HomeMy WebLinkAboutPermit File 4010 R Avenue r � Y City of Anacortes Invoice/Permit#: BLD-2017-0595
904 6th Street Applied date: 11/14/2017
NIN114111 P.O.Box 547
Issue date: 11/14/2017
0 ' Anacortes, WA 98221-0547
Expire date: 05/13/2019
t 1 ' =f (360) 293-1901
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Job Address: 4010 RAVE Permit Type: Mechanical Permit
ANACORTES WA 98221-3642 Project:
APN: P58834
Remarks: Replace natural gas furnace like for like
Owner: TAYA GRAY Contractor: FOSS HEATING AND COOLING
Address: 4010 RAVE Address: 333 E BLACKBURN RD
ANACORTES WA 98221-3642 MOUNT VERNON WA 98273-9006
Phone: (507)317-2349 Phone: (360) 336-1517
License#: FOSSHCI983QA
General Information: Fees:
# Forced Air Furnace<=1,000 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAt , OR Iv, '� •
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMM• ••ICED.
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS Ca , , ,
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORallOT, TI4 ,--, `�`
GRANTING OF A PERMIT DOES NOT PR SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE r
LOCAL LAW REGULATING CONSTRUCTIO OR THE PERFORMANCE OF CONSTRUCTION. r- n
SIGNATURE 0 R OR A ORIZED AGENT UED BY co co
ty F�;i
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD96-0080
P.O. BOX 547 APPLIED: 03/13/96
ANACORTES, WA 98221 ISSUED: 03/13/96
(206) 293-1901 EXPIRES: 03/13/97
SITE ADDRESS: 4010 R AVE
ASSESSOR'S PARCEL NO. : 3813-009-019-0001
PROJECT DESCRIPTION: Add to new garage
— OWNER — CONTRACTOR — LENDER
CRAIG DECKER
4010 R AVENUE
ANACORTES WA 98221
293-2672
TYPE OF WORK *ADD AREA (sf) VALU. . . $: 4320
TYPE OF USE 'SF LOT ▪ 0 REQUIRED SETBACKS----
CENSUS CATEGORY •434 1ST FLR ▪ 0 FRONT 0 ft
ZONING 2ND FLR 0 SIDE • 0 ft
:7 BASEMENT 0 REAR ▪ 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
:R3 :? :? :? OTHER 0 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
:5N :? :? :? NUMBER OF UNITS • 0 COMPACT • 0
OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf
0: 0: 0: 0: BUILDING HEIGHT. : 0 ft
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 50.50 MD 03/13/96 5119 i
STBC $ 4.50 MD 03/13/96 5119
TOTAL $ 55. 00
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all
ordinances and laws regulating activities covered by this permit.
/ a
lei
Issued by Applicant Owner's Signa
24 Hour Notice Required For All Inspections
bldyrmt, Rev: 06/11/92
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD95-0342
P.O. BOX 547 APPLIED: 08/28/95
ANACORTES, WA 98221 ISSUED: 10/31/95
(206) 293-1901 EXPIRES: 10/31/96
SITE ADDRESS: 4010 R AVE
ASSESSOR'S PARCEL NO. : 3813-009-019-0001
PROJECT DESCRIPTION: New garage
— OWNER — CONTRACTOR - — LENDER
CRAIG DECKER
4010 R AVENUE
ANACORTES WA 98221
293-2672
TYPE OF WORK NEW AREA (sf) VALU. . . $: 9100
TYPE OF USE •OTH LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY • 438 1ST FLR • 0 FRONT • 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
. BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 720 REQUIRED PARKING--
:M :2 :2 OTHER • 0 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
:5N :? :? :? NUMBER OF UNITS • 0 COMPACT • 0
OCCUPANT LOAD STORIES • 0 IMPRV SURF. : 0 sf
0: 0: 0: 0: BUILDING HEIGHT. : 0 ft
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 80.50 EF 10/31/95 4653
STBC $ 4.50 EF 10/31/95 4653
PLCK $ 52.33 EF 10/31/95 4653
TOTAL $ 137.33
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all
ordinances and laws regulating activities covered by this permit.
