HomeMy WebLinkAboutPermit File 4511 San Juan Avenue ;t Y � Li fg of x acu xes
Washington
S90 O'a BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY #`'O 7
This is to certify that the (Description of Building or Structure):
,644 6t Ci J/74 6'7�C� Sc raltki
Located At: `is 7/ '4 444 r/(MAI :
STREET& NUMBER
Owner: l a"4-7P4 /7lCti<C::-7
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li Constructed By: /"y/Ls y ``�''✓'S Ygac r o,
OWNER OR CONTRACTOR -
Bldg. Permit # L52 Date 04 Issue: CT/ i s
Occ. Group: I°3, /nit Use Zone:
Has Been Inspected And Occupancy Is Hereby Authorized,
This Day Of Ate . C 19
AUTHOR1 NG OFF
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
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< . CITY OF ANACORTES
BLDG. Ir PLUMBING . ' MECHANICAL d
PERMIT ' " . Sni
Telephone 2935173 '
ANACORTES, WASH. DATE " , 1 et 19 ,
PERMISSION;IS HEREBY GRANTED TO:
OWNER fief 17,"' CCA.o7,'Z id C !%[x;`r x
STREETS> � I
i, ADDRESS r /� �+ ✓ c! f ry r1:1 _
ft LOCATION WHERE WORK IS TO BE DONE g
1. CONTRACTOR £A-o',Jc — n0
1 TO ERECT S INSTALL 0 OR REPAIR
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I PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
¢. PLANS FOR CONSTRUCTION WERENELLSUBMITTED
4 WORK TO BE DONE BY OWNER .5.- CONTRACTOR.Oe
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RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
1 TYPE APPROXIMATE VALUEALUE PERMIT FEES
ISSUING Ell
I BUILDINGNII ®l,,
GAS PIPING =1111 °
t PLUMBING AND W.S. —!IIMBm :
h SEWER CONNECTION INSP. --I /i Et
k MECHANICAL .I ®;
PLAN CHECK FEE --i��5
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TOTAL 1 MEM In:
LEGAL DESCRIPTION ice:'12 : -- i r✓ el
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CITY OF ANACORTES
WOOD STOVE INSPECTION CHECK LIST
NAME: Talton Dickey PERMIT NO. 5852
ADDRESS: 4511 San Juan DATE INSPELI•BD April 8, 1988
TYPE OF INSTALLATION: Insert XXFree standing XXAlcove
FUEL: XX Wood Coal Wood pellet
MANUFACTURER: Tri- Fab Inc. , Bend Oregon 97701
MODEL: Sun Rise Model 1205/18
TESTING AGENCY: McCormack Consulting Engineers, Bend, Ore.
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Standard: UL 1482
FLOOR PROTECTION: Approved millboard Metal Masonry Other
Quary tile over 3/4" mortar bed.
WALL PROTECTION: Approved millboard _Metal Masonry _Other
Tile applied to drywall.
Air space: 0 Behind Shield Below Shield _Above Shield
CHIMNEY: XXFactory Masonry Other
masonry chimney have a clay liner Y / N
UNIT CLEARANCES: Listed As installed.
Back: 8" to con. pipe 13"
Sides: 28" to con. pipe 32"
Above: open to ceiling
Hearth: 18" code 18"
Connector
To wall: 18" 13"
To ceiling: NA NA
NOTES: Owner will install a heat shield on the connector pipe from the top of the
stove to just short of the cieling support package.
Inspector
S E INFECTION CHECKLIST qfr,�
Address: L/5// S s() c-)A dJ
Permit No.:53'S Z Date: 9- B &7 Zone: (ZC
Owner: rii.C- dJ Deevcs7
Contractor: A67 6avolSYX
Legal Description: �7 `'y
Variances: /1;10C
Occupancy n Typ
e:y Groi p: � Construction T e: (J
Energy Code: A Ch. 6 Ch. 4
FINAL INSPECTION
Insulation Cert: House Numbers : U-d cuw
Water Pressure: 70-r Site drainage: 0C(_.
