HomeMy WebLinkAboutPermit File 4510 Queen Ann Way �.s Y o�, CITY WASH OF AINGTONNACORTES
sc BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 4510 Queen Anne Way
STREET&NUMBER
Owner: Doryan Caner
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Constructed By: Do an Const,
OWNER OR CONTRACTOR
{ Bldg.Permit 11 Com1999-52 Date Of Issue: 99/06/28
Occ.Group: R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized,
This _ 20 Day Of nee 19 99
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AUTHORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
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COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO: COM1999-00052
P.O. BOX 547 APPLIED: 99-06-23
ANACORTES,WA 98221 ISSUED: 99-06-28
(360)293-1901 EXPIRES: 00-06-28
SITE ADDRESS: 4510 QUEEN ANN WAY
ASSESSOR'S PARCEL NO.: 3820-000-043-0000
PROJECT DESCRIPTION: New Single Family Residence
OWNER CONTRACTOR LENDER
DORYAN CONSTRUCTION
1004 COMMERCIAL AVENUE
ANACORTES,WA 98221
299-3285
TYPE OF WORK: NEW AREA(SF) VALU: $201,000 FEES
TYPE OF USE: SF LOT: 10,000 REQUIRED SETBACKS
CENSUS CATEGORY: 1ST FLR: 1,069 FRONT: 20.00 Type By Date Receipt Amount
ZONING: 2ND FLR: 1,905 SIDE(1): 5.00 ESPL MRD 99-06-28 10261 -$100.00
R2 BASEMENT: SIDE(2): 10.00 PLCK MRD 99-06-28 10261 $445.58
OCCUPANCY GROUP: GAR/CARPORT: 745 REAR: 20.00 PRMT MRD 99-06-28 10261 $685.50
R3 OTHER: REQUIRED PARKING PMEC MRD 99-06-28 10261 $135.55
TYPE OF CONSTRUCTION: TOTAL: PPLM MRD 99-06-28 10261 $132.00
5N NUMBER OF UNITS: 1 ACCESSIBLE: STBC MRD 99-06-28 10261 $4.50
OCCUPANT LOAD: STORIES: 2 COMPACT: IMPT MRD 99-06-28 10261 $615.00
BUILDING HEIGHT: IMPRV SURF: SEWR MRD 99-06-28 10261 $3,700.00
IMPT MRD 99-06-28 10261 $400.00
MechanicalEquipment Plumbing Fixtures STRM MRD 99-06-28 10261 $1,126.00
Equipment Type Quantit Fixture Type Quanti INSP MRD 99-06-28 10261 $50.00
Furnace<100k btu 1 Bath Tubs 3 Total $7,194.13
Floor Furnace. . . . . 1 Clothes Washers 1
Clothes Dryers. . . 1 Dishwashers. 1
Ventilation Fans. . 5 Hose Bibs. 2
Exhaust Hoods 1 Lavatories 4
Fireplace 1 Showers 1
Hot Water Tanks 1 Water Closets(Toilets) 4
Gas Outlets 1
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.
Issued by Applicant or Owner's Signature
24 Hour Notice Required For All Inspections
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FINAL INSPECTION CHECKLIST
Inspection Date:
Address: r p y i o 62 LA.c4.k.r Y3AMi
Permit No. Date: Zone:
Owners Name:
Owners Address:
************************************************************
Occupancy Group: Consruction Type:
Variances: Safety Glass: 0 )6
Sewer Fee Paid: Hand Rails: j9r
Sewer Inspected: Guard Rails:
WSEC Compliance: Traps: KCD,e
Attic Access: Weed Stove: �T —
Smoke Detectors: Water Pressure: Off'
T&P Drain: Qc_ House Numbers: Gf)/‹._
Insulation Cert: Site Drainage:
Radon Test Kit: Curb Cut: O C
Garage House Door: 0AC Crawl Space Insul: (�
Bedroom Windows: Old Crawl Space Access: OF:-
Water Heater Strap: or: Vapor Barrier: or
D.W. Air Gap: nJC Water MeterBox: IC--
Auto Garage Door: re2 J Outside Caulking: OR_
Exterior Decks/Landings:
Exh. Duct/Dryer Vent Dampers: l
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COMBINATION PERMIT
CITY OF ANACORTES PERMIT NO: COM1999-00052 I
P.O. BOX 547 APPLIED: 99-06-23
ANACORTES, WA 98221 ISSUED: 99-06-28 'I
(360)293-1901 EXPIRES: 00-06-28
SITE ADDRESS: 4510 QUEEN ANN WAY
ASSESSOR'S PARCEL NO.: 3820-000-043-0000
PROJECT DESCRIPTION: New Single Family Residence
OWNER CONTRACTOR LENDER
DORYAN CONSTRUCTION
1004 COMMERCIAL AVENUE
ANACORTES,WA 98221
299-3285
TYPE OF WORK: NEW AREA(SF) VALU: $201,000 FEES
TYPE OF USE: SF LOT: 10,000 REQUIRED SETBACKS
CENSUS CATEGORY: 1ST FLR: 1,069 FRONT: 20.00 Type By Date Receipt Amount
ZONING: 2ND FLR: 1,905 SIDE(1): 5.00 ESPL MRD 99-06-28 10261 -$100.00
R2 BASEMENT: SIDE(2): 10.00 PLCK MRD 99-06-28 10261 $445.58
OCCUPANCY GROUP: GAR/CARPORT: 745 REAR: 20.00 PRMT MRD 99-06-28 10261 $685.50
R3 OTHER: REQUIRED PARKING PMEC MRD 99-06-28 10261 $135.55
TYPE OF CONSTRUCTION: TOTAL: PPLM MRD 99-06-28 10261 $132.00
5N NUMBER OF UNITS: 1 ACCESSIBLE: STBC MRD 99-06-28 10261 $4.50
OCCUPANT LOAD: STORIES: 2 COMPACT: IMPT MRD 99-06-28 10261 $615.00
BUILDING HEIGHT: IMPRV SURF: SEWR MRD 99-06-28 10261 $3,700.00
IMPT MRD 99-06-28 10261 $400.00
MechanicalEquipment Plumbing Fixtures STRM MRD 99-06-28 10261 $1,126.00
Equipment Type Quantit Fixture Type Quanti INSP MRD 99-06-28 10261 $50.00
Furnace<100k btu . . . 1 Bath Tubs. 3 Total $7,194.13
Floor Furnace 1 Clothes Washers . 1
Clothes Dryers . . 1 Dishwashers. . 1
Ventilation Fans. . . . . . 5 Hose Bibs 2
Exhaust Hoods 1 Lavatories . . 4
Fireplace. . . 1 Showers 1
Hot Water Tanks 1 Water Closets(Toilets) 4
Gas Outlets 1
I hereby acknowledge that I have read this permit and state t at th a ove information is correct, and
agree to comply with all ordinances and laws regulating activi es c v by this permit.
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Issued by � Applicant or Owner's Signature
24 Hour Notice Required For All Inspections