Loading...
HomeMy WebLinkAboutPermit File 4004 R Avenue Ivor Engineering and Development Services ' �_ PO Box 547,Anacortes,WA 98221 Telephone 360.293.1920 ' 7 ,lt co Fax 360.293.1938 't ' "' E-mail engineerinq(a)cityofanacortes.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 /p ' PERMIT LOCATION: T 0 '. /& '9C' NUMBER: OWNER INFORMATION CONTRACTOR INFORMATION Name (� .Lo c 1 ,-(Z L. Name � 1� `� Cry.�9' � -y- Address i /d 1 Address r City %L 4 �3')-2 ' City /4---C1/A State �� r Zip -�,, ,�.�..( State Zip /2, 1 _-..f Telephone';6 0 ..5 i 2 N...... Telephone �, /( 7 License Number ( !it C /, C v`C 3 5 4+ PROJECT INFORMATION Work Includes (check all that apply) ❑ Curb Cut ❑ Water ,® Sewer ❑ Storm ❑ Gas ❑ Sidewalk ,`Street Cut p Phone ,n Power :® Cable ❑ Culvert Describe Work: " C.L°L.N1 I 6,,.4 c.; „ ✓ 4 /7/,,: 4 �rc.' /IV 4 /4-'; --- '_/ e ,-"i e,v " e/o 4/e `"- ,e PERMIT-TYPE fur-Cut$50 s- ❑ Stree CutM$50 a, Inside Traveled Way$50 0 Outsider aveled Way$20 PE C0I AtR E UIR E M E N TES ;Calf 1 300 424 5555 two;business days before ,00 dr: . 4 - 4 r°.i..4 L,:e..- It :Te'':':.$;-',, ::;: '':e:' ‘• ' .4V:,4'4';C:,'-k'‘','v(4,4i ) 1'4s.-1 c ,r°-, .4" `- . .. s 6 c" - . �. � �.� � .� �r e'er ,.-°1 t 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. i (///4„ - `A lic Si nature--' °--2- `fD'ate"', nCttyAp�f�c;�c�n Apprpv�l Slgnattara �:gate �.` PP 9 ii 1 SITE DRAWING 1 . Show north arrow 2. Label streets 3. Draw plan (C °C� CONSTRUCTION :INSPECTE`D A:N© A P OVED 'Pe tin it -Number :te 44 , c f f ash 0511504-1 0004 04;25//22005 002 4 • Permit Fees 005975 $9,452.35 'A, U , City of Anacortes Permit#: BLD-2005-0076 5 904 6th Street Issue date: 04/25/2005 `" P.O.Box 547{ Expire date: 04/25/2006 '_V Ul Anacortes, WA 98221-0547 `''�' r (360) 293-1901 '::'3t,CORS, Job Address: 4004 RAVE Permit Type: Single Family Residence Permit II ANACORTES WA 98221-3642 Project: APN: Remarks: Construct new single family residence per approved plans as noted. Owner: RANDY CLICK Contractor: CHAMP CONSTRUCTION Address: 806 HADDON RD Address: 806 HADDON RD ANACORTES WA 98221-4304 ANACORTES WA 98221-4304 Phone: (360)299-9682 Phone: 299-0586 License#: CHAMP*033NM General Information: Fees: Lot Area 7700 Plan Review Deposit 100.00 2nd Floor Square Footage 1672 Building Permit Fee 593.00 Garage Square Footage 462 Plan Review Fee 285.45 Building Valuation 163988 Mechanical Permit Fees 107.40 # Forced Air Furnace<=1,000 1 Plumbing Permit Fee 125.00 #of Bathtubs 2 State Building Code Fee 4.50 #of Clothes Dryers 1 Sewer Inspection Fee 50.00 #of Clothes Washers 1 Storm Drain GFC-Residential 1,126.00 #of Dishwashers 1 Sewer GFC-Residential 5,646.00 #of Gas Fireplace 1 Park Impact Fee 615.00 #of Gas Piping 1 Traffic Impact Fee 900.00 #of Gas Water Heaters 1 Total Calculated: 9,552.35 #of Water Piping 1 Deposits/Receipts: 100.00 #of Hose Bibbs 2 #of Kitchen Sinks 1 Total Due: 9,452.35 #of Lavatories 3 #of Range Hoods 1 #of Showers 1 #of Ventilation Fans 3 #of Water Closets 3 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 LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.�V, li SIGNATURE OF OW ER OR AUTHORIZED AGENT ISSUED BY ` 1'x' CS'. City of Anacortes Permit#: BLD-2005-0105 ; 904 6th Street Issue date: 04/08/2005 `?Y+ ► P.O.Box 547 Expire date: 04/08/2006 '+" 0: Anacortes, WA 98221-0547 p1, Job Address: 4004 R AVE Permit Type: Foundation Permit ANACORTES WA 98221-3642 Project: APN: Remarks: New foundation for single family. Owner: RANDY CLICK Contractor: CHAMP CONSTRUCTION Address: 806 HADDON RD Address: 806 HADDON RD ANACORTES WA 98221-4304 ANACORTES WA 98221-4304 Phone: 293-0586 Phone: 299-0586 • License#: CHAMP*033NM General Information: Fees: Building Valuation 6000 Building Permit Fee 56.50 Plan Review Fee 36.73 State Building Code Fee 4.50 Total Calculated: 97.73 , Deposits/Receipts: 0.00 Total Due: 97.73 'n t-, 4 ,n CO c. rt 0 "Z I m N C:J li a 9 j._; c' CO 4:.. r_8 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IE1 ry CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. i ,`4 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 c NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER '' STATE OJR/IJ�,�CAL LAW