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HomeMy WebLinkAboutPermit File 4702 Queen Ann Way 0605804-1 0006 02/27/2006 002 4 •Ofi, CityofAnacortes Fermit Fees #06881 1BLD-2 Permit#: BLD-2006-0123 904 6th Street Issue date: 02/27/2006 P.O.Box 547 Anacortes, WA 98221-0547 Expire date: 02/27/2007 ' et erg (360)293-1901 Job Address: 4702 QUEEN ANN WAY Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3214 Project: APN: P59265 Remarks: Construct 620 square foot garage Owner: RON/JOAN SHIRK Contractor: Address: 4702 QUEEN ANNE WAY Address: ANACORTES WA 98221 Phone: (360)293-5494 Phone: License#: General Information: Fees: Building Valuation 45000 Plan Review Fee 169.33 State Building Code Fee 4.50 Building Permit Fee 260.50 Total Calculated: 434.33 Deposits/Receipts: 0.00 Total Due: 434.33 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 HEREBY CERTIFY 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 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT G CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGN URE OF 0 N AUTHORIZED AGENT ISSUED BY �,� "ate Residential Building Permit Application Building Department '"baag�4 P.O. Box 547 Anacortes, WA 98221 Phone No.: 360-293-1901 FAX: 360.293.1938 SITE ADDRESS: L/ 761a ()veep ,4,u,ue ktici�/ :.CONTRACTOR Applicant :PROJECT DES .IRIPTION/ / _ Name �idS �o/7GF ,4// QC / 6�c�/` Address d ' 0' Feb x JO 0��,,q�/,� 7' Yfe �.��-(/ / tfcifil e, Cityistateizip,4 r& ee. /Od?! Phone acs-7/ooFAX �af-733/ State License#401eoce7 7/ 9 Exp-3//7/47 P-ARCEL"NUMBEI2 p J-9 6-s City of Anacortes License Bus CorS-;_ei ] PROPERTY:OWNER.; /DA/pplicant :L/EOAJL:DESCReI)P:TI/O/N .. Name/'i"UA) IF ro:tf"/l) S%6'I ffk ) SKr y /l/i)e /00 7 bT0 71 'CC i Address / 7(7° Qbeck)//owe( / City/state/zip7`7A.braded; W4' ?ea?" PROJECT VALUATION 1 -yl � �c `'`/�'j` j"� coo Phone o2 r/..3' 7 ( FAX /`�'//7 `-'/ Number of Dwelling Units / E-Mail Address tJ/4 Number of Stories p2 Building Area: 2 fO P " O°Arcfiitegt 0 Designer O�Eugine0r� Applicant 1'Floor / s.f. 2"a Floor //�� s.f. ; Name 3`IFloo `r //29 s.f Basement 5.-/° s.f. II Address Garage t27//0 s.f Carport N/// s.f. City/State/Zip Deck 3C70 s.f. Lot Area C/� 7 3 L/ s.f. Phone FAX E-mail Address ".CQNTACT:::'.`[7.1'';.. ' :;:'::;: **jinni ;L'ENDER>.;':...:'...' '': ..,: , . ,. . ////�/J /�/( LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000 Name tied PA) t(/_ -JdA/Vail/ IN VALUATION PE RCW. A ) Address Po. 4 X -76° ,L Name V 0/4W e �/� / City/State/Zip G`Cer , U"/ l Address / Phone (j 1/`‘6 7 FAX c99J`)23/ :city/State/Zip E-mail Address Phone No. CONTINUED ON TILE BACK 1/ ,a4 Residential Mechanical Fixtures Fuel Type ❑ Natural Gas ❑ Electric 0 Wood ❑ Propane Gas ❑ Other Type of Equipment Number of Type of Equipment Number of Fixtures Fixtures