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HomeMy WebLinkAboutPermit File 4604 Queen Ann Way y " `.i v O,' CITY OF ANACORTES WASHINGTON 9c to BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): Single Family Residence Located At: 4604 Queen Anne Way STREET&NUMBER Owner: Paul Bodin Constructed By: OWNER OR CONTRACTOR Bldg.Permit# C0M99-00105 Date Of Issue: 9-1-99 Occ.Group: R3 Use Zone: R2 Has Been Inspected And Occupancy Is Hereby Authorized, This 25th Day Of May 1g— 2000 8 AUTHORIZING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. • . . Pat q. i } H AP PROVED _-- Date `J ry 9 9 '`�I"' Name �> _. P' ca...., NaOr/ S .- Members Skyline 6 each Club Architectural Committee Conditions " 4---- , ------74------ 357474 51- I Pit-_±._ ttll CI Clad, I Kew a VO f 1 F{ DGt4 e as-? Jot & - 3 —3 d . 1 _ - t/ 1 . S pp° ,_------_ . -._.-- .- . _ F „I COMBINATION PERMIT CITY OF ANACORTES PERMIT NO: COM1999.00105 P.O. BOX 547 APPLIED: 99-08-31 ANACORTES, WA 98221 ISSUED: 99-09-01 . (360)293-1901 EXPIRES: 00-09-01 SITE ADDRESS: 4604 QUEEN ANNE ASSESSOR'S PARCEL NO.: 3820-000-047-0007 PROJECT DESCRIPTION: New Single Family Residence OWNER CONTRACTOR LENDER PAUL BODIN 1725 SW NIENHUIS OAK HARBOR WA 98277 360-679-3757 TYPE OF WORK: NEW AREA(SF) VALU: $220,000 FEES TYPE OF USE: SF LOT: 9,556 REQUIRED SETBACKS CENSUS CATEGORY: 101 1ST FLR: 1,869 FRONT: Type By Date Receipt Amount ZONING: 2ND FLR: SIDE(1): ESPL MRD 99-09-01 10559 -$100.00 R2 BASEMENT: SIDE(2): PLCK MRD 99-09-01 10559 $476.45 OCCUPANCY GROUP: GAR/CARPORT: 528 REAR: INSP MRD 99-09-01 10559 $50.00 R3 OTHER: REQUIRED PARKING PRMT MRD 99-09-01 10559 $733.00 TYPE OF CONSTRUCTION: TOTAL: PMEC MRD 99-09-01 10559 $113.50 5N NUMBER OF UNITS: 1 ACCESSIBLE: PPLM MRD 99-09-01 10559 $146.00 OCCUPANT LOAD: STORIES: 1 COMPACT: STBC MRD 99-09-01 10559 $4.50 BUILDING HEIGHT: IMPRV SURF: SEWR MRD 99-09-01 10559 $3,700.00 IMPT MRD 99-09-01 10559 $400.00 MechanicalEquipment Plumbing Fixtures STRM MRD 99-09-01 10559 $1,126.00 Equipment Type Quantit Fixture Type Quanti PARK MRD 99-09-01 10559 $615.00 Furnace<100k btu . . . . . 1 Bath Tubs. . 2 Total $7,264.45 Clothes Dryers 1 Clothes Washers 1 Ventilation Fans 4 Dishwashers 1 Exhaust Hoods. 1 Hose Bibs 2 Fireplace 1 Lavatories 6 Hot Water Tanks. . 1 Showers 1 Gas Outlets 1 Kitchen Sinks,w/Disposal 1 Water Piping and Water Treatment 1 Water Closets(Toilets) 3 I I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all ordinances and laws regulating activities ed y thi mit. Issued y licant or Owner's Signature 24 Hour Notice Required For All Inspections FINAL INSPECTION CHECKLIST Inspection Date: `J '/ P'/-© Address: 4 �Oy 4 rcw Qa-,tiles' Permit No.?0}7/ P9-Golos Date: ?