HomeMy WebLinkAboutPermit File 4109 R Avenue 1030802-1 0147 11/04/2010 001 1
Permit Fees 008881 $38.990
G1't 0 :, City of Anacortes Permit#: BLD-2010-0448
904 6th Street Issue date: 11/04/2010
P.O.Box 547
Expire date: 05/02/2012
vo Co; Anacortes, WA 98221-0547
(360) 293-1901 •
Job Address: 4109 RAVE Permit Type: Mechanical Permit
ANACORTES WA 98221-3643 Project:
APN: P57969
Remarks: New Gas Fireplace
Owner: BRYNTESON JAMES S Contractor:
Address: 4109 RAVE Address:
ANACORTES WA 98221-3643
Phone: Phone:
License#:
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 38.90
#of Gas Piping 1
Total Calculated: 38.90
Deposits/Receipts: 0.00
Total Due: 38.90
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 L AL LAW REGULAT CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
S ATURE OF OWNS OR AUTHORIZED AGENT ISSUED BY
ANACORTES PLANNING & COMMUNITY DEVELOPMENT DEPT.
PERMIT CENTER
P.O.BOX 547,ANACORTES,WA 98221 • (360)293.1901 - FAX (360)293-1938
1891 IAN MUNCE,DIRECTOR
e EDWIN FRANK,BUILDING OFFICIAL
February 19, 1997
Malcolm McPhee
4109 R Avenue
Anacortes, WA 92821
Dear Mr. McPhee:
Per our discussion the week of February 12, 1997, regarding plan review No. 96-258.
Once the plan review comments of the letter dated January 16, 1997, have been addressed
a building permit can be issued.
Please note that a certificate of occupancy can not be issued, nor can occupancy of the
structures be permitted until such time as fire protection has been provided per 1994
Uniform Fire Code Section 903, Appendix III A and Appendix III B.
I understand there has been some discussion amongst the affected parties regarding the
installation of fire hydrants and a waterline at 41st Street, although, we are not aware of
the outcome of those discussions.
Please inform us of any progress and/or your intentions as soon as possible so that we may
update the files.
If you have any questions, please fee free to contact me at 293-1901.
Sincerely,
CITY OF ANACORTES
Don Measamer
Building Inspector
DM:md
cc. Rick Auston
BUILDING PERMIT
CITY OF ANACORTES PERMIT NO. : BLD92-0280
P.O. BOX 547 APPLIED: 10/20/92
ANACORTES, WA 98221 ISSUED: 10/20/92
(206) 293-1901 EXPIRES: 10/20/93
SITE ADDRESS: 4109 R AVE
ASSESSOR'S PARCEL NO. : 3805-000-012-0007
PROJECT DESCRIPTION: New roof and chimney box
— OWNER — CONTRACTOR — LENDER
MALCOLM MCPHEE
4109 R AVENUE
ANACORTES WA 98221
293-2729
TYPE OF WORK *REP AREA (sf) VALU. . . $: 2000
TYPE OF USE ' SF LOT • 0 REQUIRED SETBACKS----
CENSUS CATEGORY • 434 1ST FLR • 0 FRONT 0 ft
ZONING 2ND FLR • 0 SIDE • 0 ft
:? BASEMENT • 0 REAR • 0 ft
OCCUPANCY GROUP GAR/CARPORT. . . : 0 REQUIRED PARKING--
:R3 : 2 : 2 : 2 OTHER • 0 TOTAL • 0
TYPE OF CONSTRUCTION HANDICAPPED: 0
:5N :7 : 2 : ? 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 $ 32 .50 MG 10/20/92 44574
STBC $ 4 . 50 MG 10/20/92 44574
TOTAL $ 37. 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.
