HomeMy WebLinkAboutPermit File 3812 R Avenue Y
- 0 :_ City of Anacortes Invoice/Permit#: BLD-2018-0062
904 6th Street Applied date: 02/08/2018
`"V 1 Tr ��, P.O.Box 547
Issue date: 02/08/2018
0: Anacortes, WA 98221-0547
(360) 293-1901 Expire date: 08/07/2019
Job Address: 3812 R AVE Permit Type: Mechanical Permit
ANACORTES WA 98221-3638 Project:
APN: P58820
Remarks: Repair gas piping
Owner: MEGAN WYLIE Contractor: CRAFT STOVE INSTALLATIONS OF WESTERN WI
Address: 3812 R AVE Address: 915 MCLEAN RD
ANACORTES WA 98221-3638 MOUNT VERNON WA 98273
Phone: (360)420-5011 Phone: (360) 336-2532
License#: CRAFTSI97OBT
General Information: Fees:
#of Gas Piping 1 Mechanical Permit Fees 28.25
Total Calculated: 28.25
Deposits/Receipts: 0.00
Total Due: 28.25
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITH 180 l AYS, b .1F
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORICti'S COMMENCeq.r:I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL P.lovisjOJ tS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OftNOT,.�TME
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEI -STAt
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNA U E F WNER OR AUTHORIZED AGENT ISSU BY - '-1' ,„
Cityof Anacortes
Invoice/Permit#: BLD-2017-0570
904 6th Street
P.O.Box 547 Applied date: 11/01/2017
Issue date: 11/01/2017
s ' 0 Anacortes, WA 98221-0547 Expire date: 04/30/2019
AllearikV=`A (360)293-1901
Job Address: 3812 RAVE Permit Type: Mechanical Permit
ANACORTES WA 98221-3638 Project:
APN: P58820
Remarks: Replacing gas fireplace like for like
Owner: MEGAN WYLIE Contractor: CRAFT STOVE INSTL OF MV WA LLC
Address: 3812 RAVE Address: 915 MCLEAN RD
ANACORTES WA 98221-3638 MOUNT VERNON WA 98273
Phone: (360)420-5011 Phone: (360) 336-3532
License#: CRAFTSI831 CH
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN- 180 DAO
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK I COMMENCED-A. It
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PR VISItINC
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR RIOT,
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER I-TATE:33F
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. -•J -•t
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SIGNATUREOF OWNER ORAUTH_ORIZEDAGENT I T•31J1 BY 01 01 -4
0- %904-1 300': 031t0, 2009 02 2
Permit Fees 003800 ri 4.15
-11:r CJ City of Anacortes Permit#: BLD-2008-0113
904 6th Street Issue date: 03110/2008
P.O.Box 547 Expire date: 03/10/2009
05 Anacortes, WA 98221-0547
, (360) 293-1901
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Job Address: 3812 RAVE Permit Type: Mechanical Permit
ANACORTES WA 98221-3638 Project:
APN: P58820
Remarks: Install gas fireplace insert, replacing an existing unit.
Owner: VICORY G ELIZABETH Contractor: BARRON HEATING &AIR CONDITION
Address: 3812 RAVE Address: PO BOX 1118
ANACORTES WA 98221-3638 BELLINGHAM WA 98227-1100
Phone: Phone: (360)676-1131
License#: BARROHA179D7
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
DepositslReceipts: 0.00
Total Due. 34.15
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 CANCE THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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�S4eMARE OF OWNER OR AUTHORIZED AGENT ISS
0636
_1 0002 12/27, 200w 002 102
< Engineering and Development Services
PO Box 547,Anacortes,WA 98221
Telephone 360.293.1920
x ` Fax 360.293.1938
.` ,A';, E-mail enoineerino0,citvofanacortes.orq
RIGHT-OF-WAY PERMIT APPLICATION
Submit this application with payment at least five days before the work starts. Please
complete both sides of this form. (City completes shaded sections.)
