HomeMy WebLinkAboutPermit File 2620 W2nd Street v
G\z Y OF CITY OF ANACORTES
WASHINGTON
qCo BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the (Description of Building or Structure):
Single Family Residence
Located At. 2620 West: 2nd
STREET&NUMBER
Owner: Larry Nelson
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg.Permit # 9486 Date Of Issue: 2®3-92
Occ.Group: P3/N Use Zone: RL
Has Been Inspected And Occupancy Is Hereby Authorized,
This 16tia \pay Of April 19 92
yYi 7 "
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A THORIZING OFFICIAL
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
■ /■
9486 2620 West 2nd Larry Nelson 2-3-92 VN R3/M New Single Family Res
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INSULATION CERTIFICATE 017460
NELSON PACIFIC COMPANY 2620 2ND VEST
4218 MITCHELL DRIVE ANACORTES
ANACORTES, WA 98221 RAMBLER
Type of Material Manufacturer Thickness Sg Ft Covered R Value Width p !mg Wt/Bao
ATTIC BLOW
ULTRATHERM BLOWING WOOL CERTAINTEED CERTAINTEED 12.75 1154.00 30 28.00 25.00
Total Sq Ft Installed: 1154.00
BACKER ROD
44"CORRUGATED CARDBOARD BAFFLES @ 50 PKGNOT APPLICABLE 40.00
HBR BACKER ROD 3/8" NOT APPLICABLE
Total Sq Ft installed: 40.00
WRAP WATER PIPES
7/8" ID 6' FOAM PIPE WRAP @ 282 PIECENOT APPLICABLE 180.00
Total Sq Ft Installed: 180.00
EXTERIOR WALLS
R-19 UNFACED OWENS-CORNING OWENS-CORNING 6.25 865.00 19
Total Sq Ft installed: 865.00 L
FLAT CEILING-BATTS
R-21 UNFACED CERTAINTEED CERTAINTEED 5.50 161.00 21
Total Sq Ft Installed: 161.00
UNDERFLOOR
R-19 UNFACED CERTAINTEED CERTAINTEED 6.25 1305.00 19
Total Sq Ft Installed: 1305,00
Remarks:
Sono-Therm Insulation, Inc. SO NO TI * 264QG
s
FOR INSPECTIONS CALL r CITY OF ANACORTES ' . PERMIT '
''293.1901 BUILDING' PERMIT
;24 Hrs. Notice Requested Site Address 2626 Went 2nd
NAME (OR-NAME OF BUSINESS) - '`
tarry hie !' cttt - PLUMBING„
•, MAILING ADDRESS No. TYPE OF FIXTURE OR,ITEM
- 4218 Mitchell Drive
- CITY TELEPHONE NUMBER 2 Water Closet ' $ 4 .00
Anacortes, WA 983221 293--58Q0 1 Bathtub 2 .00
NAME 2 Lavatory . 4 ,00
Crane Design 1 Shower 2 0, 0
ADDRESS 1 Kitchen Sink
X 10803 Kent Kangley Rd. 1 Dishwasher 2 ,00
CITY TELEPHONE NUMBER Laundry Tray
Kent, WA 98031 859-2954 I Clothes Washer 2 .00
NAME 1 Water Heater 2 .00
m Larry Nelson Urinal
}; 9 ADDRESS - Drinking Fountain
ei - Floor Sink or Drain
pp<<P CITY TELEPHONE NUMBER Slop Sink
O - 1 Water Piping - - -- 2 ,00
U _STATE LICENSE NUMBER CITY LICENSE NUMBER
NESLOPC131NE 07127
O<Residential 0 Non-Residential - PERMIT $ a.00
O<New ❑ Add ❑ Alter ❑ Repair TOTAL FEE $ 25,00
OBBuilding Dl('Plumbing OCMechanical MECHANICAL
0 Sign 0 Demolition 0 Other ElcGAS ❑ OIL ❑ ELECT ❑ OTHER
Legal Description of Property or Tax Account Number
Lot s_.1 t) Block t Q 3 of No. TYPE OF EQUIPMENT FEE
Northern Pacific Addition Air Cond. Unit $
3809-103-008-0001 Refrigeration Unit- HP
Boiler- HP
_
I Forced Air System BTU/KW 9.00
Describe Work Floor Furnace
New residence Wall Heater
. Unit Heater .
1 Clothes Dryer tb . `50
Occupancy Use Ventilation Fan
D(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, UO
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 coin- PERMIT $ 16,00
menced within 180 days from the date of permit issuance,or if the building TOTAL FEE $ 3 8.90
or work authorized by such permit is suspended or abandoned at any time '
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 Buildin b , b i'S•00. $ .I2 2.00
- property for which this permit is issued or am an authorized represen- 8
- tative of the owner. Plan Check 159.00
Plumbing :::b.U0 '
All provisions of laws and ordinances governing this type of work will 3:$. )
be complied with whether specified herein or not, including routine calls Mechanical
for inspections. 'Sign
Demolition
1-r t I -rr-92 Energy Surcharge
Signature or Authorized Agent (Dale) State Surcharge 4. 50
' - Other Sewer . . - 271'0.00/�y�
Street Setback s c Side Yard Setback 5�.1 0Rear Yard Setback 20 . TOTAL
$ 3 n 31 4.oo
Use Zone RI.Occupancy Group Type of Cont. vN Conditions:
-Lot Area (. Ve nt Site Dwelling-Units
9t3 3C DYes ❑No 1 .
