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HomeMy WebLinkAboutPermit File 4705 Queen Ann Way n 'D614602-1 0085 05/30/2006 001 1 Permit Fees 007034 $49,55 YGS T 4 City of Anacortes Permit#: BLD-2006-0375 904 6th Street Issue date: 05/30/2006 "}"■ +' P.O.Box 547 Expire date: 05/30/2007 Anacortes, WA 98221-0547 (360) 293-1901 • Job Address: 4705 QUEEN ANN WAY Permit Type: Mechanical Permit ANACORTES WA 98221-3213 Project: APN: P59231 Remarks: Install two gas fireplaces Owner: CATHERINE FOLKS Contractor: Address: 4705 QUEEN ANNE Address: ANACORTES WA 98221 Phone: Phone: License#: General Information: Fees: #of Gas Fireplace 2 Mechanical Permit Fees 49.55 #of Gas Piping 1 Total Calculated: 49.55 Deposits/Receipts: 0.00 Total Due: 49.55 II 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY • y � Y o CITY OF ANACORTES WASHINGTON cock' BUILDING BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): II `^ I rrnt Q_ 1`CL Y- A 2-LA h\trLocated At: L' ?es GA Ann STREET&NUMBER Owner: J.�.-1)-({ 0 .r ( ,r)t)`Th C fr(4-15fi--) Constructed By: ()I r1.)E`1s I OWNER OR CONTRACTOR C, Bldg.Permit# -7 to to IDate Of, Issue: Occ.Group: Use Zone: 2L.. Has Been Inspected And Occupancy Is Hereby Authorized, This CINA:>1 Day Of rf` - 19 '1 _..R..r 1 AUTHORIZING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. • 5- 9- 4r.zr:'''-u'f'1:1‘Q4i- I 1 5 , ,_ ,2 - 1-64'---111.-- D 'c' , C rt a,•-• Ito--9 0 Eo..)1,J erwar.) OK Z [ 3- zr- 9O r r,n9 rPRIAMs Cf --, 3-27-9® Urt'D ROuntD ?0 • Ok {� J T a8-90 5u6r5s',.�, g `,`, t-7 S c �.-- b-17- 16 Pio TEST- onl CABS CI o nimtkr:. , -a©-90 Gasaa- off.. < e i `9-/4-9O Ffziamuq& rmE u.) oop �Y_ g -90 lvs;)ll m iracc O 3 titM lr, r 0 c ril i N 1 to �p N t dDo INSULATION CERTIFICATE 009995 JERRY KIEBLER 4705 QUEEN ANN WAY P.O. BOX 75702 ANACORTES SEATTLE, WA. 96125 LOT t 16 SKYLINE 1 STORY/BSI Tyge of Material Manufacturer Thickness Sq Ft Covered R Value Width t Bags Wt/Bag ATTIC BLOW ULTRATNERM BLOWING WOOL CERTAINTEED CERTAINTEED 12.75 1090.00 30 25.00 25.00 Total Sq Ft Installed: 1090.00 CONCRETE FURRED WALLS R-19 6.25'x23°x905 KRAFT @ 115.00 DC OWENS-CORNING 6.25 635.00 19 23.00 Total Sq Ft Installed: 835.00 EXTERIOR WALLS R-19 6.25%15'x90' KRAFT @ 75.00 OC OWENS-CORNING 6.25 1650.00 19 15.00 Total Sq Ft Installed: 1650.00 KNEEWALLS R-l9 6.25'x23"x90° KRAFT @ 115.00 OC OWENS-CORNING 6.25 30.00 19 23.00 Total Sq Ft Installed: 30.00 FLAT CEILING-BATTS R-30 9.50%24'x48' KRAFT @ 80.00 OC OWENS-CORNING 9.50 8.00 30 24.00 Total Sq Ft Installed: 8.00 SLOPED CEILING R-30 9.50'x24"x48° KRAFT @ 80.00 OC OWENS-CORNING 9.50 120.00 30 24.00 Total Sq Ft Installed: 120.00 CANTILEVER FLOORS R-19 6.25'x15"x90" KRAFT @ 75.00 OC OWENS-CORNING 6.25 20.00 19 15.00 44'CORRUGATED CARDBOARD BAFFLES @ 50 PKSNOT APPLICABLE 50.00 Total Sq Ft Installed: 70.00 Remarks: Sono-Therm Insulation, Inc. SO NO Ti a 264Q6 "tb SITE INSPECTION CHECKLI T '�( � Address: 4c70 hnn Permit No.: I(F%LC2( Date: '(p' 9i^, Zone: Owner: (Ebef5Of Contractor: \4). Legal Description: (e1 Rio C 'I 'J 3520' Ort ' OIc onD4 Variances: Occupancy Group: ca:75 Construction Type: \MI Energy Code : Ch . 