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HomeMy WebLinkAboutPermit File 4123 R Avenue I `,< OT CITY OF ANACORTES WASHINGTON TCOPS� BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the (Description of Building or Structure): Conversion from a?tdpla a duplex. • Located At 4123 R Avenue STREET&NUMBER Owner LL Moore Constructed By: flamer OWNER OR CONTRACTOR Bldg.Permit# BLD93 w0075 Date Of Issue. 3-4 5_e93 Occ.Group: R3 Use Zone: R2 Has Been Inspected And Occupancy Is Hereby Authorized, I, This 7`'h Day Of March 19 'y4 AUTHORIZING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS ■ -• Cat D uplas( FINAL INSPECTION CHECKLIST Inspection Date: f� Address: L4 1 7 3 �`- geiir\lil— p Permit qNo. 0 0 r)`j Date: 3 - 1 jp -93 Zone: F-L Owners Name: (.12. : noirmiL Owners Address: - jetQ Contractors Name: •*********************************************************** Occupancy Group: 2 3 Consruction Type: 3R Variances: Safety Glass: h Sewer Fee Paid: CK Hand Rails: CI V Sewer Inspected: fd-N Guard Rails: dt^ WSEC Compliance: ©V, Traps: 0 V Attic Access: n2-- Wood Stove: J CA- Smoke Detectors: bf< Water Pressure: Sic T&P Drain: D h House Numbers: Insulation Cert: Site Drainage: 0 I" Radon Test Kit: 6 h Curb Cut: O�^ Garage House Door: E) 1" Crawl Space Insul: 04C1. Bedroom Windows: Crawl Space Access: W CA, Water Heater Strap: Ok' Vapor Barrier: Na_ D.W. Air Gap: OI^ Water MeterBox: to CA/- Auto Garage Door: ©I'-' Outside Caulking: 0 I^ Exterior Decks/Landings: n Exh. Duct/Dryer Vent Dampers: 0t^ BUILDING PERMIT CITY OF ANACORTES PERMIT NO. : BLD94-0074 P.O. BOX 547 APPLIED: 03/03/94 ANACORTES, WA 98221 ISSUED: 03/03/94 (206) 293-1901 EXPIRES: 03/03/95 SITE ADDRESS: 4123 R AVE ASSESSOR' S PARCEL NO. : 3805-000-018-0001 I PROJECT DESCRIPTION: Renew permit number BLD93-0075. — OWNER — CONTRACTOR — LENDER LOWELL MOORE 4123 R AVENUE ANACORTES WA 98221 293-5006 TYPE OF WORK •ADD AREA (sf) VALU. . . $: 0 TYPE OF USE •SF LOT • 0 REQUIRED SETBACKS---- CENSUS CATEGORY • 999 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 :? :? :? 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 MISC $ 85.50 MD 03/03/94 2154 TOTAL $ 85.50 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. Issued by is nt or Owner' s Signature 24 Hour Notice Required For All Inspections bld_prmt, Rev: 06/11/92 8466 4123 R Avenue 1-22-91 Lowell L. Moore VN R3/M RM ! Single Family Residence f "V fits- 9.' FTG, I: 5—Piro -9 "p-LStioim © c) I i { : ' -0 BUILDING PERMIT CITY OF ANACORTES PERMIT NO. : BLD93-0075 P.O. BOX 547 APPLIED: 03/16/93 ANACORTES, WA 98221 ISSUED: 03/30/93 (206) 293-1901 EXPIRES: 03/30/94 SITE ADDRESS: 4123 R AVE ASSESSOR'S PARCEL NO. : 3805-000-018-0001 PROJECT DESCRIPTION: 16'x23 family room completion of basement. — OWNER — CONTRACTOR — LENDER LOWELL MOORE 4123 R AVENUE ANACORTES WA 98221 293-5006 TYPE OF WORK *ADD AREA (sf) VALU. . . $: 15500 TYPE OF USE *SF LOT • 11391 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-- :? : ? : ? : ? OTHER 0 TOTAL • 0 TYPE OF CONSTRUCTION HANDICAPPED: 0 :? :7 : ? : ? 