-7- 9 Zone: /- Z Owners Name: ?A cc- lad pi kJ Owners Address: / 72.J S W I-7/e I--luij. 0a4e W< ,c&,u it2�7 •*********************************************************** Occupancy Group: ,2 iD, G( / Consruction Type: vA) Variances: Safety Glass: Sewer Fee Paid: y -/ -97 Hand Rails: © � Sewer Inspected: 9/ 7/00 Guard Rails: Q /� WSEC Compliance: Traps: Q(C Attic Access: -Waad'Stove:a Smoke Detectors: OK Water Pressure: &2 ib$ < T&P Drain: /0CC House Numbers: Ci/": Insulation Cert: Site Drainage: 0K Radon Test Kit: Curb Cut: Garage House Door: ()!C Crawl Space Insul: L94.- Bedroom Windows: O,` Crawl Space Access: Q,( Water Heater Strap: 6,41 Vapor Barrier: D.W. Air Gap: Water MeterBox: l9! Auto Garage Door: AC Outside Caulking: (9,7( Exterior Decks/Landings: (OK Exh. Duct/Dryer Vent Dampers: 174 ^k. . S cs_. f'' — s'10 ' r - < t . , Pr( �4 4+)a y `�'` RECEIVED ENGINEERING _ 93 ENGINE ` 41 ���� 0 1 tn . J C� lzttt �V j yr .�� - Q !PROVE P 21 t3 Date 7lylg D -4 ;A � Name,. •v. _ , a a•- a b r 64 J_ Nv* `f�' kicko0 Members Skyline P itch Clula 3^4 �_ Architectural Committee Conditions •h`� 3 , //• la6.° 1 , : _. $3. 551 Queen Arlin 4044.1 a II .J r<.x:n f w'' .'2, ,y : z4:ya �r .a . ..nvon < ,e�k`.` Y'"'u:�"P,��''<�«£I'�.Iv:E' . 4 y <w'F'< `:':1�''.. .,:<4.2°ap•4"�; Yr�.. . .py.�. .,. rvaay, azh.`w<�s "..sa.'%f : re:4-s- G r.� ': f s�. a �,,„f,`; Y' (;:e( �7, s:\.rat>01w t tt pee F :y .CrS7g. .,...?..i. e a&:...-,- " S. .o -Y : neasb<�",'r..,V.,a;.�-`«:v.- r: it:� :4n,.r�.N3� X..Yia 5Y(§ ,<ca,.u.1:s«:+yf°'px::ox7's':a�ug�' � a �a>r Y' psi err, :� � `�f '��' � Y:6'.>ir..vri a�rc5.i�°sY<hG.`�.: F 4._'a.. ,a. _ ,:.c,�e'�%':>f:'3 . <E' o9'„r:<?aJ°:{F` l'�'`�:� �" � Y+'tr' E k' z 3 7i x: .y a , , : < 'tiiPn<r.�' >.'•F•yS'o :> �' �: es`.ro�.'� �ro` � ��..ff�.a.(.: ..& ° ' .. SITE ADDRESS: \-\�..PC F -., 1Cvw-t... ASSESSOR NO.: ' t'S "00-.000-41-earl LOT: 11-'1/4, BLOCK: DIV: te\ ADDITION:Sr e.:>::-::::._:.>..hr. : r:.::..:. .:a�<�; ��°`�::,:.:::: R�a�r :,� >- ��`>�r;`a�x,,xm�"'atal ±,L.ran : Name: Name: Name: fAuk evt2iI- he 11-IStot•J Fee2eRAL. OWN5:12 Mailing Address: Mailing Address: Mailing Address: I17.* W Nl JNUI , City: State: Zip: City: State: Zip: City: State: Zip: OAK1•*A1Zect2 WA °12J211 OAK HAP-One. \SA 9PJLT7 Phone'nCCM No.: Phone No.: Phone No.: . oj�f<j'1 MW'/ O• (Ali .'J77�7 Contractor License: PAuL>x•Ioat4P Contact Person: Phone No.: at . a -sg `Y'a�TYar't--:a>r�`au'o`P,�- t « .er<w.. °ac <x..»>yar«v'o�f, ' «:Ks'u«"z<'>:�w:spyaaa"ua>., :�:a=a'as .ar"x'«,_.ay. ' os<dn; ,„>>� rat ,`'°e'rxo.`rx->'�„?k w»'HdL; J " .p; ,�]Fr:°ai,.T`:q."<, x<G::" =>'..T>'.$ - v::i:.aa aa'a. x',Fxi 's>z•+:<�i",> . x' x..,:a�'x......aa..-:.tr.:....�<dosa.:::::tr :«� .e.