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Home My WebLink AboutPermit File 3806 Sterling Place "w` �Y Engineering and Development Services `,��0• qc PO Box 547,Anacortes,WA 98221 rp A TN:360.293.1920 FAX 360.293.1938 u n EMAIL: engineering@cityofanacortes.org u RIGHT-OF-WAY PERMIT APPLICATION a A4. RCW 19.122 Underground Utilities '4�COg� CALL BEFORE YOU DIG -(800)424-5555 •p (` p' ) Applicant shall submit application 5 days prior to start of work and application shall include: ❑ (1) Payment of assessed fee 44-1271Jrawing illustrating proposed work and its location. See checklist on Page 2 of 2. ❑ (3) Liability insurance CG 2026 or similar. City named as additional insured. Minimum$1,000,000 each urrence,$2,000,000 general aggregate and$2,000,000 products-completed operations aggregate limit. 4) Proof of both state and city business licenses ❑ (5) Performance Bond—Construction cost x 150% before work begins ❑ ( CHefeashmsnt Agreement Required To be completed by City: ❑ Yes Site Address: City Approved Exemption ❑ Yes ❑ No 300 , ��,P __ EDEN ASSIGNED PERMIT NUMBER: ?? Parcel No. /-`®1A-) - 6,4) ` - r-)t Owner Information (Required) Contractor Information (Required) Name (N ( ram) �l, o...44 Name I N e CA)C-12 (7`ram Address Address �— City 1MothAir. e/Lewpu v 27,3 City frusu th /v Phone Phone 3 6-e - y2/� Eva '�7 412 ( - 271 cY-7 Email a Email i {�, 1A Address J �ja.(//(C1 f'I e AcCa Cot^'" J. Address (A )C`V\ L.t Work Includes (check all that apply) ❑ Curb Cut ❑ Water ❑ Sewer ❑ Storm ❑ Street Cut Sidewalk ❑ Phone ❑ Other Describe Work to be Performed: (Notification of Utility Companies is Required) ..A Clt $ pproval ignature Date By signature below Applicant concurs that the Applicant shall defend, indemnify and hold the City, its officials, em- ployees and volunteers harmless from any and all claims, injuries, damages, losses or suits including attorney fees, arising out of or in connection with activities or operations performed by the Applicant or on the Applicant's behalf out ql..issua ce of this Perm' except for injuries and damages caused by the sole negligence of the City. App Signature, Date I Inspection Approval Signature Date vL NON- REFUNDABLE PERMIT FEE: (To Be Completed by City) ❑ Curb Cut $50.00 ❑ Street Cut $50.00 Inside Travel Way $50.00 ❑ Outside Travel Way $20.00 ❑ Sewer Inspection Fee $50.00 ❑ Sewer Re-Inspection Fee $25.00 TOTAL FEE ASSESSMENT $ A Site Plan (to scale) must be attached that include all of the following: This checklist will aid the applicant in preparing a site plan. Permits that require installation of substantial improve- ments may require plans drawn and designed by a licensed engineer. Please check with City staff prior to submit- ting your application. • Draw the plan to a standard Engineering Scale[1"=10', 1"=20"etc.]on a minimum size sheet of 8%x 11 and a maximum size of 11x17. • Include the owners name,the parcel ID number, site address, north arrow, drawing scale and date. • Include the contractor's name, address and phone number. 