Insul .--Crawl Space: a/< Attic: d --
Crawl Space Vapor Barrier:pi Garage/house door: 7�i51:21/4 5 AI '
D.W. air gap: Traps : Cii--
Exh. Duct dampers: 0K Smoke Detectors : ®V(
Safety Glass : P)- Guard rails : c /1-
Hand rails: Og- Bedroom windows: l�/C
Sewer Inspected: Curb cut inspected: OK
—
Water heater: Strap: ) P- T & P drain: OK-
Sewer rec"t. : 3 7.5-2 fee Date:
Dryer vent: on. Wood stove: Cv/'
)Ills/ $cva- 7a11lr1r
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CITY OF ANACORTES
WOOD STOVE INSPECTION CHECK LIST
NAME: l _to 11 PERMIT NO. ,-56 �
ADDRESS: WSJ/ 54J Uce.4) DAIL INSPECTED 04*
TYPE OF INSTALLATION: Insert Free standing !(Alcove
FUEL: paWood Coal Wood pellet
MANUFACTURER: //e/- /74,$ 1 Aic O ga 9 72 Q
MODEL: 5010 21S c Mc cl / �
TESTING AGENCY: i"v<c`o. fa GN c1L �k�SuL74,5 9y42 .2 N /54,0/ 0dLcr&c,4,0
Standard: el L %96 Z
FLOOR PROTECTION: Approved millboard Metal Masonry Other
0044-7 7t c� ou-0-c, °/ v are a_ _
WALL PROTECTION: Approved millboard Metal _Masonry Other
74.6 ddetke z0 v y w
Air space: Behind Shield Below Shield Above Shield
CHIMNEY: ' <Factory Masonry Other
masonry chimney have a clay liner Y / N
UNIT CLEARANCES: Listed As installed.
Back: g \V , I "
Sides: 9gscrLrA. 3 a it /J
Above: C /0 C.w1'uy
Hearth: 18" code It if
Connector
To wall: / 3
To ceiling:/ / s
NOTES: /Zcl-c2 1/v,5-y��GP !idetti pit/ O & (lc uJ, -QC/�x K/Z/L$
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Inspector
Address rm /I JAI✓ Job U DUCTS ize Lgth Rval
Worksheet 1 i 4 A,s1 1. ' G y
Budder: 5„ /
Owner: 76,1 L-k, 0 LC1
I.D. 3.
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COMPONENT DESCRIPTION ENTER
DIMENSION COST
, BELOW GRADE WALL AREA TOTAL LINEAL FT.
2/ bLrU .Z ) T.c.Py)« — 6 rfitat-
SLAB ON GRADE DIMENSION AREA LINEAL FT COST
Y-kb i k,5..44 11,1--i n.-1_ Li) .
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CRAWL SPACE FLOORS DIMENSION ENTER AREA COST
I ;22y L/
ABOVE GRADE WALLS (Less exterior doors & windows including skylight wells ifDIMENSION ENTER AREA I COST
greater then 80° angle on vertical)
Li (,arse.) c r1.-/2. r 2-3.5 ;1 .1 `d r 174
O
2 `fL`i M' ret C,I 0-"-1 ":. 1- 2-3.ila - fC 4,9Y ir i Vac9
J i f 3' lJ
CEILINGS (Less skylights & chimneys) DIMENSION ENTER AREA COST '
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Worksheet 2 0
I.D.
COMPONENT DESCRIPTION Solar '
No. DIMENSION tOnen ENTER AREA COST
WINDOWS
S 4C[. 2> ; G GJ 3 s—
/ / -1 G = co G` g,7
I Si
$ - `7O cJ 3 y .
/ • 61 Jcrow k= c 5 FLU, oZ
(-L )
/ 4 = 3 ° E <d i
I _ 7 `36 e al
/' 3a 3 " Al l
I u I ° rr t/-
2 a� zc) g____--
No. DOORS DIMENSION ENTER AREA COST
/ S f O.s / s/yi_ C. urn ly P--�
( -c 4 C ):-1 / lid $- c cc/ci, cc -d
No. I SKYLIGHTS DIMENSION ENTER AREA COST
0
AIR LEAKAGE DIMENSION ENTER VOLUME COST
3 .,'`/ allinq? s 4-7. K ;evil
2,4u 9. st7YIG t"g-$° 4
t2Lt1/. sxr lY g,g \,
ti
THERMAL//MASS—HOUSE TYPE DIMENSION FLOOR AREA/ COST
2T`y ic2w.w- 4- 2-13 )- 2-3- ) (c/c a.s
. 3 •Eaii�Y '76% 5
any •ffes kt- d- A-,3 F ,2-3 , £oA K 2 Z t OK
95 -cf az.y//,3.. 2 LLg, (
ADDITIONAL MASS (THERMAL) DIMENSION SURFACE AREA COST
7C7, r
S24/
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CLEAR I L G E
,4bb1FSS 45/ /
Sh)V j,UAN AVL
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RESIDENCE FOR:4 / 4.4.
c e / i
t HEAT LOSS LOCATION: 57/ . 1'U2n,
Page of
%4)\ ' DESIGN TEMP AT RE DIFFERENC :
c CALCULATION FORM Plan or Model No. Dated / / Heated Square Ft.