><a,:::.SEe�>.,:Ym:�a�,: (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: 1 S .'-O'U"o^ux!�a>' %:.ao.:... . .a...o.......v.::x.0.<o. .....x ...ap,a.,v. <'°. - - rym>;:a a.1'....,. - Qa.>._nztry;:°:.>:a%a�a'3exat'>:::'1..:,zx«.a:a ¢o.:�P:.e>�'......ae:Y;:.>a.<:Y:.z<>J:r'x:.>:ro.x..< >:a$: <�x`u. ,.<>a<a<<w' - tr&«k a,` :«af<".a««:d«1- .a .�:aa . .k... �a�zktr.. s>y_y._„<Eip:.::hy>;t>r s�:a :>s t '<aiW<w ,z<{�.>''z:_:. .xa>Ys:Y�sJ.o?;o,.. <,.r..�¢:'x�>vy��y,��p:,��� y�� 3:c��>,aa._,...a '�:«�?<n°:��'.;.�so,`w:z�':a'r.8';'r a.«..a g«.:x<a .a..g:` - ' <«a._a'«.xw.<.z. , ',�a,.r. w u..r ..«.:-a �T G#:`F7G:.F��'it� ,� r(�'��r `.<ax>:., r...la.. .Yr:}.:.,a. zy ..`<.R�i£°a'4 . <.. ,xw w^< o'v`e a.»:a var:ti�.`a`<'v««.>,< ,ay .,;-<�a':..�. T.X,�z>`` .-na ,....,9.�m-a: �:-:"".w�. .<sa-?.� x1>:<. �z�a`°ua?a?t u"a..zaaaz �rY,'x�+;u,.?E.;`4 `ax:::,:< <�:1�rY.6< .o:<..c�i.?:�...G" lair- .Y�:...Qs«-;a >�o' a:a;:x�.g»,. ,.ra-...aaau aaf> '<' 2 $ w«va'��`-.>u'�<a `&fi_ ..a%Lek;YHo`K% :yA•�.rc,.E3�::>«a.<�'=.`:`r a- : . ...as ,°. ..>,a—s-,,:•-:: a:ra>a :.w;'}°>z�as«a>r<:aswad«'�c.'cpv'.hs>uaasoa:x.'<::f. -. tacit .`a�,r ux<.:i<f:Y xYi:a :z:qa>nY..<a..<.> .:..,u><x<aH<axw<.. rax,va attera :tra�K.raeR� zcux�-x4:a«?emxaaw,wntr<z.,a:aa,-::.a,�>.<«<:a<>,>;waxxak::.w... �.««w.e-�uu<°a,�:<s«:z� `:s:ks<Z��y��:--:A:�:: "..:.:s^H >nnn« __ :.<�io'r'iE'i ZE:aa'..Y:ru:,Y'cx<.,P?->«8`:s.«;.c„"ya Street Setback: •3o k ft. 2nd Floor: C< sf (Circle Y or N).,-:, .a.z., 1st Side Setback: (¢> ft. 3rd Flew. I /el sf 2nd Side Setback: Q, ft. Basement: S. sf. Shoreline/Wetlands Y ,Fd' Rear Setb ft. Occ. Group: +Z-* Water on/Adj. to Property Y )i' Use Zone: a Carport Area: sf hg,Soi Is R,,e,P,ort Y 3W Type of Construction: •yj/1,t1 Garage Area: 67...e's% Sensitive Area Y IY Lot Areal -sf. T of S tP No. of Stories: Latecomers Agreement Y De No. of Dwelling's: / Building Height: sf. Fire Hydrant(250 FT) Y N Lot Coverage: P3et-1 Deck Area: .2A sf sf Variance Y N 1st Floor: 191601 sfy.,19a.-ao I\tcpCD Covenant Y N Project Valuation(Labor and Material Cost): �t' ; a CVO RECEIVED .1 J+IfJ'f' qq This APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BOIEDrNZAD19 D SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN ISO DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS Ael I atigip,I$JS.$.UED OR AN AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE angnxErit COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT,INCLUDING CALLS FOR INSPECTIONS. SIGNATURE: DATE: �< .. l > . /':)r< : b �. asiiyan- 3 p �� i �� n� c .S' iii ar l.. � r>wf 3f » ke n¢r � y' t%Y: 4 : a1ss4Ftar ,%o�H }R ! • /v < �fr. por'� Y �Y � 1 ' . ° s� .,> w%•e" <yu�/ozblwV" 9i n S2 , ' P � .��oxA . dRaN � .ro: a� m, �a�j3 � �ar�ctre4A owa .s �N/H,/ r " : , 4 � « H � 9; nGn rn s2 ,,,, ;.