HomeMy WebLinkAboutPermit File 4703 Queen Ann Way 1 111102-1 0087 04/21/2011 001 1
Permit Fees 00 904 $112.15
=G1 Y 04:, City of Anacortes Permit#: BLD-2011-0110
' f 904 6th Street Issue date: 04/21/2011
# `r■� P.O.Box 547 Expire date: 10/17/2012
' . �/js Anacortes, WA 98221-0547
�' f (360) 293-1901
Job Address: 4703 QUEEN ANN WAY Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3213 Project:
APN: P59232
Remarks: Replace 2 sliding doors; house wrap&300 SF siding.
Owner: WAKEMAN THAD B Contractor: WILDWOOD CUSTOM HOMES
Address: 4703 QUEEN ANN WAY Address: 14231 ROSARIO RD
ANACORTES WA 98221-3213 ANACORTES WA 98221-8561
Phone: Phone: (360)708-0957
License#:
General Information: Fees:
Building Valuation 3500 Building Permit Fee 78.75
Plan Review Fee 28.93
State Building Code Fee 4.50
Total Calculated: 112.18
Deposits/Receipts: 0.00
Total Due: 112.18
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 C TIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIO OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE RANTING OF A P. IT DO OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STAT O LOCAL REGLI TING C STRUC N R THE PERFORMANCE OF CONSTRUCTION.
SI TURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
o%.t!O, Residential Building Permit Application
Building Department
400 � P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: 1/703 ( _10,p,n 1 V TN
CONTRACTOR 9Applicant PROJECT DESCRIPTION '
Name ' 1rr � eS i/C /
/ I c 1 r�J1
t ^ —Un
Address /(0-751`9C�� t0 t C) /-40J e-J7 3OO Sy, I 4
City/State/Zip 1 " ' , S;0 I
-O957
Phones FAX
State License# („X1.DOCi/357Dq Exp3//e/ 13
PARCEL NUMBER
City of Anacortes License
PROPER Y OWNER ❑ Applicant LEGAL DESCRIPTION
Name / ,t AJ (--3Pt kPwtf\V\
Address tr/0 ✓'\
City/State/Zip PROJECIALUATION�
Phone FAX * 350
Number of Dwelling Units
E-Mail Address Number of Stories
Building Area:
0 Architect 0 Designer 0 Engineer 0 Applicant 1'`Floor s.f. 2nd Floor s.f.
Name 3rd Floor s.f. Basement s.f.
Address Garage s.f. Carport s.f.
City/State/Zip Deck s.f. Lot Area s.f.
Phone FAX
E-mail Address
CONTAC, ' ❑Applicant LENDER
LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS OVER$5,000
Name ( P� 2 (I� IN VALUATION PER RCW.
Address Name
City/State/Zip Address
Phone -oF5 7 FAX City/State/Zip
E-mail Address Phone No.
CONTINUED ON THE BACK
n
Residential Mechanical Fixtures
Fuel Type
0 Natural Gas 0 Electric 0 Wood 0 Propane Gas 0 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
Gas Outlets Gas Fireplace
Ventilation Fans 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
Bathtub Electric Water Heater
Shower Utility Sink
Dishwasher Hose Bibb
Hand Sink Water Piping
Kitchen Sink w/Disposal Additional Fixtures
I HEREBY AC OWLEDGE IF HA THIS PERMIT APPLICANT AND STATE THE INFORMATION IS CORRECT,AND AGREE TO COMPLY
WITH ALL CI ORDINANCES ND STA LAWS REGULATING ACITIVIES COVERED BY THIS PERMIT APPLICATION. WITH THIS PERMIT ALL
CON C AND SUBCO CTO SHALL HAVE A CURRENT WASHINGTON ST TE CON CTORS LICENSE AND A CITY BUSINESS
LI SE.' TO WORK RS BE ISSUED ON JOB SITES WHERE CONTRA ORS/SUB NTRACTORS ARE WORKING WITHOUT
PRO ER EN . C
AP I 'S DATE
•
Last Updated 11-29-05
0607204-1 0001 03/13/2006 002 4
Permit Fa es 006904 -443.00
at V Y Off- City of Anacortes Permit#: BLD-2006-0160
904 6th Street Issue date: 03/13/2006
'
P.O.Box 547 Expire date: 03/1312007
',r- 0: Anacortes, WA 98221-0547
hQ'G,Ogv.
