HomeMy WebLinkAboutPermit File 4004 Peters Lane 0617404-1 0001 066/23/20006 002 4
F_r'rfi1: Fees 007072 $61£0
G%`r Y O City of Anacortes Permit#: BLD-2006-0456
904 6th Street Issue date: 06/23/2006
P.O.Box 547 Expire date: 06/23/2007
y ' 'Of Anacortes, WA 98221-0547
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Job Address: 4004 PETERS LN Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3948 Project:
APN: P100320
Remarks: Tear off and Rroof with composition.
Owner: KEVIN/LIZ SHORT Contractor:
Address: 4004 PETERS LN Address:
ANACORTES WA 98221-3948
Phone: (360)299-3535 Phone:
License#:
General Information: Fees:
Building Valuation 6000 Building Permit Fee 56.50
State Building Code Fee 4.50
Total Calculated: 61.00
Deposits/Receipts: 0.00
Total Due: 61.00
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 GRANtHORIZED
PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF AGENT ISSUED BY
CE Y o„ CITY OF ANACORTES
WASHINGTON
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9coe�W BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 4004 Peters Lane
STREET&NUMBER '
Owner Christenson Bros. '
Constructed By: Owner
OWNER OR CONTRACTOR '
Bldg.Permit# 4$31 Date Of Issue: & .*g S.s'9`�
y3 BM
Occ.Group: Use Zone: '
Has Been Inspected And Occupancy Is Hereby Authorized,
This 24th Day Of November 19 92
S� �. � �`,-- 1 n1 A 1
AUTHORIZING OFFICIAL 1 '
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. G
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BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD94-0296
P.O. BOX 547 APPLIED: 07/29/94
ANACORTES, WA 98221 ISSUED: 07/29/94
(206) 293-1901 EXPIRES: 07/29/95
SITE ADDRESS: 4004 PETERS LN
ASSESSOR'S PARCEL NO. : LOT 6
PROJECT DESCRIPTION: EXTEND PERMIT NUMBER BLD93-0317
— OWNER — CONTRACTOR — LENDER
DEBRA ALDRIDGE
4004 PETERS LANE
ANACORTES WA 98221
293-9014
TYPE OF WORK • ' AREA (sf) VALU. . . $: 0
TYPE OF USE • ' LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY • ' 1ST FLR • 0 FRONT 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
: 7 BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
: ? : ? : 7 : 2 OTHER 0 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
: ? : ? : ? : ? NUMBER OF UNITS • 0 COMPACT • 0
OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf
. 0: 0: 0: 0: BUILDING HEIGHT. : 0 ft
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PLCK $ 16.25 DM 07/29/94 2786
STBC $ 4 .50 DM 07/29/94 2786
TOTAL $ 20.75
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all
dinances and laws regulating activities covered by this permit. —
Issued by Applicant or ner' s Signature'
24 Hour Notice Required For All Inspections
bld_prmt, Rev: 06/11/92
0 0
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD93-0317
P.O. BOX 547 APPLIED: 07/23/93
ANACORTES, WA 98221 ISSUED: 07/23/93
(206) 293-1901 EXPIRES: 07/23/94
SITE ADDRESS: 4004 PETERS LANE
ASSESSOR'S PARCEL NO. : 4574-000-006-0005
PROJECT DESCRIPTION: remodel exisiting s.f.d. into a duplex
— OWNER — CONTRACTOR — LENDER
WILL ALDRIDGE
4004 PETERS LANE
ANACORTES WA 98221
293-9014
TYPE OF WORK •ALT AREA (sf) VALU. . . $: 2000
TYPE OF USE *MP LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY •') 1ST FLR • 1456 FRONT • 0 ft
ZONING 2ND FLR • 740 SIDE • 0 ft
:RL BASEMENT • 1000 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 592 REQUIRED PARKING--
:Rl :7 : 7 :7 OTHER 0 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
:5N :7 : 7 :7 NUMBER OF UNITS • 2 COMPACT • 0
OCCUPANT LOAD STORIES • 2 IMPRV SURF. : 0 sf
. 0: 0: 0: 0: BUILDING HEIGHT. : 0 ft
— FEES — NOTES
Code Amount---- By- Date---- Receipt p
PLCK $ 29.25 DM 07/23/93 1438 lit�GA ,-An )a-&Q--C/s Q(`x -
PRMT $ 45. 00 DM 07/23/93 1438
STBC $ 4.50 DM 07/23/93 1438
Ind it -1 •
TOTAL $ 78.75
I hereby acknowledge that I have read this permit and state that the above information is corre t, and agree to comply with aLL
ordinances and laws regulating activities covered by this permit.