•"n ,: .:,:„. .„op@wuscynx .. eu9/ Yn.wie.W u1 »'. x . A SITE ADDRESS: ASSESSOR'S NO .: LOT: BLOCK: ADDITION: V :1": s. :v . nny ,xJ : N ar . s c P eSS I A ta tigti9 v /1F 1 Name: IG! Gt'ht'lf-.be-fOR Name: MIA., SIN Mailing Address: Mailing Address: ►12e ew kJ tth- N4H 1HJ City: State: Zip: City:ow_ ygget_pz State: Wat Zip: cfS2T7 Phone No.: Phone No.: LP-141 -*101 Contractors License No.:fAj,1V ry.SD34QF ea-cn :ay.:.o,ri a 2e w,a<x'S>^»..:..y;R>;irnbssm-,nine..."."¢,a::...�o.,;v.,g'. :.aioYya:<e>'o.;i«'%r.N„«. ", ..."stirs"r..r,,:P'.,a..i „"m,"o� yr `^�':k;.4f« r b'o"4 f,I:s.<,a.::...%."7`Y�:u N..eo:%;�6'.K o>sxrruo�".rsPkes .a.1 .r.v d.<:.,.bdkF>..sfrrou°y:90.°`/7):,.u:ro..: n.,,,:Met cr."...6;s.<F<.rif:7ys},;ny:"u;ud v ks,$'%:v`io% „*, :p>>`�4r�si :PARs`;.,6i: >.���yiTtr'�e/4k:o3'6..°.gz'N'<P .4d.> 3k: �yr r' a'"�ov.P�% 4,3i4 osrd."n h:`: ..<.- o.S,P': `!�R #tiR#<J'</oo,°e.,m,$e.!, '.'<Y3ob:'�"rs, <.yr dr rF.i.;° .r,",M,: 6":n. "?.,..:"; ,,,2'...r:.:...Lf: ,:.ba,,, .d R3�:.c.:.:C te.44 .r.,.. Araifr::..".,."..:...,:.".....:_.:.":".... r r�u. r ."I NO: Type of Fixture NO: Type of Equipment ?J Water Closet 1.5 GPF Air Cond. Unit HP 2 Bathtub/0AVW6►Z L CML°O Refrigeration Unit HP I Shower 2.5 GPM Boiler BTU/HP I Dishwasher 2.5 GPM I, Forced Air System BTU 1 0 Lavatory 2.5 GPM Floor Furnace I Kitchen Sink 2.5 GPM Wall Heater 1 Clothes Washer I Clothes Dryer I Urinal - - TNTUI3 4 Ventilation Fan Drinking Fountain I Range Hood Floor Sink or Drain Air Handling Unit CFM Slop Sink Pre-Manf. Stove or Fireplace I Water Piping I Gas Fireplace j. Hose Bibs I Gas Water Heater Back Flow Prevention Device I Gas Piping Other(Describe) Other(Describe) GAS: ELEC: OTHER: RECEIVED THIS APPLICATION IS RECEIVED BY THE BUILDING DEPARTMENT UNDER THE PROVISIONS OF THE UNIFOIWEU/21381 999 MECHANICAL CODES AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 1118800 DAYS OF THIS APPLICATION. BY I HEREBY CERTIFY THAT I AM THE LEGAL WNER OF APPLICATION IS ISSUED AFFIXING OR AN AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONSF LAWS AND�ANCE�VEERNIN THIS TYPE OF WORK WILL BE COMPLETED WITH,WHETHER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR INSPECTION. SIGNATURE: DATE: n n Gi-i- -- CITY OF ANACORTES` -` • � PERMIT CENTER jIIy. _ 904 6th Street - P.O. Box 547 41 � wt Anacortes, WA 98221 9e 0, 360-293-1901 Single Family/Multi Family Permit Checklist For Submittal Plans which do not contain the following minimum information will not be accepted for plan check. Project Address: Date of Application: Name of Owner: (EAU►, �71Jl14. Assessors Parcel No.: Mailing Address: Ill* GjW N]g'l,j an Gfr Lot: Block: Addition: City/State/Zip: OAK I4AKrimehl8211 Description of Work: [.,,t{�N/ 1.