77/26: '
ry) ,/,,, s-rot, l/7 .,p,p ) '
Issued by Applicant or Owner' s Si nature
24 Hour Notice Required For All Inspections
bld_prmt, Rev: 06/11/92
FOR INSPECTIONS CALL: CITY OF ANACORTES0 PERMIT No 8618
;293.1901 0 ;BUILDING PERMIT
24 Hrs. Notice Requested Site Address4ios R Adlmt9tsa
'off NAMEpM (OR NAME OF BUSINESS) PLUMBING
Wy MAicheADDRESS alcolm McPhee
No. TYPE OF FIXTURE OR ITEM FEE
5 4109 R Avenve
CITY TELEPHONE NUMBER r Water Closet $
Anarart mat WA AA/21 94'1-979A Bathtub
NAME - Lavatory
Shower
t ADDRESS Kitchen Sink
T i Dishwasher
u
< CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
NAME Water Heater
Urinal
re
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
„p Water Piping
u STATE LICENSE NUMBER CITY LICIrNSE NUMBER
❑ kesiidential 0 Nun-Residential PERMIT $
' ❑ New ❑ Add Alter fCRepair T914 FEE $
❑ Building 0 Plumbing (3 Mechanical MECI4ANICAL
0 Sign 0 Demolition ❑ Other ❑ GAS Q OIL 0 ELECT. 0$OTHER
Legal Description of Property or Tax Account Number 12 No TYPE OF EQUIPMENT FEE
Loteat ain vlw Ia K .18H5—UUUU12—O0OI Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP ,
Forced Air System— BTU/KW
peggribe Work Floor Furnace
Remodel kitchen, master bedroom, Wall Heater
mastsrbath. Unit Heater
I Clothes Dryer
Occupancy Use • Ventilation Fan
0 Single 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 corn- PERT OT $
menced within 180 days from the date of permit issuance;or if the building T'014 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: i.
By affixing my signature, I hereby certify that I am the owner of the TOTAL FEES 1 "OOOVgfATION 1 B OO
' property for which this permit is issued or am an authorized represen- Building `'°�' $ O ono
tative of the owner. Plan Check
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
,,- �",. , / J/,.' //" rI //y ,(./, Demolition
//j'/A(/(t to f 1/kbibt.,. 3% • ( Energy Surcharge 4.50
Signature of Owner or Audio' Agent (Date) / State Surcharge
' Street Setback sine Yard setback Rear*us Setback - Other 22. 50
TOTAL $
Use Zone Occupancy Group Type of Corsica Conditions:
Lot Area Vacant Site Dwelling Units
❑Yes ❑No
I Fire Sprinklers Required No.of Stories Bedrooms Occupant Load
❑yes ❑No
'.Size of Bldg. Plans Checked By:
I 1
1 ., WHEN SIGNED AND DATFD-IELOW, IS EDER Infer
Permission ishsebj given to'do the'abovetdiernised Work,aolEding to,the conditions
1 hereon and according to the approved pia s and apedpraUaoe pet3atdtig theta subject to
'' compliance with the ordinances of the CITY OF ANACORTES. 0 3/25/91
Permit Issued By Edwin. FAh qk
Budding re (Date) - I ,
tor- P RMII j MILS
1 "
o
I 'ii FOR INSPECTIONS CALL: CITY OF ANACORTES PE [MIT Ng 817i
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 4109 fi Avenue
NAME (OR NAME OF BUSINESS) . PLUMEINC
Malcolm McPhee
= MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
4109 R Avenue
CITY TELEPHONE NUMBER Water Closet - $
- = Bathtub
.• �iit:;ortes. WA 98221 293- 729
NAME Lavatory
U Shower
.Cpt ADDRESS Kitchen Sink •
u Dishwasher
L r < CITY TELEPUONE NUMBER Laundry Tray
Clothes Washer
F , NAME Water Heater
' Urinal
cc
ADDRESS Drinking Fountain
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink
- u Water Piping
STATE LICENSE NUMBER CITY LICENSE NUMBER