Fire Sprinklers Required Not of Stories Bedrolls Occupant Load '
' . CI yes frNo
Size of Bldg. Plans Checked By Lyle .
WHEN SIGNED AM)DATED BELOW,THIS IS YOUR PERMIT •
Peemiedw'is hers:by'given-to do the above deathbed work,according to the conditions
. hereon and thearding to the approved plans and amaranths pertaining therto,subject to -
- compliance with the Ordinances of the CITY OF ANACORTES.
. 02/03/92 •
. -' Permit Issued Byp' i f y f.' (' t ./..(1 .<.: ;"I( (« -
Building Official ' (Date) - PO. eitt113
Edwin Frank
PERMIT
i
Site Address: c9(0°0 WEST ~ 13
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l is u N e y for BDPTS(/i(J E. //¢,SEC•-23, T3SN_.e /E�w'`� / ` rREC9RDING CERTIFICATE 1 SURVEYORS CERTIFICATE , SCALE: /= 20 \
�N. 7 PILED FOR RECORD BYces4 .J�Lekty./.(.hamS'a THIS MAP CORRECTLY RE ESENTS A SURVEY MADE BY ME OR UNDER MY DRAWN BY: C
EE'4 CE NELSON C/ l THIS A7 DAY OF DUNE 19 9L A.D., AT — DIRECTION IN FORMANCE TH THE REQUIREMENTS OF THE SURVEY CHECKED BY:
... !'y _: MINUTES PAST O'CLOCK — M; AND RECORDED IN RECORDING A T, A THE R U T OF /4CQY A/aSON
�a �{' l j ! • �,' VOLUME OF .SYe✓EyS ON PAGE THIS.�7t" AY 18 91 DATE: 60 27 9/
1$u1 . ey {,y . RECORDS OF -.2:46✓T COUNTY, WASHINGTON. JOB NUMBER
/ b ` !2 ro 9/33
L.S. NO
, Cascade Surveying & Engineering , Inc. $�'`;
' .,': COUNTY AUDITOR DEPUTY AUDITOR / `EGISTERED ND RVEYOR / F.B. NO.Sti2 1/
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9/33
Per&i t_ and I nspe - BLD-2015-0042 - 2015
015047-0005 Carla B. 01,/29/2015 11:16NM
'S. Y 4' City of Anacortes 10911woiMaitiiiit fill V D Q1`5-0042
904 6th Street BLD-20 1
s5 P.O.Box 547 Payment -74g-1 tdate• 01/29/2015 34.15
Anacortes, WA 98221-0547 Tran ti.c c/r i e - ef 07/27/2016
34.15
• a. ` (360) 293-1901 CHECK 07641.3
Job Address: 2620 W 2ND ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1355 Project:
APN: P58179
Remarks: Install one gas water heater in existing residence.
Owner: PETERSON LIVING TRUST Contractor: TRI-COUNTY PLUMBING
Address: Address: 1004 COMMERCIAL AVE
ANACORTES WA 98221-4117
Phone: Phone:
License#: TRICOP910K1
General Information: Fees:
#of Gas Water Heaters 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW RE LATING CONST CfrON OR THE PERFORMANCE OF CONSTRUCTION. f
_ ) )/C111/1/1
4�
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
th 414 Algr A
eoa T.AN?rk Vmo
MECHANICAL PERMIT APPLICATION
City of Anacortes Building Department
P.O. Box 547 Anacortes,WA 98221
Street Address: 904 6th Street
Phone: (360) 293-1901 Fax: (360) 293-1938
•
SITE ADDRESS: 2,(o 2 0 (A Z , f''J
CONTRACTOR Name Tt t _ Gc h.l 1 vs)( PROJECT DESCRIPTION
Address
PP°`f e•e �+i' c�2G l�9'C_ - y j ❑ New Work
Q �—•--� p 0 Alteration
City/State/Zip 4 N 9 F Ce-i -J. A c(/ z Zf
Phone 3 -4?-0 S 7 S 3 FAX Permit Fee 23.50
State License# I/'?)46)/74 ) )a V C 1 Exp S l Type of Equip. Fee Each No. Amount
City of Anacortes Business License:o Yes ❑No Air Cond.Unit 10.65
PROPERTY OWNER Refrigeration Unit 10.65
Name Forced Air System 14.80
Address Floor Furnace 14.80
City/State/Zip Wall Heater 14.80
Phone FAX • Clothes Dryer 10.65
E-mail Address Ventilation Fan 7.25
APPLICANT ,. Range Hood 10.65
Name �19VY �CIJNiJ� 4A-� I"' - Gas Fireplace 10.65
Address Gas Water Heater 10.65
City/State/Zip Gas Piping 4.75
Phone FAX Other(Describe)
E-mail Address
CONTACT ,q _
Name TOTAL FEES DUE
Address
City/State/Zip
Phone FAX
E-mail Address
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATION IS CORRECT,AND AGREE TO
COMPLY WITH ALL CITY ORDINANCES AND S REGULATING ACTIVITIES COVERED BY THIS PERMIT APPLICATION. WITH
IDS AOS ARAC RS LI URENS
AND THS AP
PE CITYMIT Ts ALL ESS NSE.TR STOPND W SU RKONT ORDE WILL BESHL ISSUEDHAVE A ON C JOB SITES RENTWASHINGTON WHERE CONTRACTORS/SUBCONTRACTORSTATECONTRACTORS LIC ES
ARE WOR G V_Vg.H UT PROPEF SE.
APP ICANT'S SIGNATURE DATE
Last Updated Nov.9,2012