HomeMy WebLinkAboutPermit File 4606 Queen Ann Way •
{ City of Anacortes Invoice/Permit#: BLD-2017-0042
G • 904 6th Street
`"` P.O.Box 547 Applied date: 01/26/2017
,
Issue date: 01/26/2017
Anacortes, WA 98221-0547
�.) Expire date: 07/25/2018
Job Address: 4606 QUEEN ANN WAY Permit Type: Irrigation Permit
ANACORTES WA 98221-3212 Project:
APN: P59263
Remarks: Install irrigation and sprinkler system
Owner: KEVIN POZIOMBKE Contractor: CONFORTI LANDSCAPING
Address: 4606 QUEEN ANN WAY Address: 14851 BENSON RD
ANACORTES WA 98221-3212 BOW WA 98232-9119
Phone: Phone: (360) 757-6310
License#: CONFOLI941 D2
General Information: Fees:
#of Backflow Devices 1 Plumbing Permit Fee 27.00
Total Calculated: 27.00
Deposits/Receipts: 0.00
Total Due: 27.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYys (Ri7,1F
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMEO ;D.t-'
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PRc 1I61b S
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OB 0 T'5TH'E
GRANTING OF RMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER;:STAte C ft
LOCAL LAW
/k U TING C TRUC ION R THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT BY -' ' ' --�
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$NISOPPA
CERTIFICATE OF OCCUPANCY
This is to certify that the below listed building or structure
has been inspected and occupancy is hereby authorized:
Description: New Single Family Residence
Location: 4606 Queen Ann Way
Owner: Kevin Poziombke
Constructed by: Kevin Poziombke
Building Permit #: BLD-2015-0637
Date issued: 01/14/2015
Use Zone: R2
Dated: March 22/2017
Authorizing Official: � �
City of Anacortes Invoice/Permit#: BLD-2015-0637
904 6th Street
Applied date: 11/23/2015
P.O.Box 547 Issue date:
Anacortes, WA 98221-0547
r , Expire date: 05/21/2017
(360) 293-1901
011,
Job Address: 4606 QUEEN ANN WAY Permit Type: Single Family Residence Permit
ANACORTES WA98221-3212 Project:
APN: P59263
Remarks: sfr
Owner: KEVIN POZIOMBKE Contractor:
Address: 813 22ND ST Address:
ANACORTES WA 98221-2517
Phone: (206)484-7704 Phone:
License#:
General Information: Fees:
Plan Review Deposit ( 2O 4.50
State Building Code Fee
Sewer Inspection Fee 50.00
Storm Drain GFC-Residential 1,383.17
Sewer GFC-Residential 8,828.48
Park Impact Fee 615.00
Traffic Impact Fee 900.00
Total Calculated: 11,981.15
Deposits/Receipts: 0.00
Total Due: 11,981.15
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHINISO DAI ,
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK 11-'COMM 1sICEDf:;
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIC}tsJS•"
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR 7T, '{E'_
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
r� - 0 City of Anacortes Invoice/Permit#: BLD-2015-0637
G • 904 6th Street
-1 Applied date: 11/23/2015 '
_ `" P.O.Box 547
Issue date: 01/14/2016
v 0,:. Anacortes, WA 98221-0547 Expire date: 07112I2017'1.-
s. (360) 293-1901
Job Address: 4606 QUEEN ANN WAY Permit Type: Single Family Residence Permit
ANACORTES WA 98221-3212 Project:
APN: P59263
•
Remarks: New single family residence constucted per approved plans.
Owner: KEVIN POZIOMBKE Contractor:
Address: 813 22ND ST Address:
ANACORTES WA 98221-25 1 7
Phone: (206)484-7704 Phone:
License#:
General Information: Fees:
Occupancy Group it-1 Plan Review Deposit 200.00
Use Zone R-2 Building Permit Fee 2,231.35
Basement Square Footage 893 Plan Review Fee 1,250.38
Lot Area 10001 Mechanical Permit Fees 114.55
1st Floor Square Footage 1642 Plumbing Permit Fee 139.00
Garage Square Footage 665 State Building Code Fee 4.50
Deck Square Footage 371 Sewer Inspection Fee 50.00
Building Valuation 320800 Storm Drain GFC-Residential 1,408.06
#BOILERS < 100000 BTU 1 Sewer GFC-Residential 8,828.48
#of Heat Pumps 1 Park Impact Fee 615.00
#of Bathtubs 1 Traffic Impact Fee 900.00
#of Clothes Dryers 1 Total Calculated: 15,741.32
#of Clothes Washers 1 Deposits/Receipts: 200.00
#of Dishwashers 1
#of Gas Piping 1 Total Due: 15,541.32
#of Gas Water Heaters 1
#of Water Piping 1
#of Hose Bibbs 3 '.a - r- ,.'
