HomeMy WebLinkAboutPermit File 4504 Queen Ann Way 0716404-1 0O01 04/1 12007 002 S
Permit Fees 006171 S30.90
Sit Y Off. City of Anacortes Permit#: BLD-2007-0427
904 6th Street Issue date: 06/13/2007
P.O.Box 547 Expire date: 06/12/2O08
)' Anacortes, WA 98221-0547
'la kti, (360) 293-1901
Job Address: 4504 QUEEN ANN WAY Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3226 Project:
APN: P59255
Remarks:
Repair rot damage to window and deck area
Owner: MCCOWN MICHAEL C Contractor WILDWOOD CUSTOM HOMES
Address: 4504 QUEEN ANN WAY Address: 14231 ROSARIO RD
ANACORTES WA 98221-3226 ANACORTES WA 98221-8561
Phone: Phone: (360)708-0957
License#: WILDWCH957DQ
General Information: Fees:
Building Valuation 900 Plan Review Fee 10.40
State Building Code Fee 4.50
Building Permit Fee 16.00
Total Calculated: 30.90
Deposits/Receipts: 0 00
Total Due: 30.90
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
HER* CE TIFY 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 G NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THFjPj2OVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CO -RRUUCCTIOONN
SId TU . - OWNER OR ORIZED AGENT ISSUED BY/
COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO. : C0M97-0001
P.O. BOX 547 APPLIED: 01/09/97
ANACORTES, WA 98221 ISSUED: 01/09/97
(206) 293-1901 EXPIRES: 01/09/98 1
SITE ADDRESS: 4504 QUEEN ANNE WY
ASSESSOR'S PARCEL NO. : 3820-000-040-0004
PROJECT DESCRIPTION: New single family I
— OWNER — CONTRACTOR — LENDER
MICHAEL & VICTORIA MCCOWN CONSTRUCTION
802 6TH STREET 2419 COMMERCIAL AVENUE
ANACORTES WA 98221 ANACORTES WA 98221
293-8466 293-7743
BUTLEC*042J2
— FEES
TYPE OF WORK •NEW AREA (sf) VALU...$: 207000 Code Amount---- By- Date---- Receipt
TYPE OF USE -SF LOT • 9226 REQUIRED SETBACKS---- ESPL $ -100.00 MD 01/09/97 6354 I
CENSUS CATEGORY •101 1ST FLR • 2190 FRONT • 20 ft PLCK $ 455.33 MD 01/09/97 6354 1
ZONING 2ND FLR • 0 SIDE(1)..: 5 ft PRMT $ 700.50 MD 01/09/97 6354
:R2 BASEMENT • 1092 SIDE(2)..: 10 ft PMEC $ 76.25 MD 01/09/97 6354
OCCUPANCY GROUP GAR/CARPORT...: 1283 REAR 20 ft PPLM $ 160.00 MD 01/09/97 6354
:R3 •? :? :? OTHER • 0 REQUIRED PARKING-- STBC $ 4.50 MD 01/09/97 6354
TYPE OF CONSTRUCTION TOTAL • 0 SEWR $ 3333.00 MD 01/09/97 6354
:5N •? •? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 IMPT $ 400.00 MD 01/09/97 6354
OCCUPANT LOAD STORIES • 0 COMPACT • 0 INSP $ 50.00 MD 01/09/97 6354
0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf
FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN •0
:/GAS/ / /: 0-3 HP • 0 COMML. INCIN •0
FURN < 100K BTU: 1 3-15 HP • 0 RELOC/REPAIR...: 0 TOTAL $ 5079.58
FURN >=100K BTU: 0 15-30 HP • 0 CLOTHES DRYERS.: 1
FURN - FLOOR...: 0 30-50 HP • 0 GAS WTR HEATERS: 1 — NOTES
UNIT HEATERS...: 0 50+ HP • 0 STOVE, APPLI...: 1
VENT FANS • 5 AIR HANDLING UNITS-- FIRE LOG/LITE..: 0
VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • 0
VENT W/O APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0
EVAP COOLERS...: 0 GAS OUTLETS • 5
HOODS • 1
WATER CLOSETS...: 4 WASHING MACHINES: FLOOR DRAINS • 0
BATH TUBS • 3 ELEC WTR HEATERS: WTR PIPING/TREAT: 0
SHOWERS • 1 LAUNDRY TRAYS...: HOSE BIBBS • 3 I
DISHWASHERS • 1 URINALS GREASE TRAPS • 0
LAVATORIES • 5 WASTE INTERCEPT.: ADD'L FIXTURES..: 0
KIT SINKS W/DISP: 2 DRINKING FOUNT..: _
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all
ordinances and Laws regulating activities covered by this permit.