[(J(,[6Je. Daytime Phone No.: 'WO• L0741. 9, 1 CJ I Please place check marks by completed items,and cross out those that do not apply. • [] Two Full Sets of Plans (Max. size 24x36) X [] Complete Application Form(s) eir [] FLOOR FRAMING a [] Fire Resistive Construction Where Required • [] SITE PLAN(81/2x11 or 11x17 f [] Joist Size, Spacing,Grade&Species k]t [] Headers,Doubled Joists,Blocking,etc. • [] Setbacks % [] Floor Sheathing&Underlayment [] [] North Arrow a [] Any Conditions That May Impose Heavy Loads 14, [] Lot Elevations $' [] Insulation To Be Installed ' [] [] Lot Coverage 14. [] Lot Size i] [] ROOF FRAMING [sl, [] Property Lines(Recorded Survey) X [] Easements, Streets,Alleys 2 [] Layout Of Trusses&Bearing Points, Show Hips, $ [] Location of Utilities Valleys&Ridges,&Insulation kr [] Ceiling Joist Size, Spacing,Span,Species&Grade X [] FLOOR PLANS 2' [] Insulation [] Ceiling Finish Material 14, [] Indicate Scale of Drawing [] Rafter Size,Spacing,Span, Species&Grade [] Provide Dimensions i,]' [] Location, Size,Etc.,of Beams or Purlins • [] Size/Locations of Doors&Windows t3 [] Label Rooms&Spaces All Roof Systems N. [] Indicate New Construction From Existing ek• [] Attic Ventilation(low&high) `[.], [] Show Decks,Patios,&Landings AI [] Indicate If Attic Will Be Used For Storage N [] Show Smoke Detector Locations ,[,p [] Show Attic Access X [] Show Attic Access(s) 14. [] Show Mechanical Equipment Locations Roofing Sk [] Indicate Bearing Walls 7nSheathing Type&Thickness 0Indicate Shear Walls f' [] Roofing Type&Weight(provide attachment [] Indicate All Header&Beam Sizes, schedule if tile or metal) RECE]� Species&Grade F nUnderlayment ED X [] Show All Plumbing Fixtures Including if Floor Drains Deck Detail 23 /999 /' 0Guardrail, Spacing&Height 4 0Joist Size, Spacing g‘Sitbciesv+L-' D1p [] Types of Connectors,Post to Beam,Mist hangers 7 [] Type of Decking Material J A ♦ • flI [] Mechanical Elevations y7 0Show All Exterior Elevations Including Existing f' [] Exhaust Fans; CFM&Sone Ratings r, Existing&Proposed Finished Grades from Property �[i] [] Location&Size of Heating Appliances Line to Property Line „[] [] Dryers A [] Show a Section through the Lot at The Driveway(to begin at the street paving or curb) [] [] Cooking&Other Appliances [] Include All Additions To The Structure Such As 0Range Exhaust Hood Decks,Retaining Walls,Porches,Stairs,etc. Stair Detail Al [] Location,Width&Headroom ere] 0Size of Materials&Species $ [] Rise&Run 4 [] Handrail Type&Height ENERGY CODE COMPLIANCE R [] Residential/Non-Residential Energy Code Forms. [] [] Energy Code Construction Details Applicant's Signature: Date: PP im Received By: Date: Revised 12/29/98 2