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HomeMy WebLinkAboutPermit File 4302 Whidbey Court (2) Permits and Inspe - BL0-2016-1151 - 2016 Cityof Anacortes 01 ,q-.110 i ..E r: E n. '1-�;-,n I e; (-�.3:a r F�t1 p leer ;i °BLb-201'6-1151 904 6th Street r•t, vo g Ire _ i t:'r U-,i BLD-20 1.1 . gtlt P IAC ?Q1Pi t'ra"tio n IRepair P.O.BOX 547 Issue date: 03/30/2016 10! Anacortes, WA 98221-0547 Perrai 71.4 Pa.vrrmentExpi! date: 09/26/2017 164,96 fie'/; (360) 293-1901 Tr a ns a.cti�rn f;rin ii.n} 164 96 01758 • Job Address: 4302 WHIDBEY CT Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-1106 Project: • APN: P82596 Remarks: Extend existing deck Owner: DUANE REMMENGA Contractor: Address: 4302 WHIDBEY CT Address: ANACORTES WA 98221-1106 Phone: (360)293-8738 Phone: License#: General Information: Fees: Building Valuation 3700 Building Permit Fee 97.25 Plan Review Fee 63.21 State Building Code Fee 4.50 Total Calculated: 164.96 Deposits/Receipts: 0.00 Total Due: 164.96 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. SIGNATURE OF OWNER OR AUTHORIZE AGENT ISSUED BY V a C. At - • 7,[1,,..7,1.053:111:11171,, c7317, ��pp �j (r�, {!15 " i Ttip. A, ._ _ . .iiwUSE y0O9. SINGLE FAMILY RESIDENTIAL 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: '302 t4 c.T - ‘41.1 CONTRACTOR ❑Applicant PROJECT DESCRIPTION Name E 'reW sroki t41$ '0461 UEc i<— Address City/State/Zip Phone FAX State License# Exp PARC NUMBER City of Anacortes Business License:o Yes o No PROPERTY OWNER 0 Applicant LEGAL DES 1'TION Name )t?AyJr' AAMEAJ Address '4 36 L l3 4 l i>G t% C r City/State/Zip J `+•SR R.i GS 1 l 04 IV 22. PROJECT VALUATION Phone 1,41C ZetI 07;2FAX N ber of Dwelling Units _ E-Mail Address Number of Stories Building Area: E1 Architect❑Designer ❑Engineer,D Applicant 15t Floor s.f. 2nd Floor s.f. Name ,5kr+g vl S1 t I 3I Floor s:£ Basement s.f. Address Garage y s.f. Carport s.£ City/State/Zip Deck 7{� s.f. 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I j I i r ii ' I I P i a • I HI e rat . 1rnh it x ar t , • (761 a I" A4 0 ,�Y Engineering and Development Services `,�t�0 qNo, 0 °,fi PO Box 547,Anacortes,WA 98221 TN:360.293.1920 FAX 360.293.1938 EMAIL: engineering@cityofanacortes.org cvi n i�' cnRIGHT-OF-WAY PERMIT APPLICATION a QO RCW 19.122 Underground Utilities `.�,� 4 C01Z CALL BEFORE YOU DIG -(800)424-5555 '4•p•W•P' Appli hall submit application 5 days prior to start of work and application shall include: 1) Payment of assessed fee -(-)--Braalj illustrating proposed work and its location. See checklist on Page 2 of 2. nce CG 2026 or similar. City named as additional insured. Minimum$1,000,000 each currence,$2,000,000 general aggregate and$2,000,000 products-completed operations aggregate limit. 