#of Kitchen Sinks 1
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#of Lavatories 4 0 4" -'h. n ,—r- I-.- , , ip
• #of Range Hoods 1 n, - '" :
c.#-of-Showers -- 1 — — — '
#of Slop Sinks 1 .1 M_ -I
#of Ventilation Fans 4 "• _,I .
#of Water Closets 3 .,. - r..1 ii
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Kevin Poziombke
4606 Queen Ann Way
Anacortes, WA 98221
December 19,2016
City of Anacortes
PO Box 547
Anacortes, WA 98221
I'm writing to request an extension on a Temporary Certificate of Occupancy from the
City of Anacortes for the property at 4606 Queen Ann Way. The initial Temporary
Occupancy certificate was issued on 9/20/2016 with the Master Bathroom completion
and final grading and landscaping called out as items to complete, Both tile and cabinet
deliveries for the Master bath took longer than anticipated. Both have been delivered but
Pm waiting on the countertop material that will also serve as the threshold for the
shower,this is delaying the completion of the shower tiling. A landscape plan has been
developed and we are waiting for weather improvements and contractor availability to
complete the final landscaping, in the interim bark mulch material has been placed to
prevent erosion. The building permit for this project is BLD-2015-0637.
Please contact me with any questions or concerns at 206-484-7704 and or
kpoz72@yahoo.com
Sincerely,
/71 c_.: 0:-__
Kevin Poziombke
4�.�04, Anacortes Planning & Community Development Dept.
Permit Center
P.O.Box 547,Anacortes,WA 98221-0547 PH(360)293-1901
Zvi tis} Don Measamer,Building Official,Planning Director FAX(360)293-1938
February 23, 2015
RE: Temporary Occupancy for: •
New home at 4606 Queen Ann Way
Perna#BLD-2015-0637
This letter will stand as a"Temporary Certificate of Occupancy"for the project at the above
referenced address. This will expire within 90 days from the above date, at which time the
corrections listed below will be completed, and the final Certificate of Occupancy will be
issued. J
Items to complete within 90 days: 0 K 1- ) 1-e , d e,,��
1. Finish the Master bathroom.
2. Complete the final grading and landscaping.
If you have any questions, please contact me at 360-293-1901
Thank you,
David iamond
740/76
Building Inspector/Permit Tech Date
City of Anacortes
Acknowledgem
Owner:
Si ature Date
Kevin Poziombke
4606 Queen Ann Way
Anacortes, WA 98221
September 8th, 2016
City of Anacortes
PO Box 547
Anacortes, WA 98221
I'm writing to inform that the landscaping at 4606 Queen Ann Way will not be completed
until after occupancy. The intent is to landscape according to the site plan attached to the
permit and to target completion of the landscaping by April 30th of 2017 . The building
permit for this project is BLD-2015-0637. Please contact me with any questions or
concerns at 206-484-7704 and or kpoz72@yahoo.com
Sincerely,
Kevin Poziombke
'public Works
.., ;.. .. Engineering and Development Services
Residential Inspection
Address: �Ld t C� Q,.. 4 1a14-�? Date: _ L�1b
Owner: L�tiutiub ?c7Z stett
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Contractor: 0�3 ` e-c t owi6i<'..
Inspected by: m, `�rwai+ta
1. Water ter Box
Set firm and level to finished grade or backside of sidewalk elevation.
�d and box undamaged.
ater meter and customer shutoff installed.
[ 1 bris.
Accessible—no landscape obstruction.
❑ Driveway installation has drive-over box and lid.
�C stomer gate valve intact.
oNo leaks at connections.
2. Curb and Gutter
h�acks, damage, graffiti, footprints, finishing blemishes, or other objectionable
v�Il' marks. .
'9 If road frontage improvements:
❑ Expansion joints every 15 feet and at driveways.
❑ Concrete has broom finish.
No low spot at curb line, especially at driveway cut. Maximum grade change in
20 feet is 'A inch.
❑ No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable
marks.