6 Ch. 4 FINAL INSPECTION Insulation Cert: V House Numbers : Water Pressure: `7 , > Site drainage: Insul .--Crawl Space: 11GG�- Attic: ✓ Crawl Space Vapor Barri r: Y11C� Garage/house door: D.W. air gap: ',/ Traps: Exh. Duct dampers: Smoke Detectors: Safety Glass : ✓ Guard rails: Hand rails: ‘/ Bedroom windows: 4✓ Sewer Inspected: f'(F '9O6 Curb cut inspected: ?)•2"( -1Q Water heater: Strap: n/ . T & P drain: Sewer rec't. : ` Date: �O• �2 ' 0 Dryer vent : V Wood stove: II 1 LCO lu MI6 t r�n j-r am • Page of HEAT LOSS LOCATION: 6s—Quee4J k3ane 1-7/-7 6A j =a-r:r DESIGN TEMPERATURE DIFFERENCE: li „�� -CALCULATION FORM Plan or Model No. , Dated / / Heated Square Ft. , ADDED ITIONA- HEATED SPACE R-VALUE " ftv I Number umber Number Number ofNumber. Number MATERIAL SOURCE OF watt of sy. of sa. of sN. of sa. or .a. of +o. ONLY HEAT LOSS Table Coss Cu. or Watt cu. or Watt Cu. or Watt Cu. or Watt Cu. nr Watt Cu. or I Watt Number Factor I lin rt. tt�ons Iin.rt. loin lin.Fr. toss Iin.rt. less _I in rt. I Loss I.r Tt Less /// /// GROSS ExWALLS �///////r i %//�� / _ ��/. /��/, ��� \ ////�j, .✓ p LESS WINDOWS: , r„:-// , L r in l /able I ,. �./ //7J�97/ � LESS WINDOWS: iii /� /� (� -- /// Dote). Table I /t,R- MI a ', ' �/ , /V , b % LESS (1 2& ) - —Tale I -1,c 7 IIMI "V59 fl ) 3h :N 46 1991_ 1 )t NET WALLS : flare able a / i 49 - 1c 3 �6711 ■ �ET9WALLS : concrete L •� P IlY9LL1 IYCa ��';T• Tablt3 Ia nVrb L b- ?�3 - ' CILING: ventee l II\ /I attc bow[ '`Table L ^/�./J �.:�� /�`�-•? • 1 V CEILING: open beam Table s I 7 r / as= construction J FLOOR: over vented �- //++ Il crawl space *Table 6 Y[.I'' ��� 'I — IFLOOR: over wnvented Table 7 /\ I „ ` \neateed flea II i T LCVR: slab including /- S \i 11111 w�l \ 6 , ' ■ balm yade walls-lin[,I r. Table 8 10 a4' ( ' `V - Mae H -- COMMON WALLS: Table 9 \ �� ,; 1)� wulTipl< units \` o jwCOMMONiCEILING: Table ,� ---��� � j v ; COMMON FLOOR: 011111 ti 10 LOO : Table 9 - .. multiple units - I I NF I LTRAT I ON KU.Ft Pd / I / / INF7 SunkenILTRATION basement 1/2 ail Csa••r/Nr. �i�� r WATTo LOSS PER ROOM /��// /�/ j%O%J//!l. 7 a/� i D INSTALLED WATTAGE 0 mI . Structure Heat Loss (SHL) = Watts. 