HomeMy WebLinkAboutPermit File 4006 Peters Lane 0816702-1 0136 06i'17/2006 001
tT Q Ci of Anaeortes Permit Fees 000181 77.00
tY Permit#: BLD-2008-0303
904 6th Street Issue date: 06/17/2008
,, . P.O.Box 547
, 0#. Anacortes, WA 98221-0547 Expire date: 06/17/2009
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Job Address: 4006 PETERS LN Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3948 Project:
APN: P100319
Remarks: tear-off&re-roof
Owner: LAURIE&CARLOS MEDINA Contractor:
Address: 4006 PETERS LN Address:
ANACORTES WA 98221-3948
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 7910 Building Permit Fee 68.50
State Building Code Fee 4.50
Total Calculated: 73.00
Deposits/Receipts: 0.00
Total Due: 73.00
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. 1
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 LOC W REGULATING CONSTRUCTION OR THE PERFORMANCE OF CON�STTRRUCTION.
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SIGNATURE OF OWNER OR A HORIZED AGENT ISSUED BY
‘z r q CITY OF ANACORTES
WASHINGTON
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BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
New Single Family Residence
Located At: 4006 Peters Lane
STREET&NUMBER
Owner: Christenson Bros.
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg.Permit # 9195 Date Of Issue: 10-11-91
Occ.Group: R3/M Use Zone: PAM
Has Been Inspected And Occupancy Is Hereby Authorized,
This 13,1 Day Of APril 19 92
4 AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
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If^i INSULATION CERTIFICATE' 016393
CHRISTENSON BROTHERS 4006 PETER LANE
1557 B MEMORIAL HIGHWAY ANACORTES •
MT. VERNON, WA. 58273
Tv3e of Material Manufacturer Thickness So Ft Covered R Value Width d pal 4t,5 a_a
AMC SLOW
ULTRATHERM ILOsING WOOL CERTAINTEED CERTAINTEED 12.75 1042.00 30 24.00 25.00
Total Sq Ft Installed: 1042.00
61:0JNI COVER
a MIL 10'x100' ELAC6 POLY R 1000 NOT APPLICABLE 1500.00
Total Sq Ft Installed: 1500.00
WRAP WATER PIPES
7/8" ID 6' FOAM PIPE WRAP A 282 PIECENOT APPLICABLE 144.00
4 Total Sq Ft Installed: 164.00
EXTERIOR WALLS
R-19 UNFACED CERTAINTEED CERTAINTEED "6.25 1550.00 19
4 MIL CLEAR POLY 8'x100' A800 NOT APPLICABLE 1776.00
Total Sq Ft Installed: 3326.00
BAY WINDOW
R-30 UNFACED OWENS-CORNING OWENS-CORNING 9.00 20.00 30
Total Sq Ft Installed: 20.00
SLOPED CEILING
R-30 UNFACED OVENS-CORNING OVENS-CORNING 9.00 160.00 30
Total Sq Ft Installed: 160.00
GARAGE CEILING UNDERHEAT
R-I9 UNFACED CERTAINTEED CERTAINTEED 6.25 98.00 19
Total Sq Ft Installed: 98.00
CANTILEVER FLOORS
R-19 UNFACED CERTAINTEED CERTAINTEED 6.25 78.00 19
Total Sq Ft Installed: 78.00
UNUUERFLUOR
R-:9 ;CiFACEaa CERTAINTEED CERTAINTEED 6.25 975.00 19
Total 5q Ft installed: 975.00
Pe€arks: .
