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Home My WebLink AboutPermit File 3316 R Avenue , �1� I135— • RIGH4-0E-INAY PERMIT AP7UCA iOr, RCW 19.122 Underground Utilities ? (?4T CALL BEFORE YOU DIG - t800) 424-5555 P.vrf Q' Applicant shall submit application 5 days prior to start of work and application snail include: (1) Payment of assessed fee (2) Drawing illustrating proposes woi k and its location. See checklist on Page 2 of 2 (3) Liability insurance CO 2026 or similar City named as additional insured Minimum$1 000.000 each occurrence.$2.000.000 general aggregate and$2 000.000 products-completed operations aggregate limit ,, (4) Proof of both state and city business licenses Li (5) Performance Bond—Construction cost x 150%before work begins L —(6) Encroachment Agreement Required To be completed by City: t' Yes No Site Address City Approved Exemption Yes I No 3 3 \ kik- -47 3r Z) EDEN ASSIGNED PERMIT NUMBER: Parcel No. ?Oa) -2'0` / - �c/ 566 L � Owner Information (Required) Contractor Information (Required) Name 1,� Name r� • RU . ' 1 s\�jS( tt r. Address Address City City • _ Phone 4 Phone Email Email Address p,S r'ykoS("�G @ Air Aer (p(A Address Work Includesu (check all that apply) ❑ Curb Cut r7 Water 0 Sewer Storm L� Street Cut U Sidewalk Phone L Other Describe Work to be Performed: (Notification of Utility Companies is Required) EVIA( +aa WcA-erA-a-VC & S rrm cuA-of OVe,,r \Ot. ;A c y s:d.e.w&lk ova W s:r�e k Ave 33rd 344 51-s by proa-V14 >> h 1 tk y biurr;e1 L%Atvert cwrrallel •�-c�, saet,ttll4i�erw � nra�', %,,ti40 urr $I` c \vl&&r+ \e .c) 4-ci\-\ for <\er v 33r_} & (Z , vc Wiz-ct City Approval Signature Date By signature below Applicant concurs that the Applicant shall defend, indemnify and hold the City,its officials,em- ployees and volunteers harmless from any and all claims, injuries.damages,losses or suits including attorney fees, arising out of or in connection with activities or operations performed by the Applicant or on the Applicant's behalf out of issuance of this Permit,except for injuries and damages caused by the sole negligence of the City. pplicant Signature <Date • Final Inspection Approval Signature Date r z d.@-?-\- 6 4, 8 11 4 Vrover 0,-/y s0a, -16 f 1 %.,e),900e V) x a . 1 , rt 43tykk_ty_ Iv p 1 j O 1 3 4-4.11e,. ' `� C3 City of Anacortes Permit#: ROW-2011-0051 904 6th Street Issue date: P.O.Box 547 = Anacortes,WA 98221-0547 Expire date: 05/02/2012 t _."' eta!: Job Address: 3316 R AVE Permit Type: Right of Way Permit ANACORTES WA 98221-3450 Project: APN: P56627 Remarks: installation of culvert Owner: PAUL MOSMAN Contractor: Address: 3316 R AVE Address: ANACORTES WA 98221-3450 Phone: (360)293-7542 Phone: License#: General Information: Fees: Cable N Outside Traveled Way 20.00 Inside Traveled Way N Total Calculated: 20.00 Outside Traveled Way Y -f'ulvert N Deposits/Receipts: 0.00 atural Gas N Total Due: 20.00 Power N Telephone N Sewer N Water N Storm N Street Cut N Sewer Reinspection N • u ,. axe �•_ r+• +" CD -11 CD CD CO CD CD CO i t1 cn •}7k [ra ID t�F THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR 11 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 1E2 PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR p"„ NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR NC L THE PROVISIONS OF ANY OTHER rATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTI qaAAA • SIGNATURE OF OW ER OR AUTHORIZED AGENT I Y 0930604-1 0001 11/02/2009 002 4 Fermi+. Fees 008512 4'3.00I GAT Off_ City of Anacortes Permit#: BLD-2009-0421 904 6th Street Issue date: 11/02/2009 v•"aell .