5, Estimated Duct or Piping Heat Loss = 2. Duct or Piping Insulation (inches or approx. SHL (1) x DHLM (3) x Fraction (4)= Watts. o R-value) , 6, Total Heat Loss (1 plus 5) Watts. ] 3 . Duct Heat Loss Mqltiplier (Table 11) DHLM = 7. Total Installed Watts Watts. r� 4, r Fraction of Ductwork in Unheated Space. N �, *MOH le Homes - Use Table 12 and 13, WORKED BY X�-V//y/e_ g //') �j DATE 7//a// 5—/C. i ,,., For Inspections Call CITY OF ANACORTES P. 0. Box 547 293-1901 BUILDING DEPARTMENT : 000 904-6th Street 24 Hrs. Notice Requested PERMIT APPLICATION Anacortes , WA 98221 41er Queen AIVA) why - Name (o,r . ne of iness) APPLICANT I THIS win WELLS�EE THIS FORM;ening tEAVE LINES Met kt_. */ 6/er Co ei s%r cA c i 7 o-4/ BE „ailing Address FUMING Mgt Pc) 0 G K. 7s-7o� 'tS City Telephone NumberI Type of Fixture or Item -: 5eo.T?/-- LI// 93.e/cR 3 7 76- aS-7 C/ 3 water closet (Toilet) $ /o on / BathtubName A rb 'KO/1 rn id --./o /ir s o - / / Lavatory (wash Basin) a�►• Address 3 Rimer - ON / 2 C 0 / cZ(.3 /-c( 1)Ct)my 2$t1-3 8Vc / Ritdhau sink a Wisp. 2 or) city Telepinte Nit / Dis1er tt on s,U--7-r/e Olt 75/ 77 1/45—e5'6 ,... ,a e s-, Iaurxlry Tray /C Name N t tn rt T / cloths washer 2 OD Cs;e- 4 /c- / 6e_ / s- - / water Neater 2 nc Address Urinal Po ,sox x 7.s—7o ..� drinking Fountain City Nam 2- Floor - Sink or Drain 4 Do �''4-7-7-/e IC) .er ?S//-Zs 77 6 3-7 y Slop Hank State rim Nutter G,c 4- L ,<C //,3- Q L_ I water Pipings Treating Equip. 2_0 o Waste Interceptor c Residential-1 Demolish Flushing Vaasa Breakers Ccnnexcial Haring P9 last Sprinkler System lbn-Conuercial Spa/Pool Add Na. Alter Sign Repair I PErMET $ 3 OO Legal Description of Property (Sun. Bela.or Attach Four CCpies) ROM FEE $ µ) D 0 Lot 6 tof �-{ky bet F aL CN�. On, LNG Fes. 3? -0- 66(7 — 040 —` eb Type of Equipment FEE Air Crrd. Units - H.P. Ea. $ Refrigeration Inuits - B.E. ea. C o 1 .5 T LA.. L% o m Boilers - B.P. Ea. Nature of Nark Gas Fire A.C. Units - ltnnuage Ea. / '• -:.. Air Systems - B.T.U.7S 000N Ea. C) to Gravity Systems - B.T.U. M Fa. Wall Heaters - H.T.U. M Use Unit Beaters - H.T.U. N e S i GL e Evaporative Coolers icri E Clothes Dryers This permit becomes null and void if work or construction authorized is 40 Ventilation Fan not a n enced within 180 days, or if construction or work is suspended or abandoned for a period of 180 days at any time after work is car- Range Aced - Coml. xence. I hereby certify that I have read and examined this applica- Air Handling Unit C.F.M. Lion and brae the same to be tan and correct. All provisions of laws and ordinances governing this type of work will be complied with Incinerator whether specified herein or not, the granting of a permit does not pre- / Gas Piping 3 0O sure to give authority to violate or cannel the provisions of any other Tanks state or Irral law regulating canstruction or the performance of car structiQon. -Hv-a u...r0-^ a-6 waetOVES ---' li 7 /- cX i/- F 0 111 Signature of Caner ized Agent (Dare) NOTE: PERMIT LIMIT ace: YEAR (Except tx1.OLITIOS N MOVING NING PERMITS which shall be completed in sixty days.) PER T i •a Tom!, FEE $ 33 s0 Side Yard Setback Street Setback Rear Yard Setback APPROXIMATE g m Lt. / I 7 / / TYPE VALUE PERMIT F ES d O1 St. Bldg. Code Surchg. 