACTOR
Bldg.Permit# 9324 Date Of Issue: 2O"91
Occ.Group: " JIM Use Zone:
Has Been Inspected And Occupancy Is Hereby Authorized,
This 4th('\ Day Of Nactlll 19 C"
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Z_.AU , i_A
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS
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(I.BLATION CERTIFICATE 017027 47)
CHRISTENSON BROTHERS 4002 PETERS LAN
1557 B MEMORIAL HIGHWAY -- ANACORTES
MT. VERNON, WA. 48273 LOT 17
of Material Manufacturer Thickness Sg Ft Covered R Value Width 8-Bags Wt7Bag
s FACING
:',-25 FACING 50°x600' •2835• @ 2500NOT APPLICABLE 65.00
Total Sq Ft Installed: 65.00
r1G COVER
NIL 10'x100' BLACK POLY @ 1000 NOT APPLICABLE 1100.00
Total Sq Ft Installed: 1100.00
' WATER PIPES
(8° ID 6' FOAM PIPE WRAP @ 282 PIECENOT APPLICABLE 150.00
Total Sq Ft Installed: 150.00
:RIOR WALLS
-19 UNFACED OWENS-CORNING OWENS-CORNING 6.25 2463.00 19
t'CORRUGATED CARDBOARD BAFFLES @ 50 PKGNOT APPLICABLE 88.00
MIL 8'1(100' BLACK POLY @ 800 NOT APPLICABLE 2820.00
Total Sq Ft Installed: 5371.00
:WALLS
-19 KRAFT CERTAINTEED CERTAINTEED 6.25 233.00 19
Total Sq Ft Installed: 233.00
' CEILING-BATTS
30 UNFACED CERTAINTEED CERTAINTEED 10.00 187.00 30
Total Sq Ft Installed: 187.00
ED CEILING
30 UNFACED CERTAINTEED CERTAINTEED 10.00 1176.00 30
Total Sq Ft Installed: 1176.00
GE CEILING UNDERHEAT
19 UNFACED OWENS-CORNING OWENS-CORNING 6.25 495.00 19
Total Sq Ft Installed: 495.00
ILEVER FLOORS
19 UNFACED OWENS-CORNING OWENS-CORNING 6.25 78.00 19
Total Sq Ft Installed: 78.00
RFLOOR
19 UNFACED OWENS-CORNING OWENS-CORNING 6.25 1105.00 19
Total Sq Ft Installed: 1105.00
Barks:
is-Therm Insulation, Inc. SO NO TI * 2644G
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9324 4002 Peters Lane Christenson Bros. 11-20-91 VN R3/M RM
New Residence
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FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT
293-1901 BUILDING PERMIT
:24 Hrs. Notice Requested Site Address 4002 Peters Lane
NAMW10R 1!,i4ME OF BUSINESS)
PLUMBIN`' Christenson Bros ..
MAH U1G ADDRESS Na TYPE OF FIXTURE OR ITEM FEE
1557 Memorial Hwy
CITY TELEPHONE NUMBER 4 Water Closet $ 8.00
Mt. Vernon, WA 98273 424-87$8 4 Bathtub 8.00
NAME - 4 Lavatory 0.00 ,
Ron Smith Shower
, ADDRESS 1 Kitchen Sink 2.00
i i Dishwasher 2.00
CITY00$ 5th Street TELEPHONE NUMBER Laundry Tray
Anacortes, WA 98221 293-2585 1 Clothes Washer • 2.00
NAME 1 Water Heater - 2.00
s
Christenson Bros Urinal '
ADDRESS Drinking Fountain• -
Floor Sink or Drain
CITY • TELEPHONE NUMBER Slop Sink
o 1 Water Piping 2.00
STATE LICENSE NUMBER CITY LICENSE NUMBER
CHRI°. i10@0
/, L) eaidendal ❑ Non-Residential PERMIT $ 3.00
e Li'CNew ❑ Add ❑ Alter fi Repair TOTAL FEE $ 37.00
uiiding ® Plumbing ❑2Mechanical MECHANIGrAL
❑ Sign ❑ Demolition 0 Other LIIGAS ❑ OIL ❑ EtBCf. ❑ OTHER
Legal Description of Property or Tax Account Number Na TYPE OF EQUIPMENTFEE
Lot 7 Block of
Pe�srsr first addition Air Coed. Unit $
Refrigeration Unit— HP
Boiler— HP
1 Forced Air System— BTU/KW 9 .00
Describe Work Floor Furnace
New Single Family Residence Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use 7 Ventilation Fan 45.50
DCSingle Family Residence ❑ Multi-Family Residence Range Hood
❑ Office 0 Retail ❑ Storage 0 Church Air Handling Unit— CFM
• ❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace
NOTICE 1 Gas Piping 3.00
• This permit is issued by the Building Official and,Wider 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 $ 16 ,00
mented within 180 days from the date of permit issuancero[lithe building
or work authorized by such permit is suspended or abairiioned at any time TQTA4""=FEE S 72 .50
after the work is commenced for a period of 180 days; TOTAL FEES VALUATION FEE
- By affixing my signature, I hereby certify that I mute owner of the
property for which this permit is issued or am an authorized represen- Building 120,383,00 $ 488 .00
tative of the owner Plan Check 255 .00
All provisio , . . . o ' governing this type of work will•
Plumbing 37 ,00
' be comp' s r not,including routine calls Mechanical72 ,50
[or •ins 4 Sign .
s l Demolition
// $p -9/ Energy Surcharge
Si rate of Owner or Authorized Agent (Date) State Surcharge 4 ,50
Other Sewer 2839 ,00
Street Swat 20 Side Yard Setback
t 0/5 Rar Wfd7selau
20 TOTAL S 3,705,00
e Zone RN Occur?Group R3/M Type of Coast. VN Conditions:
the
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. , Lot Ana Site Dwelling Units 1
Often 0 No
Fire Sprinkles Requited Np,of Stories Bedropms Occupant Lead '
❑Yes._ it No
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Si of Bldg. how Checked By: Lyle.
*BM SIGNED VP MISS ,flN a roi R P®terr
Pemee it heavy gleen.Crgg Oita s SPAS w'eel ...
. to the eood IL '
3d hilts Weile site Se pYS'ed nas—etWos pin ' therto,subject to
- emyYem with thecadisienme of the C8'Y OF ANAb0RTES.
' 11/20/91
. Permf Ismmd By�-^-OLAC FL it .�.�,.,.�. :--.,CA ( st-
S Buirding Official "(Dane)
Edwin Frank PERMIT
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