ML-hP_ JP L2Cr. h-r' .Z . C ay...4,
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Issued by Applicant o Owne Signat.ir
I
24 Hour Notice Required For All Inspections
comprmt, Rev: 11/04/93
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SITE ADDRESS: 4504 OU& 7I/liI/UE WAY ASSESSOR NO.: 3820- 000-oqo -0004
LOT: 4o BLOCK: DIV: 4 ADDITION:
Mfi<:.:..f1�N�`lt»�..<; �,.,>•.;<.....>.,.>;:..>,,,><:<,: ....,, .«:<.�::.,<.: �,`1!17(iE�`,3tt«,.<.o.... ._.,. ,<:,.«<.«,,.<„.>.,.::.,,.:.,...<:<.„,..>.«<.<., ,. : .. ' '<:< . �'; ;.�> i�m
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Name: Name: Name:
nialna C. 1Vcv1z/*nnsc w'n7 f'lttNic'L_ fEdOfVA/ $147-1-rz e_otu5i-aacrlON
Mailing Address: Mailing Address: Mailing Address:
SO2 5/vat 5ret=-k'r- (7 T RAce DR. Z4l9 dn714/ , ct4L
City: State: Zip: City: State: Zip: City: State: Zip:
ANAcoe,e5 WA 9g2Z: lvre5ta Co 3/00t f-A/it-LOPrt=S NA9822 /
Phone No.: Phone No.: Phone No.: 3E>Qr 293:7743
3470 ' Z93'84W0 7/9 r 542•4g'43 Contractor License: &.lrtec*042.j2
Contact Person: SArIe 45 Aeovc Phone No.:
(Check One)
Single Family: X Multi-Family: Apartment: Condominium: Senior Housing:
Retail: Office: Restaurant: Manufacturing: Storage: Bank:
Assembly: Accessory: Automotive Repair: Other(Specify):
DESCRIBE OF WORK: C.;0A Sl u.extON OF S//VOLE P/`fl,ty D c'&l duc-77 v()int D/tYL/&/fr
Bit DES/fjKj
Street Setback: 20 ft. 2nd Floor: ±sf. (Circle Y or N)
1st Side Setback: ® ft. 3rd Floor: sf.
2nd Side Setback: ft. (o Basement: /L92 sf. Shoreline/Wetlands Y
Rear Setback: 25 ft. 75 Occ. Group: )('3 Water on/Adj. to Property Y
Use Zone: R2— Carport Area: 0 sf Soils Report Y
Type of Construction: 5FR . Garage Area: 12113 sf. Sensitive Area Y
Lot Area: 922-b sf. No. of Stories: sf. Latecomers Agreement Y
No. of Dwellings: / Building Height: 35-- sf. Fire Hydrant(250 FT) Y I'J
Lot Coverage: Deck Area: 404 sf Variance y q)
1st Floor: 2I 90 sf. Covenant ( )N
p _ JV
Project Valuation(Labor and Material Cost): 4/2 b.CC#9O1 0 0 0 -V�� Si
THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUILDING CODE,�ALLIMPIRE
BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY
SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED O
AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILLPLIED WITH
WHETHER SPECIFIED HEREINOR NOT,INCLUDING CALLS FOR INSPECTIONS.
SIGNATURE: V l ti'tbrllGt Cl WWYL-- DATE: 5 Newerfryber Po,
tatilleitNTSIEZiateraaratlarlaNIZMietati
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Project Valuation Information Fees
Estimated Valuation: Building Permit:
First Floor: 'DTA
Plumbing Permit:
Second Floor: . I q0-1 / 13i cOD Mechanical Permit:
Third Floor: Plan Review:
Garage: aK'J - TTD()v Sewer Fee:
Deck: yo N 2 ow Sewer Insp. Fee:
Misc.: Impact Fee:
�O- ODD State Surcharge: /
Total Valuation: I Plan Review Deposit:���46 to Q.dd
Misc. Fees:
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Planning Department Comments:
Public Works Comments:
Fire Department Comments:
Engineering Department Comments:
Additional Comments:
1 y1
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO.: BLD2000-00018
P.O. BOX 547 APPLIED: 00-02-01
ANACORTES,WA 98221 ISSUED: 00-02-01
(360)293-1901 EXPIRES: 01-02-01
SITE ADDRESS: 4604 QUEEN ANNE
ASSESSOR'S PARCEL NO.: 3820-000-047-0007
PROJECT DESCRIPTION: Add new retaining wall.