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 $ 171. 00 MD 03/30/93 1015 STBC $ 4.50 MD 03/30/93 1015 TOTAL $ 175.50 ' 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. n2t(15L IJO G ,.� �G� ner '1�-1-�� Issued by pl c ant or ' s Signature 24 Hour Notice Required For All Inspections bld_prmt, Rev: 06/11/92 PLUMBING PERMIT CITY OF ANACORTES PERMIT NO. : PLM93-0024 P.O. BOX 547 APPLIED: 03/16/93 ANACORTES, WA 98221 ISSUED: 03/30/93 (206) 293-1901 EXPIRES: 03/30/94 SITE ADDRESS: 4123 R AVE ASSESSOR' S PARCEL NO. : 3805-000-018-0001 PROJECT DESCRIPTION: 16'x23 family room completion of basement. — OWNER — CONTRACTOR LOWELL MOORE 4123 R AVENUE ANACORTES WA 98221 293-5006 TYPE OF WORK •ADD KIT SINKS W/DISP: 1 WTR PIPING/TREAT: 0 TYPE OF USE •RES WASHING MACHINES: 1 HOSE BIBBS • 0 ELEC WTR HEATERS: 0 GREASE TRAPS • 0 WATER CLOSETS. . . : 0 LAUNDRY TRAYS. . . : 0 ADD'L FIXTURES. . : 0 BATH TUBS • 0 URINALS • 0 SHOWERS • 0 WASTE INTERCEPT. : 0 DISHWASHERS • 1 DRINKING FOUNT. . : 0 LAVATORIES • 0 FLOOR DRAINS • 0 — FEES — NOTES Code Amount---- By- Date---- Receipt PRMT $ 41.00 MD 03/30/93 1015 TOTAL $ 41. 00 I hereby acknowledge that I have read this permit and state the above information is correct, and agree to comply with all ordinances and taws regulating activities covered by this permit. Issued by Applicant or Owner's Signature 24 Hour Notice Required For All Inspections plmyrmt, Rev: 06/11/92 MECHANICAL PERMIT CITY OF ANACORTES PERMIT NO. : MEC93-0052 P.O. BOX 547 APPLIED: 03/16/93 ANACORTES, WA 98221 ISSUED: 03/30/93 (206) 293-1901 EXPIRES: 03/30/94 SITE ADDRESS: 4123 R AVE ASSESSOR' S PARCEL NO. : 3805-000-018-0001 PROJECT DESCRIPTION: 16'823 family room completion of basement. — OWNER — CONTRACTOR LOWELL MOORE 4123 R AVENUE ANACORTES WA 98221 293-5006 TYPE OF WORK. . . :ADD BOILERS/COMPRESSORS- DOMES. INCIN • 0 TYPE OF USE •RES 0-3 HP • 0 COMML. INCIN • 0 3-15 HP • 0 RELOC/REPAIR. . . : 0 FUEL TYPES 15-30 HP • 0 CLOTHES DRYERS. : 1 : /GAS/ / / : 30-50 HP • 0 GAS WTR HEATERS: 0 FURN < 100K BTU: 0 50+ HP • 0 STOVE, APPLI. . . : 1 FURN >=100K BTU: 0 AIR HANDLING UNITS-- FIRE LOG/LITE. . : 0 FURN - FLOOR. . . : 0 <= 10000 cfm. : 0 WOODSTOVES • 0 UNIT HEATERS. . . : 0 > 10000 cfm. : 0 OTHER UNITS • 0 VENT FANS • 0 EVAP COOLERS. . . : 0 GAS OUTLETS • 0 VENT SYSTEMS. . . : 0 HOODS • 0 VENT W/O APPLI. : 0 — FEES — NOTES Code Amount---- By- Date---- Receipt PRMT $ 28.00 MD 03/30/93 1015 TOTAL $ 28.00 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. Issued by Applicant or Owner' s Signature 24 Hour Notice Required For All Inspections mec_prmt, Rev: 06/11/92 y � (:*0 G CITY OF ANACORTES WASHINGTON BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the(Description of Building or Structure): Sincie FaoeiiV Residence Located At 4123 11 Avenue STREET&NUMBER Owner: LoL, Moore Constructed By Owner OWNER OR CONTRACTOR Bldg Permit # 8406 Date Of Issue: Occ.Group: R3/11 Use Zone: 2` Has Been Inspected And Occupancy Is Hereby Authorized, This _ 'Stu 5 D,ay,Of