4 Residential ❑ Non-Residential PERMIT $
❑New ❑ Add ❑Alter ❑ Repair TOTAL FEE $
❑Building 0 Plumbing 0 Mechanical MECHANICAL
O Sign ❑ Demolition ❑ Other ❑ GAS ❑ OIL t❑ ELECT'. ❑ OTHER
Legal Description of Property or 7hx Account Number No. TYPE OF EQUIPMENT FEE
Lot Block of
Air Cond. Unit $
Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
OvCI, Wall Heater
Unit Heater
'Clothes Dryer
Occupancy Use Ventilation Fan
❑ Single Family Residence 0 Multi-Family Residence Range Hood
6 Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM
❑ 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 corn- PERMIT $
• menced within 180 days from the date of permit issuance,or if the building TOTAL FEE $
orwork authorized by such permit is suspended or abandoned at any time
after,the work is commenced for a period of 180 clays. TOTAL FEES VALUATION FEE
By affixing my signati re, I hereby certify that I am the owner of the
property for which this permit is issued or am an authorized represen- Building 1 ,080.00 $ 2r1.YPC
tative of the owner. Plan Check
All provisions of laws and ordinances governing this type of work will
Plumbing O'd 0
be complied with whether specified herein or not,including routine calls Mechanical
for inspections. Sign
// /� /)/
71 l4 f ft 1 (.t/? (, ll/("j` K. E. 3/4/1%a DemolitionEnergy Surcharge
Signature of Owner or Authorized Agent (Date) State Surcharge
Other 4 ` `�`'
Street Setback Side Yard Setback Rear Yard Setback TOTAL $
I - Use zone Occupancy Group Type of Court.
Conditions: 3` ' � ,
Lot Area Vacant Site Dwelling Units
❑Yes ❑No .
Fire Sprinkien Required No.of Stories Bedrooms Occupant Load
❑Yes ❑No
Size of Bldg. Plans Checked By:
WHEN BWNED AND DATED BELOW,191E D TOO PERMIT
Permission is hereby given to do the above deathbed work,aeeordiog to the conditions .
-hereon and alto the approved plan and epediafioro pertaining therto,subject to .
- compliance with the irdinances of the CITY OF ANACORI'ES. '
C
( /�
Permit Issued By .. ( .1 G_,.- _r .--� r j 90
Building Official (Date)
1: in, in f rani~ PERMIT Apo 8ifar1
V O<
'P.%)
CITY OF ANACORTES
BLDG. 0 PLUMBING ❑ MECHANICAL �.
PERMIT N! 74'17
Telephone 293-1901 f
Anacortes,WA Date S 19�'./
P PERMISSION IS HEREBY GRANTED TO:
�E�,"
OWNER di y CC3<. rt4
STREET Li l )70..
�/
ADDRESS r
�f E
��^^-- Location where work is tope done •
CONTRACTOR ' C/3.Jd/lC.Ce C 1y4G kie1^J7/r,c7
TO ERECT ❑ INSTALL WI OR REPAIR ❑
IN THE FOLLOWING MANNER: C2 05 6Per.v5, (Jr= /`iJb'=XJlStt'f
Con Qi,t iet Uc v7c
PERMIT EXPIRES ONE YEAR ROM DATE ISSUED
PLANS FOR CONSTRUCTION WERE NOT BMITTED
WERE ❑
WORK TO BE DONE BY OWNER 0 CONTRACTOR&
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE PERMIT FEES
OF WORK
State Building Code Surcharge
State Energy Study Surcharge _
Building
Plumbing and W.S.
•
Mechanical nO . r* °V 5 Q
Plan Check Fee
TOTAL . n' j Gam- CL /
1 >U
LEGAL DESCRIPTION t G7 / >tCI,q)YAl A! V/it col Az1c-
C-CY
CITYINSPECTOR
PERMITS ISSUED
ADDRESS 4/0(7 ie" OThdern Erv77e, Seri /ders)
TYPE PERMIT NO. INSPECTIONS
3a8Co I-1 I
BUILDINGZ !L
PLUMBING 33 i k
GAS
33sc,,,
SEWER
MISCELLANEOUS
3a 8G - Jinn/in-tut /L.ee-�cz,e�c.c ,
San - 9 , cu-ate'7 , hoff' u r AosJil
33Sw - V g e t k /
2�y6 - a4 1. .vr�-4" 4- 7264 r--