,, ,,, ., I
Issued y Applicant q1` Owner' s Signature
24 Hour Notice Required For All Inspections
bld_prmt, Rev: 06/11/92
FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address401 0 R Avenue
NAME (OR NAME OF BUSINESS)
Craig Decker PLUMBING
MAILING ADDRESS
4010 R Avenue Na TYPE OF FIXTURE OR ITEM FEE
CITY TELEPHONE NUMBER Water Closet $
Arfacortes, WA 98221 293- Bathtub
NAME Lavatory
Shower
ADDRESS Kitchen Sink
Dishwasher
ki
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Owner Urinal
aG
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
u Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
13 Residential 0 Non-Residential PERMIT $
❑ New ❑ Add ❑ Alter ❑ Repair TOTAL FEE $
❑ Building 0 Plumbing 0 Mechanical MECHANICAL
❑ Sign 0 Demolition 0 Other ❑ GAS ❑ OIL 0 ELECT. 0 OTHER
Legal Description of Property or Tax Account Number
Lot Block of No. TYPE OF EQUIPMENT FEE
381 3-009-019-0001 Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
Build fence per sketch submitted Wall Heater
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 ❑ 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 corn- -
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 Building
property for which this permit is issued or am an authorized represen- S
tative of the owner. Plan Check UO'
All provisions of laws and ordinances governing this type of work will Plumbing -
be complied with whether specified herein or not,including routine calls Mechanical
for inspections. Sign
r„ / / Demolition
<:C,C,�e, /-2 S0/ 7/ Energy Surcharge _
• Signature of Owner or Authorized Agent (Date) State Surcharge
Other I-enCrat 1 U. UO
Street Setback Side Yard Setback Rear Yard Setback TOTAL $ 1 U .Ul:
Use Zone Occupancy Group Typed Cont. Conditions:
Lot Area Vacant Site Dwelling Units
❑Yes ❑No
Fire Sprinklers Required No.of Stories Bedrooms Occupant Load
OYa ❑No
Size of Bldg. Plans Checked By:
WHEN SIGNED AND DATED BELOW,TRW IS YOUR PERMIT
Permian 4 hereby given to do the above dented work,studding to the conditions
beano and morel /to the approved plum and apedfatlom pertaining theme,subject to
compliance with the ordinances of the CITY OF ANACORTES.
12/30/91
Permit Issued By % I i f` ,' JCL/ t ; /i_I.,
- Building Official (Date) NU7k1 941 4
Edwin Frank
PERMIT
FOR INSPECTIONS CALL:
CITY OF ANACORTES PERMIT
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 4010 R Avenue
NAME(OR NA E OF BUSINESS) PLUMBING
'Craig Dec er
MAILING ADDRESS Na 'TYPE OF FIXTURE OR ITEM FEE
4010 R Avenue
CITY ' TELEPHONE NUMBER Water Closet $
Anacortes, WA 96221 293- Bathtub
NAME Lavatory
Shower
' i ADDRESS Kitchen Sink
Dishwasher
Id
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
-
NAME Water Heater
Lavines Heating urinal
ix
ADDRESS Drinking Fountain
13008 Wi ldwood Lane Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
8 Anacortas, WA 98221 293-6543 Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
LAVINHS138DE 344
CkResidential 0 Non-Residential PERMIT $
❑ New ❑ Add ❑ Alter ❑ Repair TOTAL FEE $
❑Building 0 Plumbing CkMechanical MECHANICAL
❑ Sign 0 Demolition 0 Other ❑:GAS ❑ OIL ❑ ELECT. 0 OTHER
Legal Description of Property or Tax Account Number No TYPE OF EQUIPMENT FEE
Lot Block of ,
Air Cord. Unit $
,_? ,/ 00Q— Ol Opo/ Refrigeration Unit— HP
Boiler— HP
-
I Forced Air System— BTU/KW 9.00
Describe Work Floor Furnace
Install gas furnace Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
E Single Family Residence 0 Multi-Family Residence Range Hood
❑ Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ Restaurant 0 Other Pm-manufactured Stove or Fireplace
-
NOTICE 1 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 corn- PERMIT $ 1 5.00
' menced within 180 days from the date of permit issuance,or if the building TOTAL FEE $ 27. 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-
tative of the owner. Plan Check 0 .00
Allprovisions of laws and ordinances Plumbing
governing this type of work will
be complied with whether specified herein or not,including routine calls Mechanical 27 .00
for inspections. Sign
Demolition
Energy Surcharge
' Signature of Owner or Authorized Agent (Date) State Surcharge
Street Setback Side Yard Setback Rear lard Setback Other
TOTAL $ 27 .00
Use Zone Occupancy Group Type of Const. Conditions:
Lot Area Vacant Site Dwelling Units
❑yes ❑No
Fire Sprinklers Required No.of Stones Bedrooms Occupant Load
❑Yea O No
Size of Bldg. ' Plans Checked By:
l
WREN SIGNED AND DATED BELOW, S IS YOUR PERMIT'MS
Permission is hereby given to do the above deathbed work acceding to the conditions
hereon and aceading to the approved plans and specifications pertaining subject to
compliance ordinances CITY OF F
12/18/91
:Permit Issued By . --..: ' i
Building Official (Date) +, 9 94
Edwin Frank �71y e7
PERMIT
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LEGAL DESCRIPTION (`) nj.a- teL 15 03.31
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ASSESSORS ACCOUNT NO., j( :7j - c -Olq -Q On
PERMIT NO. DATE DESCRIPTION DATE FINALED
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