•Job Address: 4703 QUEEN ANN WAY Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3213 Project:
APN: P59232
Remarks: Remve and replace existing siding(cedar siding),
Owner: WAKEMAN THAD B Contractor: WILDWOOD CUSTOM HOMES
Address: 4703 QUEEN ANN WAY Address: 14199 ROSARIO RD
ANACORTES WA 98221-3213 ANACORTES WA 98221-8560
Phone: Phone:
License#: WILDWCH011DT
General Information: Fees:
Building Valuation 3000 Building Permit Fee 38.50
State Building Code Fee 4.50
Total Calculated: 43.00
Deposits/Receipts: 0.00
Total Due: 43.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HER sTiBYp`'(��1ERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISI S OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
N T,THEIGRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
S E OR, CAL LAW REGULAT G CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGN AT OWNER OR AUTHORIZED AGENT ISSUED BY
I T Y OF ANAC5RYES
BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
a412 510
' THIS IS TO CERTIFY that the (description of building
,or cture): =-
5'
Z
Owner: .. '�d '^
Street an No.: ..4.1`t. `.+.3'""" •EOd!I aS4
„?!Qitractor: OriwAtilitair Fire Zone. 3
Building Permit No • 3gf.tr
Occ.Group: //
�� Use Zone:.I-l.C^.+.....{--
has been inspected and occupancy is hereby
authorized: y
1976
cit !^ • Icy
0
C .TY OF ANACORTES
BLDG.Ak PLUMBING ❑ MECHANICAL 0
PERMIT ' " 4579
Telephone203-5173
ANACORTES, WASH. PATE `-" `7 -"` 19 '•'
PERMISSIO IS HEREBY GRANTED TO:
OWNER 34f&1sm5 A . fly
:STREET b}
ADDRESS '' fU tea/ A u Ca
qq LOCATION WHERE WORK/S T BE DONE
CONTRACTOR l T .0 m 7 ,d ) start ;�( as
TO ERECT 0 INSTALL 0 OR REPAIR IX
IN THE FOLLOWING MANNER: 'v 'w It % . ✓ 4.S 7
"d">c;.0 7/4 ,,'us " 1 A'•v;: P 1. e. is
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
PLANS FOR CONSTRUCTION WERE
ERE p SUBMITTED
WORK TO BE DONE BY OWNER D CONTRACTOR Jg
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE ' PERMIT FEES
OF WORK
ISSUING
BUILDING 20 ✓✓ cui 0 +r
GAS PIPING,
•
PLUMBING AND W.S.
SEWER CONNECTION INSP.
• MECHANICAL
PLAN CHECK FEE
MISC.
TOTAL 3 Ci'(.7 , 3 l vJ
-LEGAL DESCRIPTION .1ui f P11 t"' �' ✓/;4„5"
4.11
c- .
rIry IMcDcrrnn
CITY OF ANACORTES
BLDG. ❑ PLUMBING ❑ MECHANICAL QX
PERMIT /` - nit
e ANACORTES, WASH. DATE / 3 1900
4 PERMISSION eg HEREBY GRANTEQ.TO: /j
OWNER �f . Q(t . 1,4 J.``-'0'v,�
ASTREETDDRESS ` ` 703- {y 1 it-wit° ai
T LOCATIOjy�W_HHEERE WORK IS TO BE DONE
CONTRACTOR 6"LA"}�"
TO ERECT 0 INST ILL OR REPAIR ❑
I�E.A9.LWING MANNER: Qr ...I." 4- (
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
NOT
PLANS FOR CONSTRUCTION WERE WERE� SUBMITTED
WORK TO BE DONE BY OWNER X CONTRACTOR D
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE
WORK VALUE PERMIT FEES
1 ISSUING 'S on
I BUILDING
GAS PIPING
A PLUMBING AND W.S.
'
SEWER CONNECTION INSP.
MECHANICAL S 7Q pc 4S on ggg°
PLAN CHECK FEE
MISC.
TOTAL S7 O a,, 63 po
LEGAL DESCRIPTION Lot 17 tin/ &[ ...NTuM- _ .�n I�
_ Y
53.5 0
(
D ec-K-
DEC
t
"nt
51.
Ho cc
<kJ
1
1.4 47.4
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• 4
:
,
4 ty 3 62 cue ct, v) yyt .0<i.
LOM \V. 4
/ ,
—CAUTION —
This card must be posted in a conspicuous place on the premises. - "
INSULATION CERTIFICATION '
THIS IS TO CERTIFY THAT, IN CONFORMANCE WITH THE CURRENT THERMAL PERFORMANCE STANDARDS (REVISED CODE
OF WASHINGTON, TITLE 19.27, STATE OF WASHINGTON•) AND APPROVED PLANS, INSULATION HAS BEEN INSTALLED IN
THE BUILDING LOCATED AT: r ('� i
--T /if ,a ._,,)r'' ,,- i c_zir, , .Q l(/(L4 f 4---Q A T` -eim OsLI .1.4.n A %. y C
ADDRESS OF PROPERTY ' 'I / / SLOG. PERMIT NO.