4) Proof of both state and city business licenses once d—Construction cost x 150%before work begins R (6)-Eacr.oar..;meat-Ache ht Required To be completed by City: ❑ Yes ❑ No Site Address: City Approved Exemption ❑ Yes ❑ No =Y 3 d 2 4 (4.�y G ( EDENN�ASSIGNED PERMIT NUMBER: Parcel No. / a"Vi - ao 1- - s Owner Information (Required) Contractor Information (Required) Name Name .A4fAe A_--e,frei i( e.lriyi 4 A A 7 7 ki/. . Address .----Address V3Dy (14 C/ l3 o �� 4‘/�SLh City City •�_ E � 6Ca / .ey 'tea 7( k 4 c44-7-e% �!a Phone ^ _ CZ 7 ;f Phone 2_ 2-— )F2 3�- Email ` Email Address Address Work Includes(check all that apply) XCurb Cut ❑ Water ❑ Sewer ❑ Storm ❑ Street Cut ❑ Sidewalk ❑ Phone ❑ Other Describe Work to be Performed: (Notification of Utility Companies is Required) Cx Te a C 41--Z py,.R.y ,'tiy To 7-�/e C 5 7— 7`0 At a(<e �A/ iv-e cv y /.( ./`1,�/-e t F om 2 2 ?0 3 2 ` / -o t.- . N r. h4 t 0 .. (-4 "rl 1 •,per .a)1�1,... 7 Z ro N.)eU ly Approval Signature D to IA Co n By signature below Applicant concurs that the Applicant shall defend,indemnify and hold the City, its officials,em- Coco "' ployees and volunteers harmless from any and all claims,injuries,damages,losses or suits including attorney fees, Q arising out of or in connection with activities or operations performed by the Applicant or on the Applicant's behalf ci `"" 0 out of iss nce of thisit,exce for injuries and damages caused by the sole negligence of the City. 4.4 so Ln '�/ 9 a r;i ( _ l /� t Ap licant Signature Date I1 N. n in H Final Inspection Approval Signature Date { so L 4 NON-REFUNDABLE PERMIT FEE: (To Be Completed by City) t2-r" Curb Cut $50.00 ❑ Street Cut $50.00 ❑ Inside Travel Way $50.00 ❑ Outside Travel Way $20.00 O Sewer Inspection Fee $50.00 O Sewer Re-Inspection Fee $25.00 • TOTAL FEE ASSESSMENT $ C),00 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 1/2 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. • Existing Right-of-Way lines,property lines,edge of pavement,curb/gutter,sidewalks,driveways and plant- ing strips with dimensions between each. 0 • 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.aov).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. CI)Page2of2 1 Baysh ore OFFICE PRODUCTS, INC. 603 Commercial Avenue • Anacortes, WA 98221 In Washington: (800) 221-2124 • Out of State: (360) 299-2399 • Fax: (360) 293-4660 Company Name: C %Y o F 4-.,1a4'60,2rrei Date: 7/Vi©12. - P0: Subject: JL )4-Y eI-b 3"J.7,' " Qty Description 0-1,M. B t-zo i 4 , f� 6.. r �-7c) i 6t ea.r 63'r' 7op,..�GJ f 1 ��A! 11.1Y +� v�CdE � �V /t G e.--)t �© i//G ���'Cl7E t:y G/�New ei18444-Ati era e N' Y .90,i) a t icl i eR'itc��- ae-e-i 4.J D ,,,l 4e - C.�c ,.✓l o it !q'a c-SS Fir `1'fF S e+ Oat J 13e l fF 1-We- t tvezzxty 0_,ctihh4-CC"r"jccLP y Oi/ Y cc- - 9:300 3ta1.