HomeMy WebLinkAboutPermit File 3911 S Avenue Y t} ., City of Anacortes Permit#: BLD-2006-0597
904 6th Street
` P.O.Box 547 Issue date: 08/23/2006
Expire date: 08/23/2007
� G?� Anacortes, WA 98221-0547
Job Address: 3911 S AVE Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3646 Project:
APN: P33159
Remarks: Reroof
Owner: NICOL IAN/GLADYS TRUSTEES Contractor:
Address: 3911 S AVE Address:
ANACORTES WA 98221-3646
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 7329 Building Permit Fee 68.50
State Building Code Fee 4.50
Total Calculated: 73.00
Deposits/Receipts: 0.00
Total Due: 73.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR It
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. A o
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALE„ '
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR n
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER ci
STATE OR LOCAL LAW R TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE 0 OWNER OR AUTHORIZED AGENT ISSUED \
Ili
8488 3911 S Avenue I.R. Nicol VN R3 1-31-91 Remodel
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FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT Ni: $6.3
2931901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 3911 $ Avenue
`*' 17 NAME (O tag. Nicol R NAME OF BUSINESS) PLUMBING
tMAB MAILING ADDRESS No. TYPE'OF FIXTURE oRLITEM FEE
1636 Dece(atian Rd,
CIIy TELEPHONE NUMBER Water Closet $
Anacertes, Wa. 98221 293-3368 Bathtub
NAME Lavatory ,
Shower
r ADDRESS Kitchen Sink
r , _ Dishwasher
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
' - NAME Water Heater
Urinal
f1 ADDRESS Drinking Fountain
s Floor Sink or Drain
11 i CITY TELEPHONE NUMBER Slop Sink
Water Piping
'1'' STATE LICENSE NUMBER CITY LICENSE NUMBER
:lrfriir ,t, dikesidential ❑ Non-Residential PERMIT $
New 'MI Add ❑ Alter CI Repair TOTAL:FEE $
' [ ^Building ❑ Plumbing ❑Mechanical MECHANICAL
❑Sign ❑ Demolition El Other ❑ GAS ❑ OIL Q ELECT. ❑ OTHER
Legal Description of Property or Tax Account Number No. TYPE OF EQUIPMENT FEE
4-6n7m k 1$ of
L __m syndicates tirst Addition AirCond. Unit $ i
3035-020-1855-0008 Refrigeration Unit— HP
Boiler— HP
Forced Air System— BTU/KW
' Dege
scribe Work Floor Furnace
Wall Heater
Unit Heater
Clothes Dryer
it Occupancy Use Ventilation Fan '
I Ll single Family Residence ❑Multi-Family Residence Range Hood
I El 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
;'4 the Uniform Building Code,shall expire by limitation and become null
and void jf the building or work authorized by such permit is not com- PERMIT $
1 mewed within 180 days from the date of permit issuance„:or if the building TOTAL FEE $
!i!) Pr work authorized by such permit is suspended or abandoned at any time
tiller the work is commenced for a period of ISO days: TOTAL FEES VALUATION FEE
; By affixing my signature, I hereby certify that I am the owner of the Buildin g 12,000.00 $ 93.00
;'property for which this permit is issued or am an authorized represen- G.UC,
tive of the owner. Plan Check
All provisions of laws and ordinances governing this type of work will Plumbing
gyp;• St complied with whether specified herein or not,including routine calls Mechanical
(Or inspections. Sign
_ Demolition
j ,.= r"a%, . . . .:.: �.. ., .) . .r r Energy Surcharge
Striatum d Ovmpl�r a Authorized Agent (Moe) State Surcharge �F 91.,
'11 Jr Other
� sheet seesth 2E Side Yard Setback a+, Reif Yee setback 25 t Taal., $ y f ,90
be zone RN Occupancy Group y 1 Type of Conn. VN Conditions:
tot Area 10,5Oc O Site i o Dwelling Units I
s
" fiie spnnkkry.Required No/of Stories Bedrooms Occupant Load
ID Yes Di'No
Sid Bldg. Plans Checked By: EF
WHEN 81GNII)AND DATED BELOW.Th$$YOHEMEEIWY
Paemlaiia is to do Nwpooe determad wart awarding to die eooditiom
'item end aeeuteg to the approved pis and epedfationdpetamirig Owen subject to ,
' m onde=with the ordinances el the CITY OF ANACOR'ILS.