Vapor barrier at 4 mil polyethylene or equivalent must be installed in crawl space.
Weatherstriping, caulking, gasketing and/or other treatment to prevent air leakage must be installed around all exterior openings.
_ r
ROOFS *� \ l
ci—c--.7—CS��.,v.., \
Type of Material Manufacturer
Cs»i t Thickness (ga 2 R Value•Jan
(Or trade name)
EXTERIOR WALLS - p,, G1 " \
Type of Material .]l �'®A Manufacturer C ca-cyy ,p &, Thickness \ " R Value•• \ \
CEILINGS \ (Or trade name)
BATTS: ,
' Type of Material Manufacturer Thickness R Value"
(Or trade name) .
�,SL_ Sq. Ft Covered
BLOWN:
Type of Material Manufacturer Thickness No. Bags
(Or trade name)
WL/Bag Sq. Ft. Covered R Value•* '
FLOORS
Type of Material Manufacturer Th;cknees R Value**
SLAB ON GRADE (Or trade name)
Type of Material='`' Manufacturer lea..+ ,r--- Thickness \ rr R Value** \ l ��
(Or trade name)
Width of Insulation Inches -
FOUNDATION WALLS (if" required) n�J
Type of Material Sr,, y ,„.., Manufacturer gy ],,,,,4_,,‘_y Thickness \ Kr R Value" \ \
% (Or trade name)
DUCT AND/OR WE INSATION .
•Type of Materia ' Manufacturer Qo i�J.. �1 . Thickness `r R Value** \eI
_ r
Gener Contr r (Build ) air
s / a. ' Contractor's Registration Number
In �p 8
BY ` Wt T2 < t1e
`-:.4.,(1•-.n,'�.Qh- Date �V l 1 -
i
���
contractor (Insulation Applicator) Contractor's Registration Number
(Insulation, Masonry, etc.) (State "SAME" if same as General Contractor)
By Title Date
•Revised Code of Washington - Thermal Performance Standards, declares: Upon completion of the installation of insulation, a card certifying
that the insulation has been installed in conformance with the requirements of this 1977 amendatory act shall be completed and signed by the
builder or insulation applicator. For this ourpose, any certification card which contains all the essential data may be used. The insulation
compliance card shall indicate the "R" value of insulation (material only) installed in the ceilings, walls, floors, on the perimeter, and ducts.
When loose fill insulation is used the card shall show the square footage and the number anu weight of bags installed to obtain the"R"value
listed. The card must be posted at a conspicuous location within the building and will indicate the installation date.
••R Value (thermal resistance) means the measure from the resistance of a material or building component to the passage of heat.The resistance '
value IR) of mass type insulation shall be for the material only."R"values shall be as listed in the current ASHRAE Handbook of Fundamentals,
or as tested in accordance with current applicable standards.
No certification of occupancy or similar certification that a newly constructed apartment house three stories or less in height, home, or other
residential dwelling is habitable shall be issued by such a building department unless the structure at least satisfies the minimum energy insulation
standards established pursuant to this chapter.
SU-a
ADDRESS `I 70.3 3 u e_o n i/ iJ
LEGAL DESCRIPTION (,()-L 17 pi i 5/6 t/ �,c /�iti;02
ASSESSORS ACCOUNT NO. 22�aO ' r 2517 1
PERMIT NO. DATE DESCRIPTION DATE FINALED
6 ;-c" . p- w s it) -P, ccii-
U22r
62, acc vor w14
S 40 • A / "vim' -{ - 51, )c
or
:I Centerline of Queen Ann Wa (60' R/W)
La850.41 ,
0
m
0
N L-81.0Q _
Qa3°02'00" N
15' R=1530' 20'
C, 47.5
c Proposed Res. N tn
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t
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h
A in
2 •
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Oa Iron Pipe (set)
0 34,18 0 0 ® a Concrete Monument (fnd)
934
NSS°22'03"W
e
Mr. John Freeman
PREPARE_ 2001 Skyline Way •
` ` Anacortes, WA 98221
�N wesVq� .. f DRAWN BY: H,L.S, JOB NO. : 469-77
�O`EOF 1yQ 9." SCALE: 1 30
49 I + T1 DATE: 12/22/77 I APPROVED BY: J.J.V: DRAWING NO:
1
° cl, DESCRIPTION: Lot 17, Skyline No, 4, volume 9, page 62,
' o w records of Skagit County, Washington.
oaf ma% JOHN J. VADAI & ASSOCIATES I MERIDIAN:
Phone: 293-7551
2701 Commercial Ave., Anacortes, Wn. tl Per Plat
a