— 14-1 rl-cr)AL-;=y c. i - It)A Irk r 06- f-a. '60 r73K fr-kii,(6" 3CO )3- wc)rzc_ 47475 $% N-r & i tt4 r F 45 A re Cr i y Sifii[faflW-D Ctt1clef -l2/.3Ix1Ci lcl 'Fr .jW 9- 44, / he4.y moceccj I 0 r,2' P \YVV-D° [ i J�;z,nx;,"%�,�'K�,'.' :1 .r"�> •t�.'sq''x,.'s a o��'vr” 00 4 Bayshcire LAM I COPI OFFICE PRODUCTS, INC. .03 Commercial Avenue • Anacortes, WA 98221 In Washington: (800) 221-2124 • Out of State: (360) 299-2399 • Fax: (360) 293-4660 Company Name: e ,%7 0 F i i to,ner Date: 7 /i/zai2 P0: Subject: a Ri tie4)14Y 0'0. .J Qty Description .DM I r4L► t.J,h/ l Goi9-Af i ?v 461A.,163 r 7 c GJ 10 s./ Pvt.Y Pe( -TV -rn' !-7f I To /IIG t ty-t 7 Iitl 4✓s4.✓% %-d 6. /AY 921 4) �t3S�S /A T(t [i y i R4i it- ' e; R-.i D d Lot. c44-12-Pe z z c- S+4-4 L. id-IS WOULD 13E i f ifl D/Ctve74M-y 0-cCiO, r (:Oet ALN7 ,WOt/Go 1�aet_ -�30 z-- G.J,1-(o ce-y 3- s AO free ft. c-3" `60 t-ci3 r73 l-kµ� 3L O V)3- 9(- j t.i d a_c__ s v.(6,I4 & i Nv Lt4 O t= �5 4 j.0/4-c v°e to r AU)&cc%vtiez-y l 0 -ram` F- k)V VCDO /1141 10064O4-1 0005 03/05/2010 002 4 Pernit Fees O05686 $67.00 G1 Q�y._ City of Anacortes Permit#: BLD-2010-0067 904 6th Street Issue date: 03/05/2010 P.O.Box 547 Expire date: 09/01/2011 4'••to: Anacortes, WA 98221-0547ec Job Address: 4302 WHIDBEY CT Permit Type: Reroof Single Family Residence ANACORTES WA 98221-1106 Project: APN: P82596 Remarks: Reroof with composition roofing 1 layer approx. 34 squares. Owner: REMMENGA LYLE Contractor: MT. BAKER ROOFING Address: 4302 WHIDBEY CT Address: 3950 HOME RD ANACORTES WA 98221-1106 BELLINGHAM WA 98226-9147 Phone: Phone: (360)293-5298 License#: MTBAKR1055ML General Information: Fees: Building Valuation 6275 State Building Code Fee 4.50 Building Permit Fee 62.50 Total Calculated: 67.00 Deposits/Receipts: 0.00 Total Due: 67.00 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. Miarellp1 aU) SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE BY MECHANICAL PERMIT CITY OF ANACORTES PERMIT NO. : MEC98-0094 P.O. BOX 547 APPLIED: 11/04/98 ANACORTES, WA 98221 ISSUED: 11/04/98 (206) 293-1901 EXPIRES : 11/04/99 SITE ADDRESS : 4302 WHIDBEY CT ASSESSOR ' S PARCEL NO. : 4449-000-143-0009 PROJECT DESCRIPTION: New wood stove — OWNER — CONTRACTOR DUANE REMMENGA 4302 WHIDBEY COURT ANACORTES WA 98221 293-8738 TYPE OF WORK. . . :ADD BOILERS/COMPRESSORS- DOMES . INCIN • 0 TYPE OF USE •RES 0-3 HP 0 COMML. INCIN • 0 i 3-15 HP 0 RELOC/REPAIR. . . : 0 FUEL TYPES 15-30 HP 0 CLOTHES DRYERS . : 0 :/ / / / : 30-50 HP 0 GAS WTR HEATERS : 0 FURN < 100K BTU: 0 50+ HP 0 STOVE, APPLI . . . : 0 FURN >=100K BTU: 0 AIR HANDLING UNITS-- FIRE LOG/LITE. . : 0 FURN - FLOOR. . . : 0 <= 10000 cfm. : 0 WOODSTOVES • 1 UNIT HEATERS . . . : 0 > 10000 cfm. : 0 OTHER UNITS • 0 VENT FANS • 0 EVAP COOLERS . . . : 0 GAS OUTLETS • 0 VENT SYSTEMS . . . : 0 HOODS • 0 VENT W/O APPLI . : 0 — FEES — NOTES Code Amount---- By- Date---- Receipt PRMT $ 34 . 