4 b - 's Use Zone Lot Area Vacant Site St. k7-5-7 f:>- L ies _No St. Energy Study Surchg. I e Type of nc Conet Occupancy Group No. of Dwelling Unita '- LOO(oeZ ?learn /\ "7e e_ 1 M G/ Bu11din; /� I:NA I 424 06 1 Size of Bldg. Sq. Ft. Carport Max. Oct. Load Plumbing & N.S. I 41 Do 3rd - 3 So Mechanical 2nd Carege/ Fire Sprinklers Reed. A//O / __ye. ✓o Ye■ Plan Check Fee 2- 7 -0.' 1st /-4/S� Basement � Fi /C re Place/Insert Wood Stove Sewer Sever System Fee � 13� oQ // / rTi O c an.O,c c_ VV I Deck Chimney Checked By: al/S /len_ / I, A4 TOTAL IzI270b r45x42 ; Gr,orte. ,., :, n.;,, - /' c. De.Pa5r7 -s...r�•o° -- 45(o K I, - 2,13�, n i. i' Al kif a E.Fi;u9 ri -r""' Ra�pp ���?r9e' ,� �:�.`;y6✓ i otstf,i,+��}'n is xcv ��n,,,' .�,�1 5 3 4,. ,�t , }q"fry a xo s 4 { kY w r ;✓ " "�[1.iC��4'��j t�� 9 "' ��t :� `�7'i���i ' k�w�•. Z�r^Y VfS'9"R�j .3} ":M�s" rill{,-� i�� �•4e��q�.�. -�X��l.. �� r}"..'c.� Y ":� �•: �- m'� Fa� �� � � �.r lks rr.^3 w.r:r"�' � t Wurs, � B„ Wn a, 'kip z. 1 1 a 0 d d 5�vf. c) ii GO , ,i a N noposEp Rt3It - -NMI)r 14•' c' nu . t €MCS \ la \ 1 Q r Pic, 7- o 5,fy ,n e— eAt,� t Sc. tii � Q'`1 .4. 0 "' /6 0i tA • + t} 'N „.o1 _ O ) CJ - --1 -vidti Kith . . 'm6- Is1 l„ 4 ESfisz-f^,yri :,::', '.. � ° lir r N y ,: it t its ,l #°r A-, h7,J ��„ :j , �: r 5: r 0 ; �r+ fir � ;rv"� 'tl�A��*.#� x s �}xxiE�z +4 .c• 's.. ,�, ,:. ',t �y. :� � ; s!�,., l��'.. � , � `� �,f.r � , . 4 ���., .; "�7fr�':�'W. .7r�. mac i s �` 2 . � L'� � � � 6Y � •. A ,„ L i, 'i., n 'D614602-1 0085 05/30/2006 001 1 Permit Fees 007034 $49,55 YGS T 4 City of Anacortes Permit#: BLD-2006-0375 904 6th Street Issue date: 05/30/2006 "}"■ +' P.O.Box 547 Expire date: 05/30/2007 Anacortes, WA 98221-0547 (360) 293-1901 • Job Address: 4705 QUEEN ANN WAY Permit Type: Mechanical Permit ANACORTES WA 98221-3213 Project: APN: P59231 Remarks: Install two gas fireplaces Owner: CATHERINE FOLKS Contractor: Address: 4705 QUEEN ANNE Address: ANACORTES WA 98221 Phone: Phone: License#: General Information: Fees: #of Gas Fireplace 2 Mechanical Permit Fees 49.55 #of Gas Piping 1 Total Calculated: 49.55 Deposits/Receipts: 0.00 Total Due: 49.55 II 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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY • y � Y o CITY OF ANACORTES WASHINGTON cock' BUILDING BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): II `^ I rrnt Q_ 1`CL Y- A 2-LA h\trLocated At: L' ?es GA Ann STREET&NUMBER Owner: J.�.-1)-({ 0 .r ( ,r)t)`Th C fr(4-15fi--) Constructed By: ()I r1.)E`1s I OWNER OR CONTRACTOR C, Bldg.Permit# -7 to to IDate Of, Issue: Occ.Group: Use Zone: 2L.. Has Been Inspected And Occupancy Is Hereby Authorized, This CINA:>1 Day Of rf` - 19 '1 _..R..r 1 AUTHORIZING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. • 5- 9- 4r.zr:'''-u'f'1:1‘Q4i- I 1 5 , ,_ ,2 - 1-64'---111.