Furnace<=100K BTU Clothes Dryer Boilers/AC/Heat Pump Gas Water Heater /4 Gas Outlets /( Gas Fireplace Ventilation Fans y" �� Fireplace Insert Stove,Appliance Other Units Range Hood Residential Plumbing Fixtures Type of Fixture Number of Type of Fixture Number of Fixtures Fixtures Toilet Clothes Washer Bathtubr ElectricWater Heater Shower Utility Sink Dishwasher / Hose Bibb Hand Sink Water Piping Kitchen Sink w/Disposal Additional Fixtures I HEREBY ACKNOWLEDGE IF HAVE READ THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY WITH ALL.CITY ORDINANCES AND STATE LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHALL HAVE A CURRENT WASHINGTON STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE. STOP WO 0 ERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE. / AP ICAN 'SS ATURE DATE Flan}nne Way (Sitet ors • 7p2Queen �` � ���✓" ' 4 lu ,Shark RoN gr r county 827,.r / h Rsilros - \ ; : .,..,. -.: , • Roads italk- gUILD1NGS SHALL wir ExcSDPo{ %o op \ . .• 27 5a e I Ro ,G�+ �59 - 1.pta • INt= j5927d c f"et ,s� • pare(' f t Is r' Par • e to t /t/ " L _1 Tbeseoians have been reviewed 1 ante to f O 7 Rivers a • ppFhi{ecturai Committee for eompproperty I 'iris Beach C{ub CC . i only. ineer. ` tom,. L I { responsible for all en9 City I ' <lwn erty boundaries. 1 Commits! Reviewed As Noted • • 1 Af4-4 � 1/ 0j Sgrrt�lc'5r eviewedQ I• Z �3 .te rt4'44"? / -Aii � � f, Not' - - ' jr ' • Ac Membe Lxiin us rI ' 11 . stii ..,. . _. _. . . . . .. .. . .... . . .. , . _ . . .. . . .. . .. , i• I".. 4..1i • .. u 1 ••' Tt 1 "Y�� i)�, �`r,W,I\'h' �r,N -. F"'t �}.1, t ,..' - `;..,,. - :.kri r 1. ' . • :.t, •' t r. ' _ ,,, .. .tfll{ t' i' -,.ti' A f ,`+.<'§ t. -i• .arr:K!`� ',i - t "-?:ir^'.r.r: /-;_- \,`.r,.... kj:: 2 _ , r� // '.t. ''..: N `l: rc HGit; . • •mob rv,�r -�'; ,..ta..R: �^�.+.. ' v ,' - _ - tYi*b y ,yeAv ... , y.� ! .C� 74 F.f ' Y 0r+' 4 lr;,%' ' 926 .+.j ;.5• ;' yry, 7 Z.. E�.. 4.:ii't *• A,4 .�. i� ':•• “ , "( . yy , .'k � ,j'�^a`S� -' ' :s�yt� ')A;,f1^a*i ''N‘ �r (...•44''<- •� . se ?r' l y-v]uZi.th" '' ' • ^.0 :,11( S" 'iy;tj y `R,•.ay;.r:�lVl'y :.-t.4.. . i:n ,T.:i .S O . - ' r,y..,_. . `,t. • -♦ S \•Y '. fie--,-'{'�{ - :t.'.t ri'. .. . gyp-: .i .. v 'i'-- <,• — • • Ron & Joan Shirk Existing Oversized Foundation/Retaining Wall 4702 Queen Anne To Be used For Garage Walls Anacortes, WA. 98221 It\ T • \ ti 1/2"AB 7"embedded, Drilled #4 Rebar Dowel I and Epoxied 48"o.c., 6"from &Epoxy Tie-in plate ends. To Existing Retaining Wall Proposed Cii Garage Addition 1/2'x10"'J"Bolts(AB) Wet Set 48"o.c., 6" from plate ends. Existing 12 x 18"Solid------------ Home Footing w/6x6" Curb Simpson Simpson Simpson SSTB16(1) SSTB28(2) "Strong-Wall" PHD2-SDS3 SW16x7x6 Existing Concrete These plans have been reviewed y the SSC Architectural Committee for comp lance to Foundation Plan Skyline Beach tub CC s only. arty r..