15 MD 11/04/98 9233 TOTAL $ 34 .15 I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all ordinances�di and laws regulating activities covered by this permit. na i `�`e "`12lam AO44._' // ) Issued by Applicant r Owner' Signature 24 Hour Notice Required For All Inspections mec_prmt, Rev: 06/11/92 , I i PLUMBING PERMIT CITY OF ANACORTES PERMIT NO.: PLM1999-00018 P.O. BOX 547 ANACORTES,WA 98221 APPLIED: 10/13/99 (360)293-1901 ISSUED: EXPIRES: 10/13/00 SITE ADDRESS: 4302 WHIDBEY ASSESSOR'S PARCEL NO.: 4449-000-143-0009 TYPE OF WORK: Alteration 11 1, 'm. tos m q " I' I' .1 C+T II ES 'W- La1 L 11 1 1 TYPE OF USE: Residential , it s" 1 N " " 11 'bS II 11 1-- U r•1 ' it y.M-, II 11 II !TX, :1 W PROJECT DESCRIPTION: Add irrigation backflow devicr II 'I 'I II i I w ' U�! ii 11 II ' I W 1 II ait OWNER W IIL 5"� ii II II a, C< tri it K�Iy m E U� II 1I I1 C II 6 U II0JwoTI- LL 11 11011 , 1 DUANE REMMENGA H 11 fJ ltix Ix a 11 w LlJ W w II II a II H J IIa=1- 1ca+ G 111i = �iiL' =H' IIHLCIIu II ¢`m`ng:tagl..n II t- a W II Il x II C 4302 WHIDBEY CT a II Jx1 m II J a w II loos ANACORTES, WA 98221 QI— ® •- 11 a -T W I p� 11 t7 G.�.D^W+-iti II x F� 'S W II 11 = II u II H @618 ❑ 12 O T_ 1 11 11 d 11 1-i II yo-4- 1 11 G. ti J U 11 II Y 11 L.Y W 111-1-IMMCM 11 •-W O II :T«T'v NMu II CD CD dh '- 11 11 11 iY W II vo ,'Y 11 it Iy I- 11 N x W O Primary Phone: 11 " a W x C I = II W W 11 Il III-1 11 11 I II 1 PW W ❑ MI ? • � II 11 11 1-" hone 1: 360-293-8738 0 11 11 x.-+ 11 w S cJ " MC H MI LUC W 0,-- w 11 ii ii a a. II WC S 1111 11 = a II 1 II CO II ti x TW 11 11 Ya I Plumbing Fixtures Fees Fixture Type Quantity Type By Date Receipt Amount Backflow Devices 1 PRMT MC 10/13/99 $27.00 Total: $27.00 NOTES: I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply I with all ordinances and state and federal laws regulating activities covered by this permit. 210a 001-e i r------/AA) b Issued by Applicant or Owners Signature CONDITIONS OF APPROVAL : i 1) 24 Hour Notice Required For All Inspections 1 of 1 /l 0 FOR INSPECTIONS CALL: •CITY OF ANACORTES PERMIT N 9856 293.1901 BUILDING PERMIT 24 Hrs. Notice Requested Site Addre4302 Whidbey Court NAME(OR NAME OF BUSINESS) PLUMBINGflit MAILBVO ADDRESS Na TYPE OF FIXTURE.OR ITEM FEE r 02 Whidbey Court CITY TELEPHONE NUMBER Water Closet S Anacortes, WA 98221 293-8738 Bathtub NAME Lavatory Shower ADDRESS Kitchen Sink Dishwasher CITY TELEPHONE NUMBER Laundry Tray Clothes Washer NAME Water Heater Urinal cc ADDRESS Drinking Fountain Floor Sink or Drain CITY TELEPHONE NUMBER Slop Sink Water Piping .STATE LICENSE NUMBER CITY LICENSE NUMBER )0 Residential ' 0 Non-Residential PERMIT S )0 Nil X❑Add ❑Alter 0Repair TOTAL FEE S ,O Building 0 Plumbing ❑ Mechanical MECHANICAL ❑Sigm ❑ Demolition ❑Other ❑ GAS ❑ OIL ❑ ELECT. ❑ OTHER Legal Debeription of ProP!",1,S".