HomeMy WebLinkAboutPermit File 4010 Peters Lane �,s Y o CITY OF ANACORTES
WASHINGTON
Teo,
ot`' BUILDING DEPARTMENT
1
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 4010 Peter's Lane
STREET&NUMBER
Owner: Christenson bros
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg.Permit# 9180 Date Of Issue: 10,_9s.9
Occ.Group R3IN Use Zone: RN
Has Been Inspected And Occupancy Is Hereby Authorized,
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This 27th Day Of March
t&O1 t.t ei 44,no
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
4010
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1AtJ� 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
/
do ✓ Attic
i _ V Walls
t/ / 9 / Floors 1
We used bags of Loose Fill mates overing sq. ft.
1a/o7 __ Cox -e-e- e.,)
street address city, state, zip
Fiberglas bl Ing wool is non-combustible, non-corrosive and inorganic.
Signed at": int fin_
inguire,
CX A- irde-6�___, gteri.
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comp�r 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.
9180 4010 Peters Lane Christenson Bros. 10-9-91 VN R3/M RM New Residence
1- I-91 FMV S7Ja� ��
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FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT
2831901 BUILDING PERMIT
24 rim. Notice Requested Site Address 4010 Peters Lane
lly NAME(OR NAME OF BUSINESS) PLUM '
PLUMBING
Christenson Sros Inc
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
1557 Memorial Hwy _
CITY TELEPHONE NUMBER 3_Water Closet $ ti Uu
r Nt. Vernon, WA 98273 424-8760 2 Bathtub 4 00
`' NAME
l' 3 Lntory a 00
:j Crane Design Shower
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
Owner Urinal
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
0 1 Water Piping 2 .00
STATE LICENSE NUMBER CITY LICENSE NUMBER
CHRISSS11000
commits* 0 Non-Residential PERMIT S 4.490
DQdew '❑Add ❑.Alter 0-Repair TOTAL FEE $ 29.00
*Building *Plumbing *Mechanical MECHANICAL
0 Sign O Demolition ❑ Other [**GAS ❑ OIL ❑ ELECF. ❑ OTHER
Legal Description of Property or 1kx Account Number Na TYPE OF EQUIPMENT FEE
Lot 4 Block of
Peter first addition Air Cond. Unit $
Refrigeration'Unit— HP
Boiler— HP
1 Forced Air System— BTU/KW .00
• Describe Work - • Floor Furnace
New Residence Wall Heater
Unit Heater _
Clothes Dryer
Occupancy Use Ventilation Fan
[kSingle Family Residence ❑ Multi-Family Residence Range Hood
• 0 Office ❑ Retail 0 Storage 0 Church Air Handling Unit— CFM .
❑ Restaurant ❑ Other Pre-manufactured Stove or Fireplace
NOTICE 1 Gas Piping 3•Ott
This permit is issued by the Building Official and,under 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 $ 15.00
menced within 180 days from the date of permit issuance,,or if the building TOTAL FEE $ 2 f .00
or work 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 54, 1 Ott.UO $ 445.00
property for which this permit is issued or am an authorized represen- 1(S:3.OU
tatve of the owner. Plan Check
Plumbing IV LW
.. All provisions of laws and ordinances governing di of work will 27,.00be complied with whether specified bite' not,' 1 ing routine calls Mechanical
for inspections. Sign
� r Demolition
J Energy Surcharge
A Signets or or �'9S) State Surcharge • 4•50
Street Setback 2t'Stan,tad Setback Rear wad Setback 20 2 f f U.50
Other sewer TOTAL S 3,321 .60
• -
Use zone RNO"'igencY Oreup R3/M Ts`aF con8. V J Conditions:
Los Area %%-, Site Drelli g Units 1Y
• 0Abs ❑No
Fire Sprinklers Required No2of Stories Bed Occupant Load
Sze of Bldg. Plans Checked By: Lyle '
WHEN SSNp AND DATED BELOW,TH rg YO Rt mum
hemirinn khwe Wino to do the above&Shedd work.amdirg tthe eaodid=
I naa s mod otonoli to the-approved—ao8'Wedikatkaa peaking that..subject to .
complier with the wanner ti the CITY OF ANACOBTEB.
10/09/91
penult
Issued By f is i(.trQ LLQ F "r•Y`�icQ
Building Ofrcial (Dam)
Edwin Frank
PERMIT rill tit*