•t r r is solely esp sible for at eng er- Scale: 1/8"= 1' ,; :z •ode compli a and property oundar -evl A Noted \ /'� V /dal -1 - "i.Zi AC Member pate BUILDINGS SHALL NOty, ` � EXCEED 14 FT. FROM p \iv IO (c o HIGHEST POINT OF LOT � AC Member Date NluI I'S: • Existing Oversized Ron & Joan Shirk Foundation/Retaining Wall To Be used 4702 Queen Anne For Garage Walls Anacortes, WA. 98221 s r ,7'-0' � ' Note:All Door& Window Headers �rc S 26'-2' 1 2x Box Header DF ;v #2 or better 70,_, } Proposed : Garage Addition Simpson HUCQ610 L A M Face Mount Hanger Ii el9N M DF#2 or Better/ Overframe 6'x10"Beam M Dog House x Dormer 4 zi t2 ic Existing -t ,, n Home Q ; o h 2I-0-f2'-0" inr. Z., 1'-6-x 2'0" f 5'-0"x 4'-0" 14'47x T-0" & ik roo" zfi ,- — . . — Simpson "Strong-Wall" SW16x7x6 Existing Concrete ` Driveway Floorplan <6g®SF n. ,e p+ans .ave bee. - - -• by the SBC 1c;,itecturalCom,- nee for co p ; ce to Scale: 1/8"= 1' „e Beat a -b CC&R's only. Pro• -rty • +'rf: issdE responsible to• all engin==r- .jj pal lance and prop= y bounded,--. 1 _4 +leteed Reviewed As Noted BUILDINGS SHALL NOT �r 2 ' , EXCEED 14 FT.FROM AC Member ate HIGHEST POINT OFLOT l_ b' ��d `7 �A.; Member Date Ron & Joan Shirk 4702 Queen Anne Anacortes, WA. 98221 12 6 Pr - LAMINATE ROOF ;Ul tINGS SHALL Nt- TO MATCH EXISTING 15LB ROOF FELT R3BINSULAi/ON(CEILINGJ CEO 14 FT. FRs' '. HiG '.ST s1.�(V'T OF.-.®T 1/2"OSB SHEATHING \ 2")(4'SOLID BLOCK'G W/SCREENED VENT HOLES -411 2"Xe"PPS FACIA — \ _ """VVV\SIMPSON \ /`\ HI HURRICANE• - ALL TRUSSES These plans have be atieWe&by the SBC _ Architectural Committee for compliance to GaARRAGEEDoo• Skyline Beach Club CC&R's only. Property � 6kv • gi ERponsible for all en ineer- 16"OVEISHANG HEAD #2 babe n® S g ing,code compliancenn---"- and property boundaries. 8' HIGH \ ,'ice,Reviewed(j-J(ewed / Reviewed As Noted R21 INSULATION(WA I g ? SIDING MAT /` ,-,_,.-1'3 TYVEK VAPOR BARRIER HORZ.LAP SIDING(TMEI ` AC Member n ate 2"X6'STUDS a 16 \"O.C. 7/i6'OSB Sheathing �� if a. 4. AC Member Date`/ 1/2"X 10"A.B. Notes: 3"X3"X1/4"SQ.Bearing Plates 6"FROM CORNERS 8 48"O.C. +"X6"DF SILL PLATE \ /SILL FOAM i•c 4isbng 4"REIN ORCED \ 6-\ - 24 CONT.. . 0 NC.SLAB \ splash Necks % nI'n�/ CONC.SLAB P \ FIN.GRADE ( x8 #4 I 01 need.' 1 I \ REBAR 1 �NS' 4J6'L/ b-YJ i'r y DOWELS 48' n #4 VERT O C W a�D a PA�_ / 'J'BAR 24'OC. (2)e4 CONT. 18" MIN WALL SECTION/ N. 3"CLR" 491 FOOTING AND /3'/R SLAB DETAIL 7//12'FOOTING/ NOT TO SCALE! ,I V o„ CITY OF ANACORTES WASHINGTON �cpt`' BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY certify that the (Description of Buildingor Structure): This is to ce y ( P 1 Single Family Residence Located At: 4702 Queen Anne STREET&NUMBER Owner. Nona Soland ' Constructed By. RE Turner