HomeMy WebLinkAboutPermit File 1709 12th Street Y- •• C,i City of Anacortes Invoice/Permit#: BLD-2016-1508
904 6th Street
'=y Applied date: 08/24/2016
"ru P.O.Box 547
Issue date: 09/30/2016
j
>" J; Anacortes, WA 98221-0547 Expire date: 03/29/2018
(360) 293-1901
Job Address: 1709 12TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-2114 Project:
APN: P56551
Remarks: Convert existing garage/shop structure into an ADU
Owner: GEORGE BOURQUE Contractor:
Address: PO BOX 2021 Address:
ANACORTES WA 98221
Phone: (401)824-6324 Phone:
License#:
General Information: Fees:
Building Valuation 12000 Building Permit Fee 209.25
Lot Area 12000 Plan Review Fee 136.01
Garage Square Footage 297 State Building Code Fee 4.50
#of Wall Heaters 2 Mechanical Permit Fees 93.65
#of Water heaters 1 Plumbing Permit Fee 83.00
#of Showers 1 Total Calculated: 526.41
#of Clothes Dryers 1 Deposits/Receipts: 0.00
#of Clothes Washers 1
#of Lavatories 1 Total Due: 526.41
#of Range Hoods 1
#of Ventilation Fans 2
#of Water Piping 1
#of Water Closets 1
#of Gas Piping 1 •
Gas Outlets 1
#of Kitchen Sinks 1
#of Hose Bibbs 1
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DOS, Old; I �
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMM€1JCEQ:- ;l
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISICiN�-
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR:NOT, rt:14.
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER gTATE„O 'j
LOCAL LA E ULATING ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. rt. „•..
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SIgCNAATURE OF OW ER ORAUTH RIZED AGENT ISSUE 43 L1
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CITY OF DO NOT REMOVE
wy CORRECTIONS REPORT
''COS ❑ Building codes 293-1901
ANACORTES ❑ Fire codes 293-1925
❑ Public Works 293-1920
The corrections listed below are hereby ordered and must be completed within days.
OWNER/CONTRACTOR PERMIT NUMBER
C rt,09 e l3 o f t [.( ,e
ADDRESS DATE
I70 0.4 ;7L•
• NOT APPROVED FOR COVER
• NOT APPROVED FOR OCCUPANCY OR USE
❑ CORRECTIONS NEEDED 0' STOP WORK
30 CY A" p ( At c re, _ 1.�� w0f41-
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NOTIFY INSPECTION O l
WHEN READY FOR REINSPECTION ��
INSPECTOR _
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I4 tt, c IResidential Buildin Permit A lication ,.,`c 6-'S' Y 0 Q C -
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" Building Department " � �F'`
-: ,+ Pw PO Box 547 Anacortes, WA 98221 'vq=*;,4 /F�
Phone No.: 360-293-1901 FAX: 360-293-1938 " �A
SITE ADDRESS: 1709 12th Street
CONTRACTOR 0 Applicant PROJECT DESRIPTION
Name Self
Address
Convert Existing 23'x 33'Garage/Shop Structure to
City/State/Zip Accessory Dwelling Unit per Plans and Applicable
Codes. Living Area =462 sf, Garage Area =297 sf
Phone
State License#
City of Anacortes License PARCEL NUMBER
PROPERTY OWNER 0 Applicant P56551
Name George Bourque LEGAL DESCRIPTION
Address PO Box 2021
Section 24, Townshp 35 N., Range 01
City/State/Zip Anacortes, WA 98221
Phone 401-824-6324 FAX PROJECT VALUATION
E-Mail Address gbourque( gilbaneco.com $12,000.00
❑ Applicant Number of Dwelling Units: 1
Name Number of Stories: 1
Address Building Area:
City/State/Zip 1st Floor 462 SF 2nd Floor N/A
Phone 3rd Floor N/A Basement N/A
E-Mail Address Garage 297 SF Carport N/A
CONTACT ❑ Applicant Deck N/A Lot Area 12,000 SF
Name George Bourque
Address PO Box 2021 LENDER
City/State/Zip Anacortes, WA 98221 LENDER INFORMATION MUST BE PROVIDED FOR PROJECTS
OVER$5,000 IN VALUATION PER RCW.
Phone 401-824-6324 FAX Name N/A
E-Mail Address g_b_21nueagibaneco.corn
I CONTINUED ON THE BACK
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Residential Mechanical Fixtures
Fuel Type
1�1 Natural Gas ❑Electric ❑Wood ❑Propane ❑Other
Type of Equipment Number of Type of Equipment Number of
Fixtures Fixtures
Furnace <=100K BTU 0 Clothes Dryer 1
Boliers/AC/Heat Pump 0 Gas Water Heater 1
Gas Outlets 1 Gas Fireplace 0
Ventilation Fans 1 Fireplace Insert 0
Stove, Appliance 1 Other Units
Range Hood 1
Residential Plumbing Fixtures
Type of Fixture Number of Type of Fixture Number of
Fixtures Fixtures
Toilet 1 ' Clothes Washer 1
Bathtub 0 Electric Water Heater 0
Shower 1 Utility Sink 0
Dishwasher 0 Hose Bib 1
Hand Sink 1 Water Piping
Kitchen Sink w/Disposal 1 Additional Fixtures
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATION IS CORRECT AND AGREE TO
COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS PERMIT APPLICATION. WITH THIS
PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHALL HAVE CURRENT WASHINGTON STATE CONTRACTORS'LICENSES AND A
CITY BUSINESS LICENSE. STOP WORK ORDERS WILL BE ISSUED ON JOB SITES WHERE CONTRACTORS I SUBCONTRACTORS ARE
WORKING WITHOUT PROPER LICENSE.
16-Aug-16
APPLICANT'S SIGNATURE DATE
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ADU GARAGE CONVERSION OWNER:GEORGE BOURQUE
1709 12TH STREET ANA PO BOX 2021
CORTES,WA 98221
• AUG 2 4 2016
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