CONTRACTOR
PAUL BODIN CONSTRUCTION
1725 SW NIENHUIS
OAK HARBOR, WA 98277
Primary Phone: Primary Phone:
Phone 1: Phone 1: 679-3757
License#:
TYPE OF WORK: NEW AREA VALUE: $ 800.00
TYPE OF USE: SF LOT: sf REQUIRED SETBACKS:
CENSUS CATEGORY:
1ST FLR: sf
ZONING: R2 2ND FLR: sf FRONT: ft
Occupancy Groups BASEMENT: sf SIDE 1: ft
GAR/CARPORT: sf SIDE 2: ft
1: R3 2: OTHER: sf REAR: ft
3: 4: REQUIRED PARKING
Construction Types NUMBER OF UNITS: TOTAL:
1: 5N 2: STORIES: HANDICAPPED:
3: 4: BUILDING HEIGHT: ft COMPACT:
IMPRV SURF: sf
FEES NOTES:
Type By Date Receipt Amount
PRMT MRD 00-02-01 $14.50
STBC MRD 00-02-01 $4.50
Total: $19.00
I hereby acknowledge that I have read this permit and state that the v ati Is ct, and agre mply
with all ordinances and state and federal laws regulating activities ov b s r .
Issued by t lc n r 0 ner's Signature
CONDITIONS OF APPROVAL:
24 Hour Notice Required For All Inspections
:t;>: ;;":�� ;:�': . : ; �:: ."°' ;° : ° ;°CIT`S'' OF A ACC? .: . .,• ;: : :,. .:::: ..:.
PLUMBING_& 1VIECHANICAT PERMIT APPLICATION a.,. .:
SITE ADDRESS: 4504 CYlIaw %1V/VE Wel ASSESSOR'S NO .: C3920-00& 040-0004
P59255
LOT: 40 BLOCK: DiV/ioi'i 4 ADDITION:
;t=:: 1-; s._ '.:'; ::::::OWi ER>:°.::. . :: : . . :::::::.... ' ^ r: :: ...; ':'f't a:'°' CONTRACTOR'::: '.;:. :: t: r;y'?!.i;`:
Name: MiciiyZ a $ V c ivgn- m M-c Cow,Q Name:Pr cusloN &ivs ti /'Mehl /NC
Mailing Address: 302 S y'iii SrMailing Address: 130 3 6 ]fit'(31e terice 8Wp
City: ffivA-eo2ie State: M/A Zip: 9822. 1 City: Mr I/ew-NOn/ State: WA Zip: 95'274
Phone No.: 31,61, 293,8466 Phone No.: 360•422' 093
Contractors License No.: PRECIC /'10641.tAT
:i :'Plumbinitl*C.'''.:: : . '. : : ::::.i :' :MSChanicai.:.:: .:
NO: Type of Fixture NO: Type of Equipment
' 4 Water Closet i.s GPF , Air Cond. Unit HP
6 Bathtub r,( Refrigeration Unit HP
2 / Shower 2.5 GPM 7 Boiler BTU/HP
a / Dishwasher 2.5 GPM / Forced Air System BTU
y 6-- Lavatory 2.5 GPM 4- Floor Furnace
2 2 Kitchen Sink 2.5 GPM 7 Wall Heater
/ Clothes Washer / Clothes Dryer
0 Urinal 1.0 GPM J Ventilation Fan
0 Drinking Fountain /i Range Hood
Floor Sink or Drain /, Air Handling Unit CFM
'2_ Slop Sink 0 Pre-Manf. Stove or Fireplace
0 Water Piping # Gas Fireplace
P 2 Hose Bibs / Gas Water Heater
0T
j Back Flow Prevention Device Gas Piping
\t:\ Other(Describe) Other(Describe)
GAS: ELEC: OTJR:
G"
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/ TI LIS APPLICATION IS RECEIVED BY THE BUILDING DEPARTMENT UNDER THE PROVISIONS OF THE UNIFORM PLUMBING AND I&CICAL ? •
CODES AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS 0 &i IS to V
APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH '
APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF TILE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCE GOVERNI?Yf'I THIS TYPE OF
WORK WILL BE COMPLETED WITH, WHETHER SPECIFIED I IEREIN OR NOT, INCLUDING CALLS FOR INSPECTION.
SIGNATURE: V�1411/W—A MCc£'t£'!2-- DATE: 5 NeiW nber%,
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126.40
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