OS/29/91 •
Permit Issued By(( I: 7 - /i f 1 ,—,er t ( _C
Building Official (Due) •
Edwin Frank
PERMIT le. UM
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FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT 42 8404
293-1901 BUILDING PERMIT
24 Hrs. Notice Requested Site Address 3911 $ Ave.
NAME (OR NAME OF BUSINESS) PLUMBING
a I.Ra Nicol
MAILING ADDRESS No. TYPE OF FIXTURE OR,ITEM FEE
6 1536 Deception Rd.
CITY TELEPHONE NUMBER I Water Closet $ 2 .00
Anacortes. Wa. 98221 293-3388 t Bathtub 2 .00
NAME - 1 Lavatory 2 .00
b ADDRESSIShower
Kitchen Sink Z .00.
yx 1 Dishwasher 2 .00
CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer
' NAME Water Heater
. a nwnctr Urinal
p ADDRESS r Drinking Fountain .
Floor Sink or Drain
CITY TELEPHONE NUMBER Slop Sink ,
o i Water Piping < •00
u STATE LICENSE NUMBER CITY LICENSE NUMBER
' tVM ape 142MA ABi37 .
4 ResidlItial ❑ Non-Residential PERMIT $ I. On-
0 New ❑Add ❑ Alter Cj,Repair TOTAL'PEE $ i F _PG
RI Building Plumbing Mechanical ECIIiANIC$L
il Sign � M Demolition a Other ❑ GAS ❑ OIL ❑ ELECT. ❑ OTHER
Legal Description of Ptupeity,or'Ihx Account Number No TYPE OF EQUIPMENT FEE
Lot 4 7 Block_1.4_of
Seattle Syndicates Air Cond. Unit $
Refrigeration Unit— HP
Boiler— "` HP
Forced Air System— BTU/KW
Describe Work Floor Furnace
Rmmt,.de1 KItclren,6atiribitalbrf:,,widI,.tj Wall Heater
Unit Heater
Clothes Dryer
Occupancy Use Ventilation Fan
El Single Family Residence ❑ Multi-Family Residence Range Hood
Cf Office 0 Retail ❑ Storage ❑Church Air Handling Unit— CFM
0 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 com- 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 r
after the work is commenced for a period of 180 days. 4`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 10,000.00 $ 81 .00
tative of the owner. Plan Check0.00
All provisions of laws and ordinances governing this type of work will Plumbing 1 S.00
bJ complied with whether specified herein or not,including routine calls Mechanical
for inspections. Sign
Demolition
)( ffta?C`-CC L `; ���.t, ;'. -/-9/ Energy Surcharge
sig`oatme of Owmdor Awlwriud Agent (Date) State Surcharge
;I Other 4.50
Street Setback Side Yard Setback Rear Yard Setback TOTAL $
Use Zone Occupancy Omup 'type of Coon.
Conditions: 100. SC
i
Lot Area Wcaot Site Dwelling Units .
❑Yes ❑No .
Fire Sprinklers Required No.of Stories Bedrooms Occupant Load
❑Yes ❑No
Size of Bldg. Plans Checked By:
.
WHEN SIGNED AND DATED BELOW,IUB7®YOUR PERMIT .
Permlaaan is hereby given to do the above leashed work,scolding to the condition
hereon and according to the appae.ed plans and.p.aamcons presides thew subject to
compliance with the ordinances of the CITY OF ANACORTES.
,^
Permit IssuedByrnmiif f 1.) 6rncP/3t/91
Ba9ding Official ate)
Edwin Frank PERMIT 1.4' 8488