-- D 'c' , C rt a,•-• Ito--9 0 Eo..)1,J erwar.) OK Z [ 3- zr- 9O r r,n9 rPRIAMs Cf --, 3-27-9® Urt'D ROuntD ?0 • Ok {� J T a8-90 5u6r5s',.�, g `,`, t-7 S c �.-- b-17- 16 Pio TEST- onl CABS CI o nimtkr:. , -a©-90 Gasaa- off.. < e i `9-/4-9O Ffziamuq& rmE u.) oop �Y_ g -90 lvs;)ll m iracc O 3 titM lr, r 0 c ril i N 1 to �p N t dDo INSULATION CERTIFICATE 009995 JERRY KIEBLER 4705 QUEEN ANN WAY P.O. BOX 75702 ANACORTES SEATTLE, WA. 96125 LOT t 16 SKYLINE 1 STORY/BSI Tyge of Material Manufacturer Thickness Sq Ft Covered R Value Width t Bags Wt/Bag ATTIC BLOW ULTRATNERM BLOWING WOOL CERTAINTEED CERTAINTEED 12.75 1090.00 30 25.00 25.00 Total Sq Ft Installed: 1090.00 CONCRETE FURRED WALLS R-19 6.25'x23°x905 KRAFT @ 115.00 DC OWENS-CORNING 6.25 635.00 19 23.00 Total Sq Ft Installed: 835.00 EXTERIOR WALLS R-19 6.25%15'x90' KRAFT @ 75.00 OC OWENS-CORNING 6.25 1650.00 19 15.00 Total Sq Ft Installed: 1650.00 KNEEWALLS R-l9 6.25'x23"x90° KRAFT @ 115.00 OC OWENS-CORNING 6.25 30.00 19 23.00 Total Sq Ft Installed: 30.00 FLAT CEILING-BATTS R-30 9.50%24'x48' KRAFT @ 80.00 OC OWENS-CORNING 9.50 8.00 30 24.00 Total Sq Ft Installed: 8.00 SLOPED CEILING R-30 9.50'x24"x48° KRAFT @ 80.00 OC OWENS-CORNING 9.50 120.00 30 24.00 Total Sq Ft Installed: 120.00 CANTILEVER FLOORS R-19 6.25'x15"x90" KRAFT @ 75.00 OC OWENS-CORNING 6.25 20.00 19 15.00 44'CORRUGATED CARDBOARD BAFFLES @ 50 PKSNOT APPLICABLE 50.00 Total Sq Ft Installed: 70.00 Remarks: Sono-Therm Insulation, Inc. SO NO Ti a 264Q6 "tb SITE INSPECTION CHECKLI T '�( � Address: 4c70 hnn Permit No.: I(F%LC2( Date: '(p' 9i^, Zone: Owner: (Ebef5Of Contractor: \4). Legal Description: (e1 Rio C 'I 'J 3520' Ort ' OIc onD4 Variances: Occupancy Group: ca:75 Construction Type: \MI Energy Code : Ch . 6 Ch. 4 FINAL INSPECTION Insulation Cert: V House Numbers : Water Pressure: `7 , > Site drainage: Insul .--Crawl Space: 11GG�- Attic: ✓ Crawl Space Vapor Barri r: Y11C� Garage/house door: D.W. air gap: ',/ Traps: Exh. Duct dampers: Smoke Detectors: Safety Glass : ✓ Guard rails: Hand rails: ‘/ Bedroom windows: 4✓ Sewer Inspected: f'(F '9O6 Curb cut inspected: ?)•2"( -1Q Water heater: Strap: n/ . T & P drain: Sewer rec't. : ` Date: �O• �2 ' 0 Dryer vent : V Wood stove: II 1 LCO lu MI6 t r�n j-r am • Page of HEAT LOSS LOCATION: 6s—Quee4J k3ane 1-7/-7 6A j =a-r:r DESIGN TEMPERATURE DIFFERENCE: li „�� -CALCULATION FORM Plan or Model No. , Dated / / Heated Square Ft. , ADDED ITIONA- HEATED SPACE R-VALUE " ftv I Number umber Number Number ofNumber. Number MATERIAL SOURCE OF watt of sy. of sa. of sN. of sa. or .a. of +o. ONLY HEAT LOSS Table Coss Cu. or Watt cu. or Watt Cu. or Watt Cu. or Watt Cu. nr Watt Cu. or I Watt Number Factor I lin rt. tt�ons Iin.rt. loin lin.Fr. toss Iin.rt. less _I in rt. I Loss I.r Tt Less /// /// GROSS ExWALLS �///////r i %//�� / _ ��/. /��/, ��� \ ////�j, .