REGULATING�/,CO,N/STRUCTION OR THE PERFORMANCE OF CONSTRUC,TIIION. SIGNATURE OF OWNER AUTHORIZED AGENT ISSUED p'f` •G1 Y CJi.y. City of Anacortes Permit#: BLD-2005-0235 904 6th Street P.O.Box 547 Issue date: 06/03/2005 Expire date: 06/03/2005 Anacortes, WA 98221-0547 4, (360) 293-1901 Job Address: 4004 R AVE Permit Type: Demolition Permit ANACORTES WA 98221-3642 Project: APN: Remarks: Demolish existing garage, remove depris to an approved disposal site. Owner: RANDY CLICK Contractor: Address: 806 HADDON RD Address: ANACORTES WA 98221-4304 Phone: (360)299-9682 Phone: License#: General Information: Fees: Total Calculated: Adjustments: Deposits/Receipts: Total Due: 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. SIGNATU OF OWNER R AUTHORIZED AGENT 1SS ED B -1 1 . Cased Monument Cased Monument aoo5oai�oo© N8q°45'38"W IBasis of Bearing - AFN 200412270151 0 iCdo lgo Avenue (40th St .) Skagit County Auditor 41 ' • Filed for record at the request of Parrish Land Surveying iey CI 1 N8q°45'38"W -1.5' --..-1 Imo- N&1°45'3B"W •i 101.42 i 111.42 , y 15' - 30 40' - 10' -� airvey !dotes 24 This survey has been prepared from a closed random traverse using an 3 n V electronic instrument measuring angles to 3 second of arc and distances Ifl I rounded to hundredths of feet. 1 in " 0 r The purpose of this survey has been to locate, describe and set Alley vacated by City of 0 25 C):I monuments to mark the existing boundaries of the below described 13 Anacortes Ordinance 124gA Cedar tree property. L at boundary , I For additional information pertaining to block boundaries refer to 7.5 22 Corner Bears (- Record of Survey recorded under Auditor's File Number 200412270151. nC1 - 101912 N801°44'01"1„1 + N8q°11'3q"W 4.35 W scr11742 Imo' `)1 d Land Description Utility easement reserved t A Portion of the property described under Auditor's File Number 0 for the City of Anacortes p p y C In the vacated alley 1 21 200103060068, Skagit County, Washington. �D - 6 ni Lots 20, 21 and the south ten feet of lot 22, Block CI, "Seattle Syndicate's First in (RI TOtal Area in a; m is I in a- Addition to the City of Anacortes," according to the plat thereof recorded In O - 8,208 sq. Ft. I O ,p Volume I of Plats, Page 25, records of Skagit County, Washington. p 0.19 acres p N J� Together with that portion of the East Half of vacated alley in said Block C Boundary Corner 20 n` abutting upon said lots; and that portion of the vacated West 10 feet of "R" obstructedfenceW by � "\_"L5' Avenue abutting upon said lots which upon vacation reverted to said premises and shed roof operation of law. Corner Bears SSq°43'08"E lOq.g2 �� C p 504°4 f'I5"W 1.11 1 — 111.42 4) in Subject to an easement for utilities reserved for the benefit of the City of in w in � �l! ,n d) Anacortes in the east half of said alley as described in City of Anacortes 06 > 0 m Ordinance 1241A. to _ I ICI O r v' er I m 0m Block 18in 10 � I U' 0 East 10 feet of "R" Ave. I-r '__,--J r vacated by City of Anacortes Ordinance 1222 3 ry in `Vs. in 00 16 15 1 SurveyorCertificate g�...x P`k set• i of "SHE a, ( 14 This map correctly represents a survey made by me or • �0��� 3`� moo � Iunder my direction in conformance with the requirements • m 'xi • of the survey recording act at the request of i • Randy Click, of Skagit County, in February, 2005 ; % / � 1K, �- �29535 i .t • rci'SI, ISTE�j 15 certificate no. •J 4 SAL LAB 1 L5 2g535 i EXPIRES 12/01/O64, I N8q°51'34"W / Nbq"5- 134"W NBq°5�'34"W / /1 Robert F. Parrish i► 40.00 \- 101.43 -A. 111.43 -f 30.00 Lot 52 Nb9°5-1'34"W Plat of Mountain view Park Record of Survey �J� prepared at the request of JOB NO.: 502-184 Sr �"Uc Scale o u GADO BY: rp 30 0 15 3300/� /�60 PiJ U II (/ Lank/ S U V wi (lg Randy Click GHK BY:47 j A F A ///��jj�j/%�//� BK REF: 13 142 BLOSSOM LANE, PORT TOWNSEND, WA 98368 A Portion of Tax Parcel No. 58836 I inch = 30 feet Portions of the Southwest Quarter, Sect. 30, T. 35N., R. 2E. W.M. SCALE: I" = 30' ANACORTES (380) 588-1467 - panishOrockisland.com Fidalgo Island, City of Anacortes, Skagit County, Washington PATE: 2-11-05 /v X V X b /ite? alfinh I /Ae tip eL4 et/ C eyne sew — 441 — — — oy C% C30 ;?-? /3 ' <30�G /` cow e (/tes,) go 6 ' a/eel°