HomeMy WebLinkAboutPermit File 3717 R Avenue 0628404-1 0001 10;11/2006 002 4
Gl�Y Off Cit ofAnacortes Pet,iti`. Fees 007243 $1 5.00
D-20
Y Permit#: BLD-2006-0714
, 904 6th Street Issue date: 10/11/2006
.".siblie ,, P.O.Box 547
`�'' `to Anacortes, WA 98221-0547 Expire date: 10/11/2007
414' (360)293-1901
Job Address: 3717 RAVE Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3499 Project:
APN: P56661
Remarks: Remodel- residing, drywall upstairs and redo deck.
Owner: KATIE NELSON Contractor:
Address: 3717 RAVE Address:
ANACORTES WA 98221-3499
Phone: (360)708-8687 Phone:
License#:
General Information: Fees:
Building Valuation 15000 Building Permit Fee 110.50
State Building Code Fee 4.50
Total Calculated: 115.00
Deposits/Receipts: 0.00
Total Due: 115.00
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 ORDINA CES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING OF A PERM OES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGU CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
• LA'1-f A Act C-.- •Th
SIGNATURE OF OWNER R AUTHORIZED AGENT ISSUED BY
FOR INSPECTIONS CALL: CITY OF ANACORTES P.RMIT .'"g 8g�2�},
F at' 8241
293-1901 BUILDING PERMIT
.i71 . R ,k.v:_
24 Hrs. Notice Requested Site Address
NAME(OR NAME OF BUSINESS) . PLUMBING
Olsen
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
e` . 717 R Ave.
CITY TELEPHONE NUMBER Water Closet $
. ,nfscortes Wa. 98221 293 ' Bathtub
NAME Lavatory
t Shower
. ADDRESS Kitchen Sink
Dishwasher
l a CITY TELEPHONE NUMBER Laundry Tray
. Clothes Washer
NAME Water Heater
afuperior Systems Inc. Urinal
ADDRESS Drinking Fountain
491 EI. Dec t i on Rd. Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
oAnacortes Wa. 98221 293-39'38 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
ZUPERS 19605 4303
(I Residential ❑ Non-Residential PERMIT $ 3 00
ElNew ❑Add CIAlter b Repair TOTAL FEE $ S .00
❑ Building ❑ Plumbing El Mechanical MECHANICAL.
❑ Sign ❑ Demolition ❑Other I GAS ❑ OIL ❑ ELECT. ❑ OTHER
, Legal Description of Paipcsty or Tax Account Number Na TYPE OF EQUIPMENT FEE
, Lot Block of
. 3775 013 012 0006 Air Cond. Unit $
Refrigeration Unit— HP
Boiler— :v HP
Forced Air System— BTU/KW
• Describe Work Floor Furnace
aata Piping Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
Q Single Family Residence 0 Multi-Family Residence Range Hood
❑ Office ❑Retail ❑ Storage ❑Church Air Handling Unit- CFM
❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace
NOTICE 1 Gas Piping 6.DO
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 com- PERMIT $ 15.00
menced within 180 days from the date of permit issuance,or if the building TOTAL FEE $ 1 0.00
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 Building $
property for which this permit is issued or am an authorized represen- Plan Check 0 .00
. tative of the owner.
All provisions of laws and ordinances governing this type of work will Plumbing d .UV
cal complied with whether specified herein or not,including routine calls Mechanical t 8 •0�for inspections. - . Sign
/ p Demolition
9 10' 7 P Energy Surcharge
S. re Owner / ) State Surcharge
Other
saw Setback Side Yard Setback Rear Yard Setback
TOTAL $ 21 .00
Use Zone Occupancy Group Type of Coast. Conditions:
Lot Area \imam Site Dwelling Uniis
. ❑Yea ❑No
• Fire Sprinklers Required Na of Stories Bedrooms Occupant Load
r- ❑Yes ❑No ,
Size of Bldg. Plans Checked By:
WHEN: H 1 I DATED BELOW,THIS$YOUR MUM'
permission s hereby r ,, .the above dastard work mean to the conditions
berm and according ., plan and specifications pertaining thrto,subjmt to
aotplisow wiN Ne. .CITY OF'ANAW)t1T.S.
/`ti 1
a\ J1��� �08I27190
Permit Issued By., I ( iah
Building Official ate)
Edwin Frank PERMIT rd
tl- 8241
i,