✓ p LESS WINDOWS: , r„:-// , L r in l /able I ,. �./ //7J�97/ � LESS WINDOWS: iii /� /� (� -- /// Dote). Table I /t,R- MI a ', ' �/ , /V , b % LESS (1 2& ) - —Tale I -1,c 7 IIMI "V59 fl ) 3h :N 46 1991_ 1 )t NET WALLS : flare able a / i 49 - 1c 3 �6711 ■ �ET9WALLS : concrete L •� P IlY9LL1 IYCa ��';T• Tablt3 Ia nVrb L b- ?�3 - ' CILING: ventee l II\ /I attc bow[ '`Table L ^/�./J �.:�� /�`�-•? • 1 V CEILING: open beam Table s I 7 r / as= construction J FLOOR: over vented �- //++ Il crawl space *Table 6 Y[.I'' ��� 'I — IFLOOR: over wnvented Table 7 /\ I „ ` \neateed flea II i T LCVR: slab including /- S \i 11111 w�l \ 6 , ' ■ balm yade walls-lin[,I r. Table 8 10 a4' ( ' `V - Mae H -- COMMON WALLS: Table 9 \ �� ,; 1)� wulTipl< units \` o jwCOMMONiCEILING: Table ,� ---��� � j v ; COMMON FLOOR: 011111 ti 10 LOO : Table 9 - .. multiple units - I I NF I LTRAT I ON KU.Ft Pd / I / / INF7 SunkenILTRATION basement 1/2 ail Csa••r/Nr. �i�� r WATTo LOSS PER ROOM /��// /�/ j%O%J//!l. 7 a/� i D INSTALLED WATTAGE 0 mI . Structure Heat Loss (SHL) = Watts. 5, Estimated Duct or Piping Heat Loss = 2. Duct or Piping Insulation (inches or approx. SHL (1) x DHLM (3) x Fraction (4)= Watts. o R-value) , 6, Total Heat Loss (1 plus 5) Watts. ] 3 . Duct Heat Loss Mqltiplier (Table 11) DHLM = 7. Total Installed Watts Watts. r� 4, r Fraction of Ductwork in Unheated Space. N �, *MOH le Homes - Use Table 12 and 13, WORKED BY X�-V//y/e_ g //') �j DATE 7//a// 5—/C. i ,,., For Inspections Call CITY OF ANACORTES P. 0. Box 547 293-1901 BUILDING DEPARTMENT : 000 904-6th Street 24 Hrs. Notice Requested PERMIT APPLICATION Anacortes , WA 98221 41er Queen AIVA) why - Name (o,r . ne of iness) APPLICANT I THIS win WELLS�EE THIS FORM;ening tEAVE LINES Met kt_. */ 6/er Co ei s%r cA c i 7 o-4/ BE „ailing Address FUMING Mgt Pc) 0 G K. 7s-7o� 'tS City Telephone NumberI Type of Fixture or Item -: 5eo.T?/-- LI// 93.e/cR 3 7 76- aS-7 C/ 3 water closet (Toilet) $ /o on / BathtubName A rb 'KO/1 rn id --./o /ir s o - / / Lavatory (wash Basin) a�►• Address 3 Rimer - ON / 2 C 0 / cZ(.3 /-c( 1)Ct)my 2$t1-3 8Vc / Ritdhau sink a Wisp. 2 or) city Telepinte Nit / Dis1er tt on s,U--7-r/e Olt 75/ 77 1/45—e5'6 ,... ,a e s-, Iaurxlry Tray /C Name N t tn rt T / cloths washer 2 OD Cs;e- 4 /c- / 6e_ / s- - / water Neater 2 nc Address Urinal Po ,sox x 7.s—7o ..� drinking Fountain City Nam 2- Floor - Sink or Drain 4 Do �''4-7-7-/e IC) .er ?S//-Zs 77 6 3-7 y Slop Hank State rim Nutter G,c 4- L ,<C //,3- Q L_ I water Pipings Treating Equip. 