OWNER OR CONTRACTOR Bldg.Permit# COM95-0002 Date Of Issue 1-16-95 Occ.Group: R3 Use Zone: R2 Has Been Inspected And Occupancy Is Hereby Authorized, This 22nd Day Of August _ 19 95 . N.A AUTHORIZING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS COMBINATION PERMIT CITY OF ANACORTES PERMIT NO. : C0M95-0002 P.O. BOX 547 APPLIED: 01/06/95 ANACORTES, WA 98221 ISSUED: 01/16/95 (206) 293-1901 EXPIRES: 01/16/96 SITE ADDRESS: 4702 QUEEN ANNE ASSESSOR'S PARCEL NO. : 3820-000-050-0001 PROJECT DESCRIPTION: New single family residence. — OWNER — CONTRACTOR — LENDER NORM AND ANN SOLAND RE TURNER CONSTRUCTION P.O. BOX 2075 4904 HEATHER DRIVE SOLDOTNA AK 99669 ANACORTES WA 98221 907-262-8447 293-4295 RETURC*0077LJ — FEES TYPE OF WORK •NEW AREA (sf) VALU.-.$: 125000 Code Amount---- By- Date---- Receipt TYPE OF USE •SF LOT - 7500 REQUIRED SETBACKS---- ESPL $ -100.00 MD 01/16/95 3410 CENSUS CATEGORY •101 1ST FLR • 660 FRONT • 20 ft PLCK $ 322.08 MD 01/16/95 3410 ZONING 2ND FLR • 1380 SIDE(1)..: 5 ft PRMT $ 495.50 MD 01/16/95 3410 :RL BASEMENT • 0 SIDE(2).-: 10 ft PMEC $ 79.00 MD 01/16/95 3410 OCCUPANCY GROUP GAR/CARPORT...: 720 REAR • 20 ft PPLM $ 132.00 MD 01/16/95 3410 :R3 •? :? •? : OTHER 0 REQUIRED PARKING-- STBC $ 4.50 MD 01/16/95 3410 1 TYPE OF CONSTRUCTION TOTAL • 0 SEWR $ 3258.00 MD 01/16/95 3410 :5N •? •? :? : NUMBER OF UNITS • 1 ACCESSIBLE.: 0 IMPT $ 400.00 MD 01/16/95 3410 OCCUPANT LOAD STORIES • 2 COMPACT • 0 MISC $ 20.00 MD 01/16/95 3410 0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf INSP $ 50.00 MD 01/16/95 3410 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 $ 4661.08 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...: 0 VENT FANS • 0 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1 VENT SYSTEMS...: 4 <= 10000 cfm.: 0 WOODSTOVES • 0 VENT W/0 APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0 EVAP COOLERS...: 0 GAS OUTLETS • 1 HOODS • 1 WATER CLOSETS...: 3 WASHING MACHINES: FLOOR DRAINS • 0 BATH TUBS • 2 ELEC WTR HEATERS: WTR PIPING/TREAT: 0 SHOWERS • 1 LAUNDRY TRAYS...: HOSE BIBBS • 3 DISHWASHERS • 1 URINALS GREASE TRAPS • 0 LAVATORIES • 4 WASTE INTERCEPT.: ADD'L FIXTURES..: 0 KIT SINKS W/DISP: 1 DRINKING FOUNT..: I hereby acknowledge that I have read this permit and state that above information is correct, and agree to comply with all ordinances and taws regulating activities covered by this per Issued by plica Or er' s Signature 24 Hour Notice Required For 11 Inspections comjrmt, Rev: 11/04/93 DATE: /G'" -��/ PERMIT NO: CITY OF ANACORTES PLUMBING AND/MECHANICAL PERMIT {'7 SITE ADDRESS: j7O �A ' 0DJ'? ny--) P. ASSESSOR'S NUMBER: 3$I 0 - ©oo - 050 -666 // BLOCK: OF: P/✓ `}- OWNERS NAME: /✓dLM I,IWA" 'Lg9/0 PHONE:er�gq�t"o 7 Z6o Z- 8�7 ADDRESS: igo Zo 7C , cLOd ✓4 ,4n4 s,zn 9966? li :PLUMBN�G// ... •{:::. .. :.: .: :. ICCiANICAI CONTRACTOR: /1/J�� 7 [-t t.t4 4A 4 CONTRACTOR: 2 e't_ /4{,2— PHONE: 'Zfl et-VC 75472-( PHONE: 806 - 77S 70SC CONTRACTORS LIC. NO:4E;5/flfpG (Ti3:r9 CONTRACTORS LIC. NO: 13tL4/1tAf14/io3LI- NO TYPE OF FIXTURE OR ITEM NO TYPE OF EQUIPMENT Sa WATER CLOSET 1.5 GPM AIR COND. UNIT c9 BATHTUB REFRIGERATION UNIT HP / SHOWER 2.5 GPM BOILER ' HP / DISHWASHER 2.5 GPM l FORCED AIR SYSTEM /yy/j0 BTU/HP ,�L/ LAVATORY 2.5 GPM FLOOR FURNACE 5 BTU / KITCHEN SINK 2.5 GPM WALL HEATER / CLOTHES WASHER / CLOTHES DRYER 22 k-- BTU CD URINAL 1.0 GPM WI VENTILIATION FAN DRINKING FOUNTIAN / RANGE HOOD FLOOR SINK OR DRAIN AIR HANDLING UNIT CFM SLOP SINK PRE-MANF. STOVE OR FIREPLACE WATER PIPING ( GAS FIREPLACE �gtDa BTU OTHER(DESCRIBE) : / GAS WATER HEATER 3 BTU 3 HOSE BIBS / GAS PIPING OTHER(DESCRIBE) : 6A : OIL: ELEC: OTHER: RECOI ED NOTICE DEC 2 '3199t4 E4 1LD114G DEP ' THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM PLUMBING AND MECHANICAL CODES AND SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HEREBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LA D ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, CLU ING CAL OR INSPECTIONS.� NS Q SIGNAT // V L/C HATE-� / 77- / it 4 • FINAL INSPECTION CHECKLIST Inspection Date: Address:ae 6,L4 f�/) /41-''/` Permit No.LY n9S-OCO bate: /rh/r9S Zone: ,+e-� Owners Name: 'fl0711") SOICc r,c/ Owners Address: 1,„„,, � - Occupancy Group: -73, Lk/ Consruction Type: S Variances: 1J0 Safety Glass: ,----- / Sewer Fee Paid: Hand Rails: tP L% X. Sewer Inspected: Guard Rails: 6/y WSEC Compliance: o'/ Traps: fl/6-- 1 Attic Access: 0`' F Stove: Smoke Detectors: O/"— Water Pressure: 12_64757.../ T&P Drain: CV' House Numbers: c;k Insulation Cert: Site Drainage: #/( - j2eu< , Radon Test Kit: 10) 9/ Curb Cut: [3k NE Garage House Door: Crawl Space Insul: 'I Q . Bedroom Windows: �,22 Crawl Space Access: /J Water Heater Strap: (]K- Vapor Barrier: .0 . 4 i D.W. Air Gap: cal- Water MeterBox: 0A. Auto Garage Door: 12L _ Outside Caulking: ®/'- _ 1 Exterior Decks/Landings : rC KExh. Duct/Dryer Vent Dampers: 04 69i P/ (1/ ,,,J. lizi_j_ _ c.„...,_,Ir 6 5 t e r � V'� ✓ t jL °I. La V r-(3-r rya,, 0. �u,. 4p2v 08/11/95 07:21 t12065847284 Sass-mesa Iif00i/OOi INSULATION CERTIFICATION (THIS CARD IS to REMAIN PERMANENTLY;POSTED IN A READILY ACCESSIBLE LOCATION) THIS KINGtCCO COUNTY ENE CERTIFYRGY CONFORMANCET,IN 4753 R ED BY OORRDSS0027 AND APPROVEENT D t HAAVVE INSPECTEDD� THE ENERGY PACKAGE AND CERTIFY THAT n HAS BEEN INSTALLED IN ACCORDANCE WITH THOSE .STANDARDS IN THE BUILDING LOC,PTFA AT: °7 J7t9 _,,,,�F't✓rOA✓ Arne WAY . ivicie a4lc mama atPopeny RoaS r DESCRIPTION OF INSTALLATION it Typed(Materiel k'r g r'.t�-. ••__�— DGt s6 Coe$ wf Thickness ess /2 RVelue Kxuamnecr TAMS T woof Mateeal alSEWISfrionuiattwor