HomeMy WebLinkAboutPermit File 4019 Peters Lane Cityof Anacortes Invoice/Permit#: BLD-2015-0562
904 6th Street
Applied date: 10/27/2015
P.O.Box 547
Issue date: 10/27/2015 S Anacortes, WA 98221-0547
' Expire date: 04/24/2017
Job Address: 4019 PETERS LN Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3948 Project:
APN: P100328
Remarks: Reroof residence with composit/laminate approximately 44 squares
Owner: JENNIE WALLIS Contractor: MOUNT BAKER ROOFING
Address: 4019 PETERS LN Address: 3950 HOME RD
ANACORTES WA 98221-3948 BELLINGHAM WA 98226-9147
Phone: (360)929-5278 Phone: (360) 733-0191
License#: MTBAKR1055ML
General Information: • Fees:
Building Valuation 10350 Building Permit Fee 195.25
State Building Code Fee 4.50
Total Calculated: 199.75
Deposits/Receipts: 0.00
Total Due: 199.75
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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 COMMENCE11.5
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PR'OVISIN
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, 4-t-t
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STAT•O
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LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. wti
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUEb BY
`,t o CITY OF ANACORTES
WASHINGTON
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coas`� BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Fiingle Family -. silence
Located At.
4.019 Peters Lana
STREET&NUMBER
Owner: Christenson Bros III
Constructed By. OV ( `
OWNER OR CONTRACTOR
Bldg.Permit # r'611 Date Of Issue.
Occ.Group. RJ Use Zone: P,`-
Has Been Inspected And Occupancy Is Hereby Authorized,
This
29th Day,
, Julyc
19 ` .
AGTHORQINGd} IC1AL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
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Z era:, Certificate of Insulation
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nufacturer's certifies
ss that Owens—Coming Fib r i theinsulation
has been installed in accordance
Types of Insulation :
Bats + Blowing Wool Coverage
Kraft' Unfaaed Foil FS 25 Cubed Standard R-Value- Thickness Area
X 3o•
Attic
r Y __a Walls
19
Floors
I We used bags of Loose Fill material covering sq. ft.
street address city, state, zip
Fiberglas b going wool is on-combustible, non-corrosive and inorganic.
Signed ^c--� \ `—
installer
PACIFIC INSULATION PA CI Ft 163*M8
company state license#
3415 James street Bellingham, Washington 98226 Co _3°_
city, state,zip date
Keep this certificate with your other valued papers. If you ever sell this property, this certificate I
should be passed on to the purchaser. - -
9611 4019 Peters lane Christenson Bros VN R3/M RM 3-26-92
Single Family Residence
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FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT ;b=4.,). SS 1 1
293-1901 . BUILDING PERMIT
24 Hrs. Notice Requested Site Address 40 t 9 Peters Lane
NAME(OR NAME OP BUSINESS) PLUMBING
Christenson Oros
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
1557 Memorial Hwy _
CITY TELEPHONE NUMBER 2 Water Closet $ 4 L00
Mt. Vernon, WA 98273 424-8766 3 Bathtub 6.00
NAME - 3 Lavatory 6 t00
1 Shower 2 .00
ADDRESS I Kitchen Sink 2. 001 Dishwasher 2. Ot}
CITY TELEPHONE NUMBER I Laundry Tray 2`(30
1 Clothes Washer 2, 00
—
NAME 1 Water Heater 2 t00
" 1Christenson Bros urinal
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
8 1 Water Piping 1', 00
STATE LICENSE NUMBER CITY LICENSE NUMBER
CHBISBS1100Q
[]tResidendtl 0 Non-Residential PERMIT S 1 00
O New ❑Add ❑ Alter ❑Repair TOTAE.;FEE $ 3 3 00
[.Building Q Plumbing ( .Mechanical MECHANICAL
0 Sign 0 Demolition 0 Other C3 GAS ❑"OIL ❑ ELECT. 0 OTHER
Legal Description of PrARefty.leta 60count?Vyt!ltier
Na 1 fPE btrNf FEE
Lot 14 Block of
Peters First Addition Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
I Forced Air System— BTU/KW 9 00
Describe Mork Floor Furnace
1 New Residence Wall Hester
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
LkSingle Family Residence 0 Multi-Family Residence Range Hood
0 Office 0 Retail ❑Storage 0 Church Air Handling Unit— CFM
❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace
NOTICE 1 Gas Piping -:i 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
and void if the building or work authorized by such permit is not com- PERMIT $ 1 55 00
menced within ISO days from the daft of permit issuance,or if the building
or wort authorized by such permit is suspended or abandoned at any time TOTAL FEE $ 2 7 00
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 1 t 0.0. 23.00 $ 4ti 1 00property for which this permit is issued or am an authorized represen-
tative of the . , Plan Check 2=iO .00
MI . . .ions of laws . •1+, - governing this type of work will Plumbing t 3 00
be comp'-, with w,,, - not,including routine calls Mechanical s 7 00for inapectio Sign
iiiiir Demolition
7.21i-f 7— Energy Surcharge
(Date) Sax Surcharge 4 50
Other Sewer 2839 00
Sweet Seibert V 0' aide Yard SeAaola 10' Roar Yard Sa r adi n 0. TOTAL $ ,614 [5 f3
Die zone RH Omrpary Gau
p R 3/M Type of Cone. V n Conditions:
Lot Area Ware Site Detains Units
7 500 chat ❑No 1
Pie Sprinklen Required Na of Stories BedrotNu Occupant Load _
❑Yea6No ]
Sin of Bldg. "arctic ebrn i sh
WHEN SIGNED AND DATA WOOF,TIDY w YOUR MOM
Prndeefoe I Sara*aim to de ihw:i tiaDeeaed work aoralrgtg to the conditions
haws and earpam q6 theadh atter Ctedittotha approved CITY OF ANACORTES. theta subjoin to
Permit (ssued By ! 1 , " t 1, ( -e
Building Official (Dae)
Edwin Franh
PERMIT H.; 961 1