❑ ADA corn n —L{_etcentslope to_curb
If road frontage improvements:
❑ Expansion joints every 15 feet and at driveways.
❑ Concrete has broom finish
4. Driveway Approaches •
r— No cracks, damage, graffiti, footprints, finishing blemishes, or other objectionable
marks.
Et'ADA compliant.
❑ No cracks, blemishes.
If road or alley improvements:
• ❑ Received proctor and sieve analysis of ballast, crushed rock, and asphalt.
❑
Received passing materials testing reports for sub-grade, ballast, crushed
rock, and asphalt.
❑ Received tonnage tickets consistent with required thickness per approved
plans.
6. Sanitary Sewer
Inspection card signed off and/or verified in Building Department database.
s-built record filed in the address file.
screw cap(s) installed on clean-out(s).
lean-out(s) set at finished grade.
7. Storm Drainage
[inspection card signed off and/or verified in Building Department database.
[ 'As-built record filed in address file.
Er-Not blocked or diverted to adjacent parcel.
1.0114
❑ Concrete collars around City utilities.
❑ Final grading ok.
❑ Restored to prior condition or better.
9. Landscape L' 0 veV 161,0 1 1`1 Let, A to ADDC t:A
❑ Bonded for completion at later date.
Verified against approved landscape plan:
❑ Installation.
❑ Type and quantity of plants.
❑ Sod or seed in place.
❑ Root barrier (receipt filed).
10. Erosion Control Measures .
❑ B-M-Ps-removed. .
All debris removed. Site dean.
0 Permanent vegetation established. -
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1 15'PUBLIC UTILITY EASEMENT
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FINISHED FLOOR ELEV.= 111.0'
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RECEIVED
APR 06 2��s
FTY OF ANACORTES
EXEC AD IN
Kevin Poziombke
813 22" Street:
Anacortes, WA.98221
April 4, 2016
Fred Buckenmeyer
Public Works Director
City of Anacortes
PO Box 547
Anacortes, WA 98221
Dear Fred Buckenmeyer:
I'm writing to request a waiver from the City of Anacortes for the Standard Residential
Driveway approach at 4606 Queen Ann Way. I'm requesting a waiver for a 26' wide
driveway with 5,.',return for the residence being constructed at 4606 Queen Ann Way.
The building permit for this project is BLD-2015-0637.
Please contact me with any questions or concerns at 206-484-7704 and or
kpoz72@yahoo.com
Sincerely,
\IL7
Kevin-Poziombke 1F\F
Anacortes Planning& Community Development Dept.
ovf
Permit Center
V Lw P.O.Box 547, .Anacortes, WA 98221-0547 PH(360)293-1901
Don Measamer,Building Official,Planning Director FAX(360)293-1938
2012 Washington State Energy Code Simple Worksheet
This worksheet is intended to assist you in deciding which methods of construction will be used to meet the
requirements of the Washington State Energy Code. After completing this form, please add all relevant
information to your construction plans.
PART 1
Whole-House Ventilation: Select one of the following methods.
A. Fresh air will be circulated by the central forced air furnace. The furnace must have a fresh air
intake duct and the blower must be activated by a timer to circulate air a total of 8 hours daily.
X B. Fresh air will be supplied by wall or window vent ports in each bedroom, kitchen, living room and
other habitable rooms along with a whole-house exhaust fan. The exhaust fan, which usually
does double duty as a laundry or bathroom fan, and must be controlled by a timer set to operate
according to the fan sizes and time schedules below. The table below assumes a residence of
3000 square feet or less.
Continuous operation 12 hours per day
1 bedroom 45 cfm 90 cfm
2 -3 bedrooms 60 cfm 120 cfm
4- 5 bedrooms 75 cfm 150 cfm
C. A heat-recovery ventilation system with minimum CFM flow rates as shown in option B.
PART 2
Insulation and Windows:
Framing Glazina % U-factor Ceiling Walls Floor „J
2x6 construction* unlimited 0.30 R-49** R-21 R-30 R-10
** R-38 insulation may be used with advanced framing, meaning that elevated trusses or rafters must be used so
that the full R-38 insulation will extend to the outside of the top plate of the wall.
PART 3
Air Leakage: The building envelope must limit air leakage rate to not exceed 5 air changes per hour (ACH).
A blower door test will be required.
1
---- !LANDSCAPE LEGEND
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14'HEIGHT RESTRICTION 1
II J.STERLING
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