1111- • Existing Right-of-Way lines, property lines, edge of pavement, curb/gutter, sidewalks, driveways and plant- ingy • strips with dimensions between each. • Adjoining street name(s)to the reference property. • All existing public and private utilities in the area of the proposed project(Water, Sewer, Storm, Phone,TV, Gas and Power), dimensioned to the edge of pavement, curb/gutter, sidewalk,driveways, planting strips. • If applicable show easements,critical areas such as streams,wetlands and steep slopes. • Proposed new construction.The proposed improvements shall be shown in heavier line type than the ex- isting information • Dimension the proposed new construction to the edge of pavement, curb/gutter,sidewalks, driveways, planting strips, or another identifiable site feature that will help identify the proposed improvements in the field. • Erosion Control Plan. • Traffic Control Plan per current MUTCD(See standard drawings at http://mutcd/fhwa.dot.qov). If the work requires any lane or street closures,the City of Anacortes Public Works Inspector must be notified a mini- mum of 48-hours prior to scheduled work for proper public notification by the City of Anacortes. Work within the City Right-of-Way is permitted by approval of the City Engineer. All work in the right-of-way must be bonded. The applicant and owner must use warning signs,traffic control, and barricades as necessary to ensure public safety in the work area. The applicant and owner must restore the right-of-way to previous condition. Perma- nent restoration may include overlays of portions of the right-of-way and restoration of landscaping which have been disrupted by excavation work. The applicant and owner are liable for damage to public and private property. Page 2 of 2 4 V e2 C 631 St7P g LJA b P /11U 01-car2--712___c 6Ni) 65:_uLg\k lc -› Li b F7140 Amv EuJiA-\-( A_ ppiLem-c_i+- AE_PL/q-c_ z ilu4 G<Dv/susfv ..5 60 /---. a N „:„ 1 'ait a . a 1 a ! , f -, ANACURTES FINANCE DE 904 6TH ST ANACORTES, WA 98221 , 360-293-1900 ; .. TERMINAL I.D.: 77088833 ('iW''''.2''' MASTERCARD XXXXXXXXXXXX1644 * SALE BATCH: 008383 I HU 1 2 DATE: HOU 06, 09 TIME: 11:11:18 AUTH HO: 02138Z U CODE RESP: M L. .::! AUS: 5400 98273 V TOTAL $50.00 Crj-it?'1303-i : ; '116/:.)0C9 Bic i-• i Nov(PD, 2009 Ilduk,!: WI ,t., o,i-..N 1' ) At,....,_t . . t.'it • Ivo 1., ,,r , ( , L. I. t..,, : — (bc-') ri''' 111r) ',I— ;j7 .3 A - lit, AR Er I AV ABOVE TOTAL AMOUNT 1 ' 1 ACCORDING 0 CARD ISSUER AGREEMENT (MERCHANT AGREEMENT IF CREDIT VOUCHER) * CSTOme! 4. i'iv351 1 , ,,,,-1- ,, i .-10.-2(,',,- 4i ***CUSTOMER COPY*** ...„ . BrETii t Lai !-f-F. TBf.:LO.,). . , . ( r 4 ' 1 \I , L.t Y o, CITY OF ANACORTES Dec N WASHINGTON 9coat� BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY This is to certify that the (Description of Building or Structure): Single Family Residence Located At: 3806 Sterling Place STREET&NUMBER 11 Ailmoor Development rent ' Owner: Constructed By: Owner ! OWNER OR CONTRACTOR ! Bldg.Permit# COM95-0062 Date Of Issue: 5--11T 95 Occ.Group _. P..3 Use Zone: x22 Has Been Inspected And Occupancy Is Hereby Authorized, This 11 SSth Day Of tast 19 95. I. ��- t r'/ AUTHORIZING OFFICIAL SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS. ■a. fi COMBINATION PERMIT CITY OF ANACORTES