ADDED
INSULA- HEATED SPACE
TION
R-VALUE triPt t- •It:Z 'vqt-fit
Number Number Number Number Ramer Number
MATERIAL SOURCE OF Wart of sq. of sq. of sq. of sa• of so. of sg.
ONLY HEAT LOSS Table toys to. or Watt cu. or watt cu. or Watt cu. or Watt cu. or I Watt cu. or Watt
Number Factor Iin.et. Loss Iin.Ft. Loss Iin.F t- Loss lin.ft. Loss _lin.e t. I Loss lic.Tt $ Lass
��� GROSS WALLS
�i,c� • � //_ � ,
(Exterior) /// LESS WINDOWS:
�ji. in- Table I
a.
97 ' /, / LESS WINDOWS :
��// Double) Table I tl... Iaçy
n I%r OM
(�\, /%, LESS DOORS
�4.v/ ��� ' (Exterior) iaDlr 1h ! ;4O
NET WALLS : frame *Table 2136 7 r7
NET WALLS: concrete Table ) 1 i
above grade
CEILING: vented --
's`
attic above
T 4 -//�s, l�ilj.` /i .
Y J
CEILING: open beam cablablees
construction
FLOOR: over vented *Tabl
crawl space ,S.y9 C . o5 D 2!�(/ 0 '
e b
FLOOR: aver Wnvemtea --
unheated area Table 7 MI:
L y6R: slab including
below grade walls-lineal FI. Table 8
rt H COMMON WALLS: Table y _
Multiple units
o COMMON CEILING:
o Multiple units Table 9
COMMON FLOOR: Table 9
K— Multiple units I
j . IINF I ULTRATIRA/Nr. (cast)if Table ID r# Yc f
rrt INFILsement N(poFt.l
�11 �//�� Sunken basement Table ID _ -
1/2 air Cbargr/Hr, �J'
0
m WATT LOSS PER ROOM ilt 46'6a %j./(7 jjf� r 06r7// ' f. _
co
r INSTALLED WATTAGE
0
m1 . Structure Heat Loss (SHL) = 1612. y Watts. 5. Estimated Duct or Piping Heat Loss =
n 2. Duct or Piping Insulation (inches or approx. SHL (1) x DHLM (3) x Fraction (4)= Watts.
H
o R-value) . / / 6. Total Heat Loss (1 Lus-
z 3 . Duct Heat Loss Multiplier (Table 11) DHLM = '' ��� X Watts.
P 7. Total instalie-�9atts Watts.
-. 4. _ Fraction of Ductwork in Unheated Space. vD Et�
*Mobile Homes - Use Table 12 and 13. WORKED BY DATE / /
SKAGIT COUNTY BUILDING ENERGY FORM
PRESCRIPTIVE STANDARDS PATH
(FOR BUILDINGS THAT ARE DESIGNED TO MEET THE MINIMUM ENERGY CODE
STANDARDS FOR ALL COMPONENTS)
APPLICANT NAME: ,'', ,Q., Phone 2 93 -9yes—
SITE ADDRESS 5/5 // S/}/V JUAN , VG
TOTAL HEATED FLOOR AREA:
FOR WALL, CEILING AND FLOOR COMPONENTS, USE NEXT PAGE AND CIRCLE
OPTION TO BE USED
HEAT TYPE : elec gas oil heat pump other
MANUFACTURER AND MODEL NO . AFUE
WATTS BTU ' S
WINDOWS including skylights
CODE REQUIREMENTS
MAXIMUM SQUARE FOOTAGE 21% OF HEATED FLOOR AREA
SPACE HEAT TYPE AFUE* HEAT PUMP CLASS GLAZING CLASS
electric resistance n/a n/a 6a
other . 65 2
other . 74 1 90
other, passive solar . 65 2 90
*AFUE applies only to central heating equipment. All other types
of heating equipment fueled by gas , oil or propane must be
equiped with an intermittent ignition device in order to use
Class 90 glazing .
BRAND MODEL U VALUE HOW MANY? SIZE AREA (SQ. FT . )
TOTAL WINDOW AREA IN SQ. FT. /
NOTE: You cannot change the type, size or brand of windows or
heating system after approval without resubmitting to the
Department for approval of the modifications .
OWNER/AGENT 9,
KEY CONSTRUCTION
P.O. Pox 253
ANACORTES, WA 98221
(206) 293-9465
II