` ?S�allgt$r,(rab er.: Na I YPE or EQUL�htNh • FEE Lot 14.3 Block of Cteerdige 2 AirCond. Unit S Refrigeration Unit— HP Boiler— HP Forced Air System— BTU/KW Describe Work Floor Furnace 2 story addition to residence Wall Heater Unit Heater Clothes Dryer Occupancy Use Ventilation Fan ID Single Family Residence ❑Multi-Family Residence Range Hood ' ❑Office ❑ Retail ❑ Storage ❑ Church Air Handling Unit— CFM ' ❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace NOTICE Gas Piping 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 hermit is not com- PERMIT S menced within 180 days from the date of permit issuance or if the building TOTRL FEE S or work authorized by such permit is suspended or abandoned at any time i ' 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 1 4,000,00 B 9.00 properly for which this permit is issued or am an authorized represen- Building $ • tative of the owner. Plan Check 0.4C1 ' All provisions of laws and ordinances governing this type of work will Plumbing be complied with whether specified herein or not,including routine calls Mechanical for inspections. Sign Demolition L• a aid 14lor Energy Surcharge skew": �wver« Apia ( ) State Surcharge 4.50 Street setback ice Yud Setback Rear Saud Setback Other TOTAL $ it�3. i0 Use zone Occupancy Group 'type of coast. Conditions: Lot Area Vacant She Dwelling Unit ❑lea ❑No Pins Sprinklers Required Na of Stories Bedrooms Occupant Load ❑Yes ONo Size of Bldg Plans Checked By: • WW4 BO itiRN®AND DA7ffi isis,ma is rout mawfoi,Permiks lava' dsia ds ds;the aims chiliad wawaite amotdiog to the mdidc.o Sam an ,"d tat&seprovied PIS sad ayatea partaking theta abjset to ampYame with the ardleanew at the CITY OF ANACONTES. 06/30/92 Permit Issued By tl') (%Y..1' 1JJ 7. _fi;' dL c I Building Official (Due) Edwin Frank • PERMIT N I; 9 8 a 6 0 0 FOR INSPECTIONS CALL: CITY OF ANAC,QRTES • PERMIT spa 8305 293-1901 BUILDING P61MIT 24 Hrs. Notice Requested Site Address 4302 Whidbey Court NAME (OR.NAME OF BUSINESS) - Moan iteeniatEenga PLUMBINS 13 2 Wttldbey Court No. TYPE OF FIXTURE OR ITEM FEE CITY TELEPHONE NUMBER Water Closet $ , Anacortee, WA 98221 293-8738 Bathtub • NAME Lavatory ` Shower ADDRESS Kitchen Sink u _Dishwasher CITY TELEPHONE NUMBER Laundry Tray Clothes Washer • NAME Water Heater Owner Urinal ' re ' ADDRESS Drinking Fountain Floor Sink or Drain z CITY TELEPHONE NUMBER Slop Sink u Water Piping STATE LICENSE NUMBER CITY LICENSE NUMBER WETHWA1760L C3'1Residential ❑ Non-Residential PERMIT $ ❑New I l Add ❑Alter ❑Repair • :TOTAL PEE $ . 