SITE y
LOCATION: 3 Sly i`'f AvEruu E,- **At R: �-". % 04411)
OWNER INFORMATION CONTRACTOR INFORMATION
Name Name
(?E-r--- Y v tc;-qkl pf'.0 5cAf't`,s . i , r;
Address 3 Si), lv Avr Address gL°5a 5 1A (kC-H-s PT- (.6'
City ANI 44,✓-a -(k a-S City A^t A-C-n 'i7'G fi
State W A Zip 9 S 9-x_i State Zip s a l
Telephone 3 rb' f a g 3 _- x &G z Telephone
360 - a,93 - 31.a i
License Number
PROJECT INFORMATION
Work Includes (check all that apply)
❑ Curb Cut ❑ Water ❑ Sewer ''Storm ❑ Gas ❑ Sidewalk
❑ Street Cut ❑ Phone ❑ Power ❑ Cable ❑ Culvert
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Describe Work: t s,,s ixle: At KENILz-A bKAt�1 wPoc� ,:.. --- . 8ft-+ikr0
Q r 0 P EAT°I 1 y g.Q‘Ad n4 P e 0 T n `--t G i-1 T t_1 ).+5- t1 Z ts1/4%,_, TO F x i S T t,tJ f.
GAT Lt.-1- B A S I v I n N ,t'.`ri-t-£.P.--+ r f-..T O, P�D w
P Ig• 101 T TXti�E
❑Curb Cut. 50 0 Str eCut$$0 ❑Firi.stdeM* 00 50 , O 4ts,de Trave1e Wa. $20
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Work within the City Right-of-Way is permitted by approval of the City Engineer. All work in the right-of-
way must be bonded. The applicant and owner must use warning signs, traffic control, and barricades as
necessary to ensure public safety in the work area. The applicant and owner must restore the right-of-
way to previous condition. The applicant and owner are liable for damage to public and private property.
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K .,__.>..., .,.,,.:.!? ,: ,,:.,,. . ;. _ ::=_. ..;,.:~ Applicant ignature Date
SITE DRAWING
1 . Show orth arrow Is c
2. Label .treets
3. Draw ' Ian l GATc.N gas
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FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT
293.1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 3812 R AVENUE
NAME (OR NAME OF BUSINESS) PLUMBING
BETTY VICKARY
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
3812 R AVENUE
CITY TELEPHONE NUMBER Water Closet S
ANACORTES, 'WA 98221 293-2685 Bathtub
NAME Lavatory
Shower
ADDRESS Kitchen Sink
Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Barron Heating Urinal
ADDRESS Drinking Fountain
P. O. Box 1118 Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
°u Bellingham, WA 98227 676-1131 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
BARROHA179D7 4124
[(Residential 0 Non-Residential PERMIT S
0 New 0 Add CXAlter 0 Repair TOTAL, FEE S
0 Building 0 Plumbing [(Mechanical MECHANICAL
❑ Sign 0 Demolition 0 Other ❑:GAS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description of Property or Tax Account Number Na TYPE OF EQUIPMENT FEE
Lot 20-22Block 7 of
SEATTLE SYNDICATES FIRST ADD. AirCond. Unit S
38 1 -007 -022-0 109 Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
INSTALL GAS PIPING AND GAS Wall Heater
FIREPLACE. Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
[(Single Family Residence 0 Multi-Family Residence Range Hood
❑Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ Restaurant 0 Other 1 Pre-manufactured Stove or Fireplace 8. 50
NOTICE i Gas Piping 3.00
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 $ 24. 50
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 S
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 2
be complied with whether specified herein or not,including routine calls Mechanical 4 . 50
for inspections. Sign
Demolition
77 -.,../ Energy Surcharge
Signature of Owner or Authorized Agent (Date) State Surcharge
Street Setback Side Yard Setback Rear Yard Setback Other
TOTAL $ 24. 50
Use Zone Occupancy Group Type of Con . Conditions:
e
Provide outside conbustion air per
Lot Area Vacant Site Duelling UnitsWashington State Energy Code.
❑Yes ❑No
Fire Sprinklers Required No.of Stories Bedrooms Occupant Load
❑Yes No
Size of Bldg Plans Checked By:
WHEN SIGNED AND DATED BELOW,THIS N YOUR PERMIT
Pemirea is hereby given to de the above described wak according to the aooditiaro
harem and atmdtng to the approved plans and artifiCSSIE pertaining theto.subject to
compliance with the ordinances of the CITY OF ANACORTES.
1 1/0 8/31
Permit Issued By
riding Official (Date) ) x *297
Edwin Frank
PERMIT
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LEGAL DESCRIPTION
ASSESSORS" ACCOUNT NO. $3-otf -Ol(A
PERMIT NO. DATE DESCRIPTION DATE FINALED
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