Mal \J` AJtHtSRIZING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. ■ 1 cl° 8 - GARAGE 14123 R . AVE. I"1o0RE IR RECTOR LK CORNISN Q- 30-91 0 22 A" 3034 PVC r- 3 - 3 DEEP 0 FOR INSPECTIONS CALL: CITY OF-ANACORTES PERMIT wJ! 8486 293-1901 BUILDING PERMIT 24 Hrs. Notice Requested Site Address 11 A Avenue NAME (OR NAME OF BUSINESS) PLUMBING Lowell L . Moore MAILING ADDRESS Na TYPE OF FIXTURE OR ITEM FEE c,.'') L Avenue CITY TELEPHONE NUMBER 3 Water Closet $ C -('C ' Anacortes, WA 98221 297,- 500c, 1 Bathtub ,i .0v NAME 3 Lavatory 6 Mu bi 2 Shower 4 .00 ADDRESS 1 Kitchen Sink :. .00 1 Dishwasher 2 .0C' a CITY TELEPHONE NUMBER 1 Laundry Tray , .00 I Clothes Washer 2 -Co i NAME I Water Heater "▪ ,tit) ce Lowell L . Moots Construction Urinal ADDRESS Drinking Fountain 4,20 L Avenue Floor Sink or Drain Z CITY TELEPHONE NUMBER Slop Sink u (lnacor tars. WA 9fs221 293-5006 L Water Piping GO STATE LICENSE NUMBER CITY LICENSE NUMBER 1IMOOCC12oBJ 0.Residential 0 Non-Residential PERMIT $ r• Ot', Q New ❑Add ❑ Alter O Repair TOTAL FEE $ >.▪ tli) p Building fyl Plumbing q Mechanical MECHANICAL. • ❑Sign ❑Demolition 0 Other Cl,GAS ❑ OIL ❑ ELECT. ❑ OTHER Legal Description of Property or Tax Account Number Na TYPE OF EQUIPMENT FEE 1 Lot Block of 380S- 000 t018 - 0001 Air Cond. Unit $ Refrigeration Unit— HP, Boiler— HP i_ Forced Air System— BTU/KW ,a.00 . Describe Work Floor Furnace Singlo Family keeidenoe WauHearer Unit Heater Clothes Dryer Occupancy Use Ventilation Fan 9 Single Family Residence 0 Multi-Family Residence Range Hood ❑ Office 0 Retail 0 Storage 0 Church Air Handling Unit— CFM ❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace NOTICE 1 Gas Piping 3.06 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:r.GU 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 :'7 nn 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 property for which this permit is issued or am an authorized represen- Building el , 728.00 $ 372.00 [alive of the owner. Plan Check Plumbing ` i`�"GO • All provisions of laws and ordinances governing this type of work will 5. 00 be complied with whether specified herein or not,including routine calls Mechanical for ins • ns. Sign Demolition I-2.1' G• l' Energy Surcharge re of owner or Author ea Agent (Dace) State Surcharge -0 . 30 Street Setback Sae Yard Setback Rear Yard Setback Other Sewer TOTAL $ d 'R ti'v0 5=1 12 6 52 2,V3r- SO Use zone Occupancy Chimp That of Camel. Conditions: RH 113/M VII Lot Area Vacant Site Dwelling Units 2Yes El No . I Fire Sprinklers Required No.of Stories Bedrooms Occupant Load ❑yes 1No She of Bldg. Plans Checked By: Lyle ' WHEN SIGNED AND DATED BELOW,THIS 13 YOUR MUM Pe mi®an is hereby given to do the above Scribed work,aee&ding to the condition harem and according to the approved plan end epedfatlms pertaining theta subject to ' orupgamce with the ordinances or the CITY OF ANACOBTES. -Permit Issued By t ' - •i /% ' ", ;;()1i 22/`.>1 Building Official (Date) Edwin ftanal. 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