1:143uilding ❑ Plumbing ElMechanical MECITAIVICAL ❑Sign 0 Demolition 0 Other 0 GAS ❑ OIL 0 ELECT. 0 OTHER Legal Description of Property or Tax Account Number Lot 14 3 Block of Na TYPE OF EQUIPMENT FEE CLEARIIX]E 4449-000- 143-0009 ArCond. Unit $ Refrigeration Unit— HP Boiler— v`' HP Forced Air System— BTU/KW Describe Work . Floor Furnace ADD 1 0' X 26' CARPORT. Wall Heater Unit Heater Clothes Dryer Occupancy Use Ventilation Fan • []{Single Family Residence ❑ Multi-Family Residence Range Hood ` 0 Office ❑Retail 0 Storage 0 Church Air Handling Unit— CFM ❑ Restaurant 0 Other Pre-manufactured Stove or Fireplace NOTICE Gas Piping This permit is issued by the Building Official and,under the provisions of the Uniform Building-U.0de,shall expire by limitation and become null and void if the building;u work authorized by such permit is not corn- PERMIT $ • menced within 180 day§from the date of permit issuance,or if the building or work authorized by such permit is suspended or abandoned at any time TOTAL FEE $ 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 Building 1 .500.00 $ 2 r .00 property for which this permit is issued or am an:authorized represen- tative of the owner. Plan Check COO Allprovisions of laws and ordinances Plumbing governing this type of work will Mechanical be complied with whether specified herein or not,including routine calls for inspecti ns. Sign Demolition . M.. /0 r 22-70 Energy Surcharge engine or Owe orAvhodzea r - (Date) State Surcharge - KO l } Street Setback Side wed Setback Rear Yazd Setback Other TOTAL $ 29 • Use Zone Occupancy Group 'type ofCoast. Conditions: Lot Area Vacant She - ._._ ling Units Li Yes ID No . Fire Sprinklers Required Na of Stories Bedrooms Occupant Load - F m ❑Yes ❑No Size of of Bldg. Plans Checked By: EF WHEN SIGNED AND-BAUD BELOW.TB"Be trout PERWI' - , Pemirisa ie hereby given to de the above dee ttltd week,amwditg to the&Silken nd hereon a aeeudieg to theiepproved plum and ",•'.• pertaining theto,addend,to ' aompgaoee with the erdinneea of the CITY OFF ACORTES. Permit Issued By co Ti..' r2, 10/22/90 :eliding Offices (Date) P win Frank PERMIT 4i $305 o` °� Qltfg of A natorg5 IiIl aeliiusit n le 0 fcc BUILDING DEPARTMENT CERTIFICATE OF OCCUPANCY # P 30 This is to certify that the (Description of Building or Structure): 3.,Mi ze /Nl /L /ct-5-/ i c= Located At: 4/.3G-.7 tie LPee l icii27 S EET&NUMBER Owner: _�24/ai'NE /6M.(/IA iv'C A Constructed By: Me J • `r ). l GA/S7K/!CT/G4/ OWNER OR CONTRACTOR Bldg. Permit # .S &O 7/ Date Of Issue: ry'42 1 87 Occ. Group: /a2S/ Pi/ Use Zone: /lz L j Has Been Inspected And Occupancy Is Hereby Authorized, This o7 L/�N Da Of/k( E ? Erg 19 �S� ` d2 AUTHOR INC OFFICIAL SEE/j,EVERSE SIDE FOR SPECIAL REQU/REMEN7S Ida ilIS► , CITY OF ANACORTES. BLDG. L PLUMBING aMECHANICAL J� PERMIT I IS?1 Telephone293-5173 19 �7 _ ANACORTES, WASH. DATE ,.