Issued by App ' s ignat e
24 Hour Notice Required For All Inspections
bld_prmt, Rev: 06/11/92
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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
(Th Baits Blowing Wool Coverage , i
j '' • Kraft Unlaced Foil FS 25 Cubed Standard R-Value Thickness Area I_
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1- \ • �U Attic
\) Wails ('
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I Floors •
We used bags of Loose Fill material covering sq. ft.
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street address city, state, zip
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�,� Fiberglas blowing wool is non-combustible, non-corrosive and inorganic. i i
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Signed l�!'l�' Iis' �� �llA - 1 '.
installer li O (,
PACIFIC INSULATION PACIFI*163M8 • i
company state i'cense #
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3415 JAMES ST., BELLINGHAM WA 98226 ink: C.. �
- city, state, zip date
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Keep this certificate with your other valued papers. If you ever sell this property, this certificate
should be passed on to the purchaser.
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9831 4004 Peters Lane Christenson Bros 6-15-92 VN R3 RM
New Single Family Residence
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FOR INSPECTIONS CALL: CITY OF AN'ACORTES PERMIT rt 9831
293.1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 4004 Peters Lane
NAME(OR NAME OF BUSINESS) PLUMBING
Christenson Bros
MAILING ADDRESS No. TYPE OF FIXTURE OR PTEM FEE
1557 Memorial Hwy
CITY TELEPHONE NUMBER 3 Water Closet $ 8.00
Mt. Vernon, WA 98273 424-8768 3 Bathtub 8. 00
NAME 3 Lavatory 8.00
Ron Smith I Shower 2. 00
ADDRESS 1 Kitchen Sink 2 .00
1008 5th Street 1 Dishwasher 2 . 00
CITY TELEPHONE NUMBER Laundry Tray
Anacortes, WA 98221 293-2585 1 Clothes Washer 2. 00
NAME I Water Heater 2 . 00
Christenson Bros Urinal
re
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
o 1 Water Piping 2 . 00
STATE LICENSE NUMBER CITY LICENSE NUMBER i
CI4RISSS11000
Gatwick:WA ❑ Non-Residential PERMIT $ 3 00
DIkew O Add ❑ Alter O Repair TOTAL FEE $ 33 00
I huilding GI Plumbing 11 Mechanical MECHANBOAL
❑ flan ❑ Demolition ❑Other Q GAS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description of Proper%?r'I x Account number,r Na -')` h?OF E015141148T FEE
Lot 6 Block of
Rep l at Peters 1st Addition Air Cond. 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 .
Dc 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 limitation and become null
anti wdid if the building or work authorized by such permit is not com- PERMIT S 15 00
menced within 180 days from the date of permit issuance,or if the building TOTAL'FEE S 59 50
or wort authorized by such permit is suspended or abandoned at any time '
after the work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I am the owner of the Building 118,310.00 $ 415
property for which this permit is issued or am an authorized represen- Plan Check 259 00
tative of the owner. _
All p . tuna of laws ' ordinances governing this type of work will Plumbing _ 33 00
be sum lied with w j r-' herein or not,including routine calls Mechanical — 59 50 ,
for ins,- ioni. / Sign
Demolition
45 'itt9'L Energy Surcharge
,-
Signature of Ownn or Authorized,gent (Date) State Surcharge 4 60
Other Sewer 2839 00
Street Setback 37 r Side Mud Ur 10 a Rear nil Setback 20' TOTAL S 3,0741 00
use zone- RM°aa'war Group R3 Type or Conn. VN Conditions:
Lot Area 10,645 Want Site Dwelling unite 1
gee 0 No
Fire Sginklen Required Ncof Stories Bedraggle Occupant Load
❑Yes th'No
Sire or Bldg. 21 98 Plane Chocked By: Lyle
wINN 8BNED AND DATED BELOW,T®B R YOUR PERMIT
Prririsu Y hereby given to do the above denaihld work,Seeding to the toodidso@
hereon and mdNi to the approved plans and epeci6rtltoa pertaining theta subject to
sorpaam with the ordinances of the CITY OF ANACORTPB.
.fq / (06/15/92
: do Issued By 1 / ram.fri.4) ( 0 Lµ'-✓o' 0
Building Model (Dane)
Edwin Frank.
PERMIT LL'_ $831