obu/Fnce " %P.T ': lrNew„e, e Rvmue ,[_ caLatat (Or aaderemd BATT& �[ Type of Metafial CJa 7r t+' urot O estrA 'hid ess .49 R Value tOrIr.Weeama} Sect Coveted BLOWN: Type of Material Manufacturer Thickness No,Baps`_ (Or Wade name) u'^ 0 Sc.FtCo�ered�.,RVales FLOORS ' fir TSpeot IMtt%al i .?,19SfMawtacturw 0 lAlaxa& tenPariAc Thickness Gs RValue /7 (treads name) SLAB ON GRADE Vest Material Manufacturer Thickness RValue lomat%rams) Weakot insulation Mews coUNOADON WALLS 01 required) Tana of Mateda Maradacturer Thickess RVaae Ektrade name) Duct AtSIOR Ripe INSLrL ON / 1/ TypeoDMaterlal "SGParntenufacturar name) PF.0he. Thickness - eh R+ta(ue ..a KEATING BYSTEee TypeotSyStem _ taameactfer Input Output ❑ ALL GAS d OIL CENTRAL HEAT PLANTS IN NEATER BRACES EQUIPPED WITH APPROVED AUTOMATIC VENT DAMPERS ❑ NIGHT SETBACK THERMOSTAT INSTALLED 0 HEATING SYSTEM PISMALJ.ED TO NO MOI1THAN 125%OF DESIGN WAD 0 GLAZING—ALL GLAZING INSULATED GLASS OR STORM WINDOWS PROVIDED CI warn HEATes—ASHRAE9045 Ate ❑ WATER FLOW PE!IRIeraRs—ALL wows umrEDTO3GPM ❑ It LTRATON—DOORS d WINDOWS WEATHERSHI WP&D OR APPROVED BY ASTM 203-73 ❑ INRLTRATION—ALL OPENINGS IN aims WILLS DALLKEDOR SEALED ' CJ PIRERLAmS—OUTSIDE AIR VENT(S1X SQUARE INCHES'}WITH DAMPER TO FIREBOX 0 GAB THERMAL WEAK CREATED 0 LIGHTING POWER& IOW,'&SWRC}IING REWIREMEN(s MET © VAPOR BARWERS—INSTALL®PERODOe RSAARItfS(If desired) r ~ I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT: ants:Contractor(Bulkier) Contactors Registration Number BY Tine Manta Place (� T{� III 6 # M[qt ��Lf�n+ff repF� 3u&rgnpeGtl lfafllA1�Td "TIO "' .1Y'fW"tl'�actor's Feagtsirat(on Number (Insulation,Masonry,etc)pate If same as General Contractor) ay _lam ,r Vt 44..tairLA Tete Sa0kr_� Rate and Pap • kWttir. 1111 $ f Y�+ 4Gum ). 1 \ 0 a: \ /.._ r j DATE:9 00' / PERMIT NO: CITY OF ANACORTES BUILDING PERMIT APPLICATION SITE ADDRESS: OD QM.Ff��-� - " ' y � `� ASSESSOR'S��11NUI+IDER: 382e, -coo - Os-0 - 0©0 LOTS S1/ BLOCK OF 0/4/15/0� OWOWNER. . • ER it/og-A-14/fmci 5e t_ANo NAME: NAME: // NAME: / �t. /M2n✓�� ca/s7-. MAILING ADDRESS: MAILING ADDRESS: MAILING ADDRESS: 1?v&,..Ic 707r R. ®.Smc 5 2- CITY: STATE: ZIP: CITY: STATE: ZIP: CITY: STATE: ZIP: A (MCI PHONE: PHONE: LIC NO#: � PHONE:o 7-2,6 2-- W,W 7 2& r2-?t-2876 yzt c CONTACT PERSON: FAX / "' LFHONE: `92`517" FAX: RESIDENTIAL NON-RESIDENTIAL OTHER SINGLE FAMILY: AC RETAIL: STORAGE: OFFICE: ASSEMBLY: MULTI-FAMILY: ACCESSORY: APARTMENT: RESTAURANT: CONDOMINUM: BANK: AUTOMOTIVE REPAIR: SENIOR HOUSING: MANUFACTURING: OTHER(SPECIFY) : OTHER(SPECIFY) : OTHER(SPECIFY) : DESCRIPTION.:CIF. 4J0 .. : BUILDING: V REPAIR: SHORELINE /WETLANDS Y PLUMBING: p< GRADING & FILL: WATER ON / ADJ TO PROP Y 6 MECHANICAL: DEMOLI I� TION: SOILS REPORT Y aD SPA/HOT TUB: OTHER:OTHER: SENSITIVE AREA Y ��.