2_0 o Waste Interceptor c Residential-1 Demolish Flushing Vaasa Breakers Ccnnexcial Haring P9 last Sprinkler System lbn-Conuercial Spa/Pool Add Na. Alter Sign Repair I PErMET $ 3 OO Legal Description of Property (Sun. Bela.or Attach Four CCpies) ROM FEE $ µ) D 0 Lot 6 tof �-{ky bet F aL CN�. On, LNG Fes. 3? -0- 66(7 — 040 —` eb Type of Equipment FEE Air Crrd. Units - H.P. Ea. $ Refrigeration Inuits - B.E. ea. C o 1 .5 T LA.. L% o m Boilers - B.P. Ea. Nature of Nark Gas Fire A.C. Units - ltnnuage Ea. / '• -:.. Air Systems - B.T.U.7S 000N Ea. C) to Gravity Systems - B.T.U. M Fa. Wall Heaters - H.T.U. M Use Unit Beaters - H.T.U. N e S i GL e Evaporative Coolers icri E Clothes Dryers This permit becomes null and void if work or construction authorized is 40 Ventilation Fan not a n enced within 180 days, or if construction or work is suspended or abandoned for a period of 180 days at any time after work is car- Range Aced - Coml. xence. I hereby certify that I have read and examined this applica- Air Handling Unit C.F.M. Lion and brae the same to be tan and correct. All provisions of laws and ordinances governing this type of work will be complied with Incinerator whether specified herein or not, the granting of a permit does not pre- / Gas Piping 3 0O sure to give authority to violate or cannel the provisions of any other Tanks state or Irral law regulating canstruction or the performance of car structiQon. -Hv-a u...r0-^ a-6 waetOVES ---' li 7 /- cX i/- F 0 111 Signature of Caner ized Agent (Dare) NOTE: PERMIT LIMIT ace: YEAR (Except tx1.OLITIOS N MOVING NING PERMITS which shall be completed in sixty days.) PER T i •a Tom!, FEE $ 33 s0 Side Yard Setback Street Setback Rear Yard Setback APPROXIMATE g m Lt. / I 7 / / TYPE VALUE PERMIT F ES d O1 St. Bldg. Code Surchg. 4 b - 's Use Zone Lot Area Vacant Site St. k7-5-7 f:>- L ies _No St. Energy Study Surchg. I e Type of nc Conet Occupancy Group No. of Dwelling Unita '- LOO(oeZ ?learn /\ "7e e_ 1 M G/ Bu11din; /� I:NA I 424 06 1 Size of Bldg. Sq. Ft. Carport Max. Oct. Load Plumbing & N.S. I 41 Do 3rd - 3 So Mechanical 2nd Carege/ Fire Sprinklers Reed. A//O / __ye. ✓o Ye■ Plan Check Fee 2- 7 -0.' 1st /-4/S� Basement � Fi /C re Place/Insert Wood Stove Sewer Sever System Fee � 13� oQ // / rTi O c an.O,c c_ VV I Deck Chimney Checked By: al/S /len_ / I, A4 TOTAL IzI270b r45x42 ; Gr,orte. ,., :, n.;,, - /' c. De.Pa5r7 -s...r�•o° -- 45(o K I, - 2,13�, n i. i' Al kif a E.Fi;u9 ri -r""' Ra�pp ���?r9e' ,� �:�.`;y6✓ i otstf,i,+��}'n is xcv ��n,,,' .�,�1 5 3 4,. ,�t , }q"fry a xo s 4 { kY w r ;✓ " "�[1.iC��4'��j t�� 9 "' ��t :� `�7'i���i ' k�w�•. Z�r^Y VfS'9"R�j .3} ":M�s" rill{,-� i�� �•4e��q�.�. -�X��l.. �� r}"..'c.� Y ":� �•: �- m'� Fa� �� � � �.r lks rr.^3 w.r:r"�' � t Wurs, � B„ Wn a, 'kip z. 1 1 a 0 d d 5�vf. c) ii GO , ,i a N noposEp Rt3It - -NMI)r 14•' c' nu . t €MCS \ la \ 1 Q r Pic, 7- o 5,fy ,n e— eAt,� t Sc. tii � Q'`1 .4. 0 "' /6 0i tA • + t} 'N „.o1 _ O ) CJ - --1 -vidti Kith . . 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