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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 c. U :-r n, 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 3R �zc� -el FUG g •- I - 9i 0 ' -6 . 9� 5 e d- of a I-)D - 9a Cr A-Lic, rug � o�� ti roc `� c� 5 3e-`*- �1-�t,�3�2_ 6- 7-T/ t— /392 g-i, af- i CO 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 ,r m w9.4 'w: '—,Aar ..TT. W Aiv�. a 'M avaR r 1.T:i - n• ^.l.r^' Y.twit �/'. 1 r. • .. rn.ray^, ..n n , a 0 P 0 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