� POOL: LATECOMMERS AGREEMENT Y V NEW CONSTRUCTION: FIRE HYDRANT<(250 FT) (?) N ADDITION: VARIANCE Y ©, ALTERATION: COVENANT Y ('°) DESCRIBE WORK: I.NrQR...... ...' r` :.....r,:.. :,::..`;;:;?. ?': i ::i rs^:.' ':',. STREET SETBACK: I A FT LOT AREA: 2500 SF CARPORT AREA: SF 1ST SIDE SETBACK: ,] FT NO. OF DWELLINGS: GARAGE AREA: yC) SF 2ND SIDE SETBACK: /O FT LOT_COVERAGE: SF NO. OF STORIES: SF SF REAR SETBACK:) ?D FT T FLOOR AREA: SF DECK AREA: USE ZONE: lLo�. 2NDFLOOR AREA: l ,g0 SF MISC. Sr OCC. GROUP: .23 3RD FLOOR AREA: �/ SF n TYPE OF CONST: En EMENT AREA: 449 SF �fi441.4..iS4r' , � .�skbvEU PROJECT VALUATION(LABOR AND MATERIALS COST) : 7 /2s O 00 199 NOTICE DEC 2 ibya DEPl. THIS APPLICATION IS RECEIVED BY THE BUILDING OFFICIAL UNDER THE PROVISIONS OF THE UNIFORM BUDOOSIDNbbE, SHALL EXPIRE BY LIMITATION AND BECOME NULL AND VOID IF PERMIT IS NOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING MY SIGNATURE I HERBY CERTIFY THAT I AM THE LEGAL OWNER OF THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN AUTHORIZED AGENT OF THE OWNER. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR INSPECTIONS. DATE : �2, b7 SIGNATURE : FOR OFFICE USE ONLY YV STEEP SLOPE: ENGINEERING REQUIRED: WETLAND: 6 WAC 51 COMPLIANCE REQ: SHORELINE: t/ SKYLINE APPROVAL: 62, ore%, 1\1 SOILS REPORT: N CLEARIDGE APPROVAL: A WATER METER SIZING: YU VISTA TWO APPROVAL: NUNSTABLE SOIL: r_ YU OTHER: PLANS REVIEWED BY: DATE: .:r7:i.'i':: �::!:::`��::'y';.;:;ri:.i.:;:,f::rS:F`,';,:: :'?:,3;;::,.s:;: ::r:;><�:�t8:;�;::�::,>..>:.:„f.�:?g;,.:;q..:.r.<::;:,;;.::::;: y:��� ^s:�. '<:::?::rs: :::;..::::^t::r�c.!;��`'r�t�';�t^r".:•:>::;�;:��'r:: . .... ...._..... . ... ..:: ,.......- : : ..t���:a^:z,,, 'r.S't::'c;:<;�ai`.;:�Ci�NUITfiONu.�'IiNDt��GONEiLD,iTS:.(%. iii�i:=.>`>z'i:'a`'�;FFci`'?:.�:;t�::::�r< >'`ii:?'.'iacti:'1�.:::� PROJECT VALUATION INFORMATION FEES ESTIMATED VALUATION: '5( BUILDING PERMIT: FIRST FLOOR: LPtd 3 X PLUMBING PERMIT: SECOND FLOOR: /33O 7r000 x MECHANICAL PERMIT: THIRD FLOOR: X PLAN REVIEW: GARAGE: '7 %>"D fit Beb X( SEWER FEE: DECK: /.;)-0 /c2 ` <, SEWER INSP FEE: MISC: ^C RADON TEST KIT: Is, IMPACT FEE: STATE CODE: .: ...: . .....:.... ..:... ...::�:..:�:..:.��>.�:a:.,`:�. :�::,....:..�!,....>:.:•:::....;ro.,...:,.,.:.�:��.,i: — MISC. FEES: .::r:?'f :;:.ti.::::'?.'._.^_;r:: :�:>' `;iS'`';'f.'.:.::;: :`:`:: ..:.:..+::.:j:::'i.:'.S '; 7fi�?':.io',II'li�^;: <..;.:.;:.;.:,` 2:_: .$t;:::;.7:':.::;•:.:::.i ::i:.:—.:...;:. ;.::...... .. . ,. : : :.: .<.,,.�:r:.; :.::.• . .. :. ;::.::r.;:: .AEPARTA4ENTATaitAPPRU�13:LiS:: '::'.'r;: i'.;:'': ':;;:r::_: f;'; ':;?:`:.`ii>?;;i.:<' `::ii>' ::il :. PLANNING DEPARTMENT APPROVAL: SEE ATTACHED PUBLIC WORKS DEPARTMENT APPROVAL: SEE ATTACHED FIRE DEPARTMENT APPROVAL: SEE ATTACHED SITE PLAN REVIEW: SEE ATTACHED