PERMIT NO. : C0M95-0062 P.O. BOX 547 APPLIED: 05/11/95 ANACORTES, WA 98221 ISSUED: 05/11/95 (206) 293-1901 EXPIRES: 05/11/96 SITE ADDRESS: 3806 STERLING ASSESSOR' S PARCEL NO. : 3809-315-005-0004 PROJECT DESCRIPTION: New single family — OWNER — CONTRACTOR — LENDER WILMOOR DEVELOPMENT WILMOOR DEVELOPMENT 16981 REDMOND WAY 16981 REDMOND WAY REDMOND WA 98052 REDMOND WA 98052 885-2287 WILMOCI169KA — FEES TYPE OF WORK •NEW AREA (sf) VALU...S: 106000 Code Amount---- By- Date---- Receipt TYPE OF USE -SF LOT • 7700 REQUIRED SETBACKS---- PRMT $ 448.00 MD 05/11/95 3831 CENSUS CATEGORY •101 1ST FLR • 844 FRONT • 20 ft PMEC $ 60.00 MD 05/11/95 3831 ZONING 2ND FLR • 963 SIDE(1)..: 5 ft PPLM $ 118.00 MD 05/11/95 3831 :R2 BASEMENT • 0 SIDE(2)..: 10 ft PLCK $ 291.20 MD 05/11/95 3831 OCCUPANCY GROUP GAR/CARPORT...: 400 REAR • 20 ft ESPL $ -100.00 MD 05/11/95 3831 :R3 :7 :7 •? OTHER • 0 REQUIRED PARKING-- STBC $ 4.50 MD 05/11/95 3831 TYPE OF CONSTRUCTION TOTAL • 0 SEWR $ 3258.00 MD 05/11/95 3831 :5N •? •? :? : NUMBER OF UNITS - 1 ACCESSIBLE.: 0 IMPT $ 400.00 MD 05/11/95 3831 OCCUPANT LOAD STORIES • 2 COMPACT • 0 INSP $ 50.00 MD 05/11/95 3831 0: 0: 0: 0: BUILDING HEIGHT.: 0 ft IMPRV SURF.: 0 sf FUEL TYPES BOILERS/COMPRESSORS- DOMES. INCIN •0 :/GAS/ / /: 0-3 HP • 0 COMML. INCIN •0 FURN < 100K BTU: 1 3-15 HP . 0 RELOC/REPAIR...: 0 TOTAL $ 4529.70 FURN >=100K BTU: 0 15-30 HP • 0 CLOTHES DRYERS.: 1 FURN - FLOOR...: 0 30-50 HP • 0 GAS WTR HEATERS: 1 — NOTES UNIT HEATERS...: 0 50+ HP • 0 STOVE, APPLI...: 0 VENT FANS • 3 AIR HANDLING UNITS-- FIRE LOG/LITE..: 1 VENT SYSTEMS...: 0 <= 10000 cfm.: 0 WOODSTOVES • 0 VENT W/0 APPLI.: 0 > 10000 cfm.: 0 OTHER UNITS • 0 EVAP COOLERS...: 0 GAS OUTLETS • 1 HOODS • 0 WATER CLOSETS...: 3 WASHING MACHINES: 1 FLOOR DRAINS • 0 BATH TUBS • 2 ELEC WTR HEATERS: 0 WTR PIPING/TREAT: 0 SHOWERS - 0 LAUNDRY TRAYS...: 1 HOSE BIBBS • 2 DISHWASHERS • 1 URINALS • 0 GREASE TRAPS • 0 LAVATORIES - 3 WASTE INTERCEPT.: 0 ADD'L FIXTURES..: 0 KIT SINKS W/DISP: 1 DRINKING FOUNT..: 0 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 11 n 7� or Owner' s Signature 24 Hour Notice Required For All Inspections com_prmt, Rev: 11/04/93 i BUILDING PERMIT CITY OF ANACORTES PERMIT NO. : BLD96-0278 P.O. BOX 547 APPLIED: 08/02/96 ANACORTES, WA 98221 ISSUED: 08/02/96 (206) 293-1901 EXPIRES: 08/02/97 SITE ADDRESS: 3806 STERLING ASSESSOR'S PARCEL NO. : 3809-315-005-0004 PROJECT DESCRIPTION: New deck addition — OWNER — CONTRACTOR — LENDER RUTH AND JOHN MCDERMOTT 3D CONSTRUCTION, INC. 3806 STERLING PLACE P.O. BOX 1524 ANACORTES WA 98221 MT VERNON WA 98273 299-3040 424-7899 THREEDC0778J TYPE OF WORK 'ADD AREA (sf) VALU. . . $: 600 TYPE OF USE •SF LOT • 0 REQUIRED SETBACKS---- CENSUS CATEGORY •434 1ST FLR • 0 FRONT 0 ft ZONING 2ND FLR • 0 SIDE • 0 ft :R2 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 PRMT $ 11.50 MD 08/02/96 5738 STBC $ 4.50 MD 08/02/96 5738 TOTAL $ 16.00 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 bld prmt, Rev: 06/11/92 Ailey. •i`� 5y eXct}UT o,NG j , er I^rl r 1 41 1 i 2 / Y I . 1 1 I 1 1 1 8 47-,4_1,R ;71.4:16,1„, rt. F i 1 1 ! I 1 I I 1 I I ! 1 I I I i ! I 1 1 i 1 I I ! 1 . 1 I I 1 1 1 i 1