Sono-Therm Insulation, Inc. SO NO TI t 264116
9195 4006 Peters Lane Christenson Bros. 10-11-91 VN R3/M RM
New residence
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-FOR INSPECTIONS CALL CITY OF AN4►CORTES PERMIT
2831901 BUILDING PERMIT •
24 We. Notice Requested Site Address 40fl8 Peters Lane
NAI48(cat NAh16 OF,BUSINESS)
•
Chriptenebn Bros
MA ADDRESS
185757 Memorial Hwy
iS No. TYPE OF FIXTURE°I(ITEM FEE
CITY TELEPHONE NUMBER 9 Water Closet $ 6.00
• Mt. Vernon, WA 982'3 424-8786 2 Bathtub 4.00
NAME 4 Lavatory 8.00
Crane Design 1 Shower 1 2.00
ADDRESS 1 Kitchen Sink• 2.00
10803 Kent Kangley Rd. 1 Dishwasher 2.00
CITY TELEPHONE NUMBER Laundry Tray
` Kent, WA 98031 859-2954 1 Clothes Washer 2.00
NAME 1 Water Heater 2.00
Christenson Bros Urinal
ADDRESS Drinking Fountain •
Floor Sink or brain
CITY TELEPHONE NUMBER Slop Sink
it, I Water Piping 2.00
STATE LICENSE NUMBER CITY LICENSE NUMBER '
CHRISSSI I OQ4
❑7Resi&ntial ❑ Non-Residential _ PERMIT $ 1 .00
❑lliew b Add ❑Alter ' r TOTAL'FEE $ 33 .00
0/Building 0/Plumbing ONMechanical MECIIANICA,L
❑ Sign ❑ Demolition GLOther OCAS CI OIL ❑ ELECT. ❑ OTHER
Legal Description of Property or Tex Account Number
No, TYPE OF EQUIPMENT FEE
of
Pt3 Block
Addition AirCond. Unit $
- Refrigeration Unit— HP
Boiler— HP
I Forced Air System— BTU/KW 1 .00
Describe Work Floor Furnace
New Single Family Residence Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
❑)Single Family Residence 0 Multi-Family Residence Range Hood
❑ Office ❑ Retail ❑ Storage ❑Church Air Handling Unit— CFM
❑ Restaurant 0 Other - - Pre-manufactured Stwe or Fireplace
NOTICE 1 Gas Piping 1 .00 '
This permit is issued by the Building Official and,under the provisions
l, of the Uniform Building Code,shall expire by limitation and become null
and void ifs*building or work authorized by such petinit is not com- PERMIT' $ 15 .00
menced within 18fY;days from the date of permit issuance,pill'the building TOTAL;FEE $ 27 .00
r` or work authorized by such.permit is suspended or abandoned at arty time ,-i r,
after the work is commenced for a period of 180 days.,
TOTAL FEES VALIJOION FEE
By affixing my sigmture, I hereby certify that I am the owner of the Building 57,077 .00. $ 337.00
property for which this permit is issued or am an authorized represen- Plan Check 10r3 .00
wive of the owner. ,
I i All . . . .. of laws : ..i ordinance 'ng this`.type of work will Plumbing -.} 33 .00
;' be comp _. with whether' •- ift . ,including routine calls Mechanical 2? .00
l' ' for ins°- .. .:. j - Sign
4 / �/s.s Demolition
Mis9-9, Energy Surcharge
"> Signature d Owner or Aotlgrittd Agent""" ) State Surcharge 4 .$0
.other sewer 277C .00
.suet setback 2oSide Yard setback Rem Ystd?Selback 20 TOTAL;S 3,34C .50
' Use ZoneR.Dccupensy Group Rolm Type
of'Const. VN'Conditions:
LotAre T}}Victo[Site Dwelling Units 1
❑yes ❑No
Fire Sprinklers Required Not Stories Bedroll OcapM,toad
❑Yes ❑ to 5 °
. See or Bldg. Plans Cl eckd By:
E Lyle `
t t war! AWD'DATEs IU.ewi ne$a rag rptS .
q; Probe*isggivsr tWal worh.agoprl4ivg to--the condition
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barged and adeeehig hi lie*Wowed ghliAoil pig tact.subject to ;
' eompWm with the retraces of the CITY OF ANAGdRTEH.
4
AO/11/91
Permit Rued By rafts , it® (+ r /Ar ft�
i Building official (Date) - 91
Edwin Frank
PEEAMIT
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