HomeMy WebLinkAboutPermit File 4012 Peters Lane Y
z o,,, CITY OF ANACORTES •
WASHINGTON
gcoc' BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At 4012 Peters Lang
STREET&NUMBER
Owner:
Christenson Bros.
Constructed By _ Owner
OWNER OR CONTRACTOR
1
Bldg Permit# 9170 Date Of Issue: 10`4-91
Occ.Group: k$/M Use Zone: )_Cii
Has Been Inspected And Occupancy Is Hereby Authorized,
This 2 Day Of February 19 92 .
AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPEC/AL REQUIREMENTS.
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INSULATION CERTIFICATE 016273
CHRISTENSON BROTHERS 4012 PETERS LANE
1557 B MEt';ORTAL HIGHWAY A:AIIRTES
NT. VERNON, WA. 96273
of Material Manufacturer Thickness Sq Ft Covered R Value Width t Eags Ut/Bag
C FLOW
TRATNERM BLOWING WOOL CERTAINTEED CERTAINTEED 12.75 1000.00 30 23.00 25.00
Total Ft Installed: 1000.00
IAD COVER
MIL 10'x100' BLACK POLY @ i000.. NOT APPLICABLE 1500.00
Total Sq Ft Installed: 1500.00
WATER PIPES
8° ID 6' FOAM PIPE WRAP @ 282 PIECENOT APPLICABLE 168.00
Total 4 Ft Installed: 168.00
=RIOR WALLS
-19 UNFACED CERTAINTEED CERTAINTEED 6.25 1705.00 19
MIL CLEAR POLY 8'x100' @800 NOT APPLICABLE 2400.00
Total ELI Ft Installed: 4105.00
:WALLS
-19 KRAFT OWENS-COORNTNG OVENS-CORNING 6.25 30.00 19
Total Eq Ft Installed: 30.00
I CEILING-BATTS
-30 UNFACED OWENS-CORNING OWENS-CORNING 9.00 48.00 30
Total Eq Ft Installed: 48.00
'ED CEILING
-30 UNFACED OWENS-CORNING OVENS-CORNING 9.00 168.00 30
MIL CLEAR POLY 8'x100' @800 NOT APPLICABLE 400.00
q Total Sq Ft Installed: 568.00
GE CEILING UNDERHEAT
-19 UNFACED CERTAINTEED CERTAINTEED 6.25 170.00 19
t'CORRUSATED CARDBOARD BAFFLES @ 50 PKGNOT APPLICABLE 46.00
Total Sg Ft installed: 216.00
:RFLOUR
-19 LNFACED CERTAINTEED . CERTAINTEED 6.25 1050.00 19
• Total Eq Ft Installed: 1050.00
::arks:
;co-Thera Insulation, Inc. SO NO TI * 264gS
9170 4012 Peters Lane Christenson Bros. 10-4-91 Vn R3/M RM
New Single Family
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FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT
293-1901 BUILDING PERMIT -
24 Hrs. Notice-Requested Site Address 4012 Peters Lane
y. NAME (Olt:NAME OF'ROSINESS) tPLUMBING
Christenson Bros _
3E' MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
1557 Memorial Hwy
CITY TELEPHONE NUMBER 3 Water Closet $ 8 .00
Mt. Vernon, WA 98273 124-8786 1 Bathtub 2 .00
NAME 5 Lavatory 10 ,00
4 Crane Design 1 Shower 2 .00
ADDRESS 1 Kitchen Sink ' 2 .00
10803 Kent Kangley Rd. 1 Dishwasher 2 .00
CITY TELEPHONE NUMBER Laundry Tray
Kent, WA 98031 859-2984 I Clothes Washer 2 .00
NAME 1 Water Heater 2 .00
ac Christenson Bros Urinal
ADDRESS Drinking Fountain `
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
1 Water Piping - 2 .00
"' STATE LICENSE NUMBER CITY LICENSE NUMBER
CHRISB2511000
D'Resideulta,l O Non-Residential ', PERMIT $ 3.00
DcNew ❑Add ❑Alter ti Repair IOTAkt, EE $ 33.00
Dtllwld ng UtPlumbing 2tMechanical ' MECHANICAL
❑ Sign 0 Demolition 0'Other aGAS ❑ OIL ❑ EI,ECF. 0 OTHER
Legal Description of Property or Tex Account Number '
Lot 3 Block of No. TYPE OF EQUIPMEI1T FEE
Peter first addition Air Cond. unit $
Refrigeration Unit— HP
Boiler— HP
I Forced Air System— 1 BTU/KW 9.00
' ' Describe Vibrk - Floor Furnace _
Mew Single Family Residence Wall Heater
Unit Heater
i Clothes Dryer .
Occupancy Use Ventilation Fan
OSSingle Family Residence 0 Multi-Family RFsidence Range Hood " "
❑ Office 0 Retail ❑ Storage ❑ Church - Air Handling Unit— CFM
0 Restaurant 0 Other Pre-manufactured Stove or Fireplace
NOTICE 1 Gas Piping 3.00
f This permit is issued by the Building Official and,under the provisions
y` of the Uniform Building Code,shall expire by limitatioryand become null
'" and void if the building or work authorized by such permit is not com- PERMIT $ 15.00
y' rnenced within 180 days from the date of permit issuance;,or if the building
or work authorized by such permit is suspended or abandoned at any time 7'OTAI 'FEE $ 2 7.00
after the work is commenced for a period of 180 da$g' - "
TOTAL FEES VALUATION FEE
By affixing my signature, I hereby certify that I ain;the owner of the
property for which this permit is issued or am an authorized represen- Building 73,748.OQ` $ 355.00
tative of the owner. Plan Check , 181 .00
All provisions of laws and ordinances Bove ' type of work will Plumbing 33.00
6 be complied with-whether specified herein or n chiding routine calls Mechanical 2 7_.00
)1 for inspections.//, Sign
x' / - Demolition
r�,r� :Energy Surcharge
s' re d owns. Agent L.+• -(Date) 'State Surcharge 4.50
"� Other Sewer 2770.00
saes seswek 2 fi See Yazd Setback 5/10 Rear vatp,seb:et 20 TOTAI' $ 3,370.50
, Use zone Rt o«nwar Una, R3/t4 JPe dfaae VH Conditions:
"t Lot Area Vacant Site DwellinigUnits
. likes ❑No 1 F,
. Fire
P Yet
�Sprinklers Required Na of Stories Bdtogns Occupant,toad
o t
H,
iS d Bldg. Plans Checked By: Lyle
yle
WHEN SW AND DATED P0.OD,IBIS IST« masrr i III
.t r har $'s ree td do Ow ehtele daaamad work;' to the conditions
See :fp4Iadpeovd;phatend'tgshortisuap then*,subject to
compliance witbt e(Alms d the CITY OF ANACORTES. =
/ I0/04/91
1 Permit Issued By ' it. 1,,' As .f.dial �_--"r .rxa i r�
Building Official (bale) i' PP v!TO
Edwin Frank '`
PERMIT