- PERMISSION_ IS HEREBY " ( GRRANT,ED TO: OWNER V-.��.rc+�.A,-R, V t 4✓4.4'4441/4.a4A-1 joZ- U t ��0 .L4.5..., aR ADDRESS LOCATION WHEREK/S TO BE DONE ;i CONTRACTOR M. \J , -t p • r -vir TO ERECT I INSTALL &I OR REPAIR ❑ t 1N THE FOLLOW G M! N R: .. '1r� ter x� �tt,, ff+nce.r.4; PERMIT EXPIRES ONE YEAR FROM DATE ISSUED -� r PLANS FOR CONSTRUCTION WEREERE SUBMITTED ,.,t WORK TO BE DONE BY OWNER D CONTRACTOR fa• j 1 , RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: G APPROXIMATE VALUE TYPE OF WORK PERMIT FEES F ISSUING S W, pt., , BUILDING (j j Lcon 2 te re, ti 1 GAS PIPING '? no PLUMBING AND W.S. 2,9,(?tti SEWER CONNECTION INSP. is ,C^ ,' MECHANICAL - 4 lit PLAN CHECK FEE 9c c MISC. _ j G• s" TOTAL (c31 /S2. QR 1./Ctf cc a LETiAL RES,CRIPTION Le r- f 1"P n. b i 'b, i rt 4. '--f-A CI INSPECTOR SANITORY SEWER HOOK -UP et ti 1 It 6 _ -...„ ... i Ai , ,i„ I\ 0 �� q z. _ co `b: vi N ,ZZ ti Q t Nt ? 1 ‘. 61 LOCATION: _ 4/3OZ it ko y 61,42,-/- ScLBpd. CLEtiwup DATE: 7"/a 77 TIME : /34#16 t.e ' 143 RECPT. NO. 439¢406, 8 —/49 '0 .u6'L/�-rw) af DEPTH AT MAIN LINE: /2 Fe =7- CONTRACTOR: 2' .t /.5G-S _ INSPECTOR: itiZG"L COMMENTS: _ ffAinni/ ea 0 0 /1/ B8'56's¢"W • \--At each pint' dolted' se% s4 " diem, re hat- with ye//aw VI 1 4 CI, cap irnpr/22/ed WAWA/AN i IT/ Ni i t, .eL S 4902." )� o 0 0 9,5t" P /c"oald ori9'i Q/ !of corners 2 O A - zg 5 O or 3 ,aches hay-fh ofpos;1 K - 6' 8'T 63 determined �rom 5/reel BE ' f d.FnWon. N 770.______------- -1. a/ ca/dam-sac / S Sv,fv'Y OF LoT /151 CLEAR/I16t Divis/O/v 17' FO£ — De:A/v.4" Rein S ME t %% 454Y5f10/ft OFFact P.eoozicrS s�rRE Ago' 603 Coft1, -? 'RC/AL .c% of wAsy y '4\ g 1 �� A . NEWn-aAN f�//g/8� a� 4.4- Tf09 gJ� ty,C LAN9 ) ) hr. " S I , _arY'S „ 01 11 ,--^' �OV�.p'" j1 at e ,o — al NV7d ill y 1 ,_. _- 1 - - -- a i3' u vex"i> \ c \ ,,- \ \ ,,,, :y r ti c \ 'C._ 1 a v �` \ i 1 z II • R\ \\-\-__------- , 1 C. \-il ` y t SOUTH �� TION A 9G. 2/ Fr i it I A'087'H r /Q f'r. screacK 1 ! r I 1 I For... ..--,„,) 7,o/oos< 1 ! v fpalls ti w 4 Wi. l! G�iS \5 U 3 \o !4! �I \ \ o fED Ft CjB,2, _ G i b 1,et 1 0-�i Ni Lti( ! N1 „ cee , I a1 3 \ 7 up?1 .... .., re// c — - _- 5 , , _ r_ sE r R , 4 i/ , ?.,--6 z—7 2 c /7)7x 44,,s,ct , SITE PLAN In = 20' cleav,rY�P 4,,E 2, 2°, /y3 1 ' . . . . scurfy - ELEVATION si,:a1H(...;f.-.ii_ . I, $ 9G. 2' FT R. Ai rH !Q Fr. sereAC/j _ r \ . 1 1 'I I 4,`,1 T on.1 0 11 1/4 , , , 1 , e U } w 1 Y1 4 `uQI xs. 1 5 0 l . 3 \ deef.th-)Lh 0A4)1,:t .-e-Civilka" of EDI '.I a 7�t o -PaA15 N �"� 1 t rc !e 1 S ���j L' CY C-77- 2 7 1 _-- ft 10 , ?Y-itlz-- "Sts.4-_ SITE PLAN 2 ai c/e2v, 4P 49“) Z, /o.r ✓93 - - T T o eoue✓27 f aZS o5 . /