HomeMy WebLinkAboutPermit File 3715 W7th Street cia Y o„ CITY OF ANACORTES
WASHINGTON
sc BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
This is to certify that the(Description of Building or Structure):
Single Family Residence
Located At: 3715 West 7th Street
STREET&NUMBER
Owner RKL Construction
Constructed By: Owner
OWNER OR CONTRACTOR
Bldg. Permit#: BLD-2004-9715
Date Issued: July 9, 2004
Occ.Group: R3 Use Zone: R2
Has Been Inspected And Occupancy Is Hereby Authorized.
This 28th Dayof June j05 .
A ORI
SEE REVERSE SIDE FOR SPECIAL REQUIREMENTS.
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'ITY OF ANACORTES "AS-BUILT" r Sewer
r Storm
ONTRACTOR: 5 L7 L ` 0/ s/
-,AT/DIVISION: BLOCK
DT ADDRESS. 3 7 15 W 0-5 7 T H
ATE: 9e 2 v 4
ERMIT# FLO 2Ct°)y--- / 7/SCALE Rd =
A
TREET
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a,-,Nrie ,-717,, ,-. \ /2„...,,,x AI)a 1
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)CATS STREET(S)ON GRID MAP
IDICATE DEPTH AND DISTANCES OF CLEANOUTS
0 1 " O City of Anacortes Permit#: BLD-2004-9715
904 6th Street Issue date: 07/09/2004
°j P.O.Box 547 Expire date: 07/0912005
,. CC: Anacortes, WA 98221-0547
1, etM's (360) 293-1901
Job Address: 3715 WEST 7TH Permit Type: Single Family Residence Permit
ANACORTES WA 98221 Project:
APN:
Remarks: New single family residence.
Owner: RKL CONSTRUCTION LLC Contractor:
Address: 186 VALLEY VIEW RD Address:
LOPEZ WA 98261
Phone: (360)941-3241 Phone:
License#:
General Information: Fees:
Lot Area 7700 Plan Review Deposit 100.00
1st Floor Square Footage 1189 Building Permit Fee 718.00
2nd Floor Square Footage 918 Plan Review Fee 366.70
Garage Square Footage 518 Mechanical Permit Fees 114.65
Building Valuation 213115 Plumbing Permit Fee 132.00
# Forced Air Furnace<=1,000 1 State Building Code Fee 4.50
#of Bathtubs 2 Sewer Inspection Fee 50.00
#of Clothes Dryers 1 Storm Drain GFC-Residential 1,126.00
#of Clothes Washers 1 Sewer GFC-Residential 4,682.00
#of Dishwashers 1 Park Impact Fee 615.00
#of Gas Fireplace 1 Traffic Impact Fee 900.00
#of Gas Piping 1 Total Calculated: 8,808.85
#of Gas Water Heaters 1 Deposits/Receipts: 100.00
#of Water Piping 1
#of Hose Bibbs 3 Total Due: 8,708.85
#of Kitchen Sinks 1
#of Lavatories 3
#of Range Hoods 1
#of Showers 1
#of Ventilation Fans 4
#of Water Closets 3
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 REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
1
SIGNATURE OF o W NER OR AUTHORIZED AGENT ISSUED BY
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I CITY OF.ANACORTES BUIDLING DEPARTMENT RESIDENTIAL .
CHECKl IST
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(This farm is to be completed pilot to issuing the building permit)
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Site Address: 31 b l5 l� 't • Date ' --)-O4
4_.Y)Contact Fuson: C . 1-Q- ✓t . Phone No. 9'1! "-3a- 1
Assessors No.: Lot: Block Addition:
(Bul1ding Department Checklist fot Completeness) " .
OK NA • - • OR ' NA .
t0 • Fire Department Access - 0 Fire Hydrant Located within 250 feet
.❑ Fire Plow Required 0 is. Shoreline or Wetlands
0 Site Plan 0 Covenant Approval
❑ Variance Required 0 'Th- Regulated Slopes
a, 0 Plat Facts and Findings Compliance 0 Survey in File
- $-_ `❑ Fill on Site
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• Received and Reviewed by: • a..."-"‘ Date • D -17—0 Y .
•(Engineering Department Cher/Mist for Completeness) - • .
OB. NA - OK NA .
•
® 0 Water Fr►emioa/Meter ❑ Sewer Extension/Connection
N 0 Street Improvements/Sidewalks �Sr) ❑ She Drainage Plan• j
❑ t 0 -Covenant Not to Oppose Future LID • ❑ 7 ❑ Latecomers Agreement ,
,$J 0 Street Drainage N 0 Driveway location,slope,culvert
N 0 Storm Drain Extension
Received and Reviewed by: =� t--- Data T c 0 t
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IFURT lR COMMENTS( • .
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Zoning. kz, .
Lot Size: 7 7 8't) p 1
. Coverage Allowed:? L9 4y`�r `�� Z
Sj-a�`\/� l/r --
Actual Coverage l VD (1 ,