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HomeMy WebLinkAboutPermit File 4003 Peters Lane ■S �,Y Y q CITY OF ANACORTES WASHINGTON ycoAt`' BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): i Single Family Residence Located At: 4003 Peters Lane STREET&NUMBER Owner: Christenson Bros. Constructed By: Owner OWNER OR CONTRACTOR Bldg.Permit# 9577 Date Of Issue: 3®11--'2 R3 RR Occ.Group: Use Zone: Has Been Inspected And Occupancy Is Hereby Authorized, This 21 \Day Of July 19 92 ` Oo (1)_ (IcAnir 1 AUTHORIZING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. ■ /■ 1 - - c - 81 y - -#41 ao Ps Lot - - i - Ck�Qasr _�Izos 3-=i -9Z 4 Co-1- N^'L E..TIFI LCERLATION Z, INDEPENDENT SIILATId1 1;;vNr: 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 K 3 o Attic X �q Walls �j _ _ 1 1 Floors of Loose Fill material covering used bags sq. ft. o0 3 ? -ern oz.M0._ „ip.r .c.oc street address city, state, zip Fiberglas bl wing wool is Pion-combustible, non-corrosive and inorganic. SignedJ✓NCIS4-- vrC c e,T CAA__ Q4C l F I I b3 PI company state license # 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. 9490 4005 Peters Lane 2-4-92 Christenson Bros. VN R3/M RM Single Family Residence - -7- 9 , r,c-f p , J4-`j'2 RAD 0 a2 Cit Lt2A)NS C211 I 8-24 -92 lS't�� MEd-, 4-L , Tr\ -CioN ol� -13 -47z oRt\ lem 5-7 - '2n4Sv�- _ -9 a S Crc-aiThc- o -�_ 2-9.z F ©k . FOR LNSPEC7'iQNS CALL: CITY OF ANACORTES . PERMIT , 4001 BUILDING PERMIT Zvi Mrs. Notice Requegsted Site Address 49O:t Peters Lane 1 AME(OR NAME UrBusINEss) G tl istett Bros " f 1r!iaiNG A al e ya4.. Nwr. TYPE OF i CITY TELEPHONE NUMBER 3 Water Closet $ 6 00 Mt. Vernon, WA 98273 424-8766 2 Bathtub 4. 00 NAME 4 Lavatory 8 00 i Ron Smith Shower ADDRESS 4 Kitchen Sink 2 00 ` u 1008 5th Street 1 Dishwasher 2, 00 CITY TELEPHONE NUMBER 1 Laundry Tray 2. 00 Anacortes, WA 98221 293-2605 Clothes Washer NAME - 1 Water Heater 2 00 Christenson Bros Urinal 'a ADDRESS Drinking Fountain Floor Sink or Drain CITY TELEPHONE NUMBER Slop Sink 0 1 Water Piping 2 00 ' U STATE LICENSE NUMBER CITY LICENSE NUMBER CHR I SBS 1100Q - DiResidendel, 0 Non-Residential' :, PERMIT 8 3 00 aNew 'D Add ❑ Alter 0 Repair TOTAL FEE $ 31 00 • [,',Building a Plumbing Elk Mechanical MECHANICAL ❑'Sign ❑Demolition ❑ Other 12 GAS ❑ OIL ❑ ELECr. ❑ OTHER • Legal Description of Property or tut Account Number Na TYPE OF EQUIPMENT FEE Lot 9 Block of Replat of Peters First Add. AirCond. Unit $ ' Refrigeration Unit— HP Boiler— HP I Forced Air System— BTU/KW 9 .00 ' Describe Work Floor Furnace New Single Family Residence Wall Heater Unit Heater Clothes Dryer ' Occupancy Use 5 Ventilation Fan 32 .50 a Single Family Residence 0 Multi-Family Residence Range Hood ❑ Office ❑Retail ❑ Storage ❑ Church Air Handling Unit— CFM 0 Restaurant 0 Other Pre-manufactured Stove or Fireplace NOTICE 1 Gas Piping 3 .00 This permit is issued by the Building Official and,under the provisions .• of the Uniform Building Code,shall expire by limitatiod-mrd become null a ' and void if the building or work authorized by such permit is not com- PERMIT $ 16 .00 menced within 180 days from the date of permit issuanceiOr of the building 'TT,TT AL'' EE S 69 .60 or work authorized by such permit is suspended or abandoned at any time r. • after the work is commenced for a period of 180 days; TOTAL FEES " VAL $&ION FEE By affixing my signature, I hereby certify that I adtthe owner of the Building 07 , 137.00 S 397 .00 poverty for which this permit is issued or am an authorized represen- Plan Check 208 .00 tative of the owner. All provisions of laws and ordinances this type of work will Plumbing _ 31 .00 farmingMechanical 59 . 50 be complied with whether specified 1)e�ip or not,including routine calls for inspections. Sign f Ir. Demolition ,' -�� ,!'A,fr,,,,. it/pyMa,. Energy Surcharge Signature otOwin or Authorized Aral 4:1.ee) State Surcharge 4 .50 3� >$h` k2839 .00 Other sewer .- suedseback 20' skkYad O " 1G' 20' TOTA►. S 3,539 .00 ,. Use Zone RH Occupnry a R3 iyPe of Psi. YN Conditions: Lot Area 9773 Vacant She El No Dwelling Units 1 . Piro Sprinklers Required Nq of Sto ies BedmQma Occupant Load ❑Yes f cNo L .3 . • Size d Bldg. Plans ed Br 2141 t y 14* Cornish A7 w ,G,I -AND'DA1ED RO.OWt TU®YO{IR P®ttrr heck es deew$ed work,aegddiag to the eaoditlam appaer.d;jMs end apadlitetkos pstifdog'tSmfo.subject to ' eampBees with ' of the CitY OP ANACORMS. 03/11/92 Permit lsiued By CY i Ai i' I i I A o (- -rc`,,( Q. Building Official .. (Dale) NI 9577 Edwin Frank PERMIT