�,,� P.O.Box 547 Expire date: 05/01/2011 `r-'' � 10, 1 Anacortes, WA 98221-0547 Job Address: 3316 RAVE Permit Type: Reroof Single Family Residence ANACORTES WA 98221-3450 Project: APN: P56627 Remarks: Reroof residence with composition roofing Class A approximately 14 square. Owner: PAUL MOSMAN Contractor: SAVAGE ROOFING INC Address: 3316 RAVE Address: PO BOX 336 ANACORTES WA 98221-3450 ANACORTES WA 98221-0336 Phone: (360)293-7542 Phone: (360)293-2021 License#: SAVAGRI114PO General Information: Fees: Building Valuation 3977 Building Permit Fee 44.50 State Building Code Fee 4.50 Total Calculated: 49.00 Deposits/Receipts: 0.00 Total Due: 49.00 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 AL LA J REGULATING CONSTRUCTIO fB-THF PERFORMANCE OF CONSTRUCTION 1, SIGNA RE OWN R AUTHORIZE AGENT ISSUED BY i 0 r+ FOR INSPECTIONS CALL: ' CITY OF ANACORTES PERMIT ict 8044 293-1901 BUILDING PERMIT ". 24 Hrs. Notice Requested Site Address 3316 It rlvontre i NAME (OR NAME OF BUSINESS)• PLIJMBI(rIG m Mr . /1 Mr s, M Cavnders m MARINO ADDRESS *' 't 3316 P Avenue Na TYPE OF FIXTURE OR ITEM FEE CITY TELEPHONE NUMBER Water Closet $ Anacor tes, WA 98221 293 Bathtub f NAME Lavatory g t Shower ' 5 V ADDRESS Kitchen Sink Dishwasher CITY TELEPHONE NUMBER Laundry Tray • - Clothes Washer NAME Water Heater ' aSavage Roofing Inc. Urinal 'ADDRESS Drinking Fountain ' 911- 3I s t Street Floor Sink or Drain CITY TELEPHONE NUMBER Slop Sink Si i3ltac;�r' tee WA 982"1 2ci3- 20'71 Water Piping STATE LICENSE NUMBER CITY LICENSE NUMBER ;,AVAtRT 1 1 A lan 4 c44 g Residential 0 Non-Residential PERMIT $ ❑New 0 Add 0 Alter 0 Repair TOTAL FEE $ I ci Building 0 Plumbing 0 Mechanical MECHANICAL ❑ Sign 0 Demolition 0 Other 0 GAS 0 OIL 0 ELECT. 0 OTHER , Legal Description of Property or Thx Account Number Na TYPE OF EQUIPMENT FEE Lot Block of 7 7`5 Uv') O d 0004 Air Cond. Unit $ Refrigeration Unit— HP Boiler— 1 HP • Forced Air System— BTU/KW Describe Work Floor Furnace Peroof Wall Heater Unit Heater • Clothes Dryer , Occupancy Use Ventilation Fan QSingle Family Residence 0 Multi-Family Residence Range Hood Office 0 Retail' 0 Storage 0 Church Air Handling Unit— CFM 0 Restaurant 0 Other Pre-manufactured Stove or Fireplace NOTICE Gas Piping This permit is issued by the Building Official and,under the provisions of the Uniform Building Code,shall expire by limitation and become null ▪ and void if the building or work authorized by such permit is not con- PERMIT $ menced within 180 days from the date of permit issuance,or if the building TOTAL FEE $ or work authorized by such permit is Suspended or abandoned at any time • after the work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE By affixing my signature, I hereby certify that I am the owner of the ▪ property for which this permit is issued or am an authorized represen- Building 2,.;5 J0 $ f, :,00 alive of the miner. Plan Check All provisions of laws and ordinances governing this type of work will Plumbing be cordplied with whether specified herein or not,including routine calls Mechanical 1 for inspections. Sign ///,,,�� Demolition f`tyt 4 7-,2 S- 9 a Energy Surcharge Sipuar4 of Owner or Audio' -(Date) State Surcharge Other .J A) • Street Setback Side Yard Setback Rear Yard Setback TOTAL $ .) , ' -7.• • Use Zone Occupancy Group Type of Coact. Conditions: Lot Area Vacant Site Dwelling Units ❑Yes ❑No Fire Sprinklers Required Na of Stories Bedrooms Occupant Load ^N. ❑Yes ❑No Size of Bldg. Plans Checked By: WHEN SIGNED AND DATED BELOW,TBB N YOUR PERMIT Permission is hereby given to do the above deaermed wink awarding to the conditions hereon and according to the approved plans and epedfntlam pertaining therto,subject to compliance with the ordinances of the CITY OF ANACORTES. Pe mit Issued By [ r.`(j 27/'« S/•an iC �a to (Date) Etiwi n E r and PERMIT 4 4 8044 ADDRESS 33I to I5 - A/CXU_,I- LEGAL DESCRIPTION ASSESSORS ACCOUNT NO. ?;?25.-Uoc) 02-O-coca PERMIT NO. DATE DESCRIPTION DATE FINALED 3-Rs-&8