HomeMy WebLinkAboutPermit File BLD-2021-0987 811 22nd Street Cityof Anacortes
Invoice/Permit #: BLD-2021-0987
904 6th Street
`74"1"1.111111elmy Applied date: 12/07/2021
P.O.Box 547 Issue date: 12/07/2021
Anacortes, WA 98221-0547 Expire date: 06/05/2023
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Job Address: 811 22ND ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2517 Project:
APN: P58077
Remarks: REMOVE CURRENT ROOFING AND REPLACE WITH COMP/PVC ROOFING, 13 SQUARES. AT LEAST 11 SQUARES
OF SHEETING WILL BE REPLACES AS WELL WITH 1/2" CDX PLYWOOD.
Owner: GREGORY J NADAL Contractor: VALENTINE ROOFING
Address: 811 22ND ST Address: 400 INDUSTRY DR
STE 120
ANACORTES WA 98221-2517 TUKWILA WA 98188-3426
Phone: Phone: (360) 502-4519
License #:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 251 .25
Building Valuation 14003 State Building Code Fee Resi 6.50
Total Calculated: 257.75
Deposits/Receipts: 0.00
Total Due: 257.75
The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is
suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and ex/ im nea this application and know the same to
be true and correct.
Aie
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED .
G� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
Ao RE-ROOF PERMIT APPLICATION
c• Mailing Address:P.O. Box 547, Anacortes, WA 98221
cow Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
0 RESIDENTIAL ❑ COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
811 22nd St P58077
Subdivision/Lot#: PROJECT VALUATION$
5 14,003.00
APPLICANT: Phone:
Valentine Roofing / Courtney Wright 206-575-7656
Address(Street, City,State,Zip): Email Address:
400 Industry Dr#130 Tukwila, WA 98188 projectengineers@valentineroof.com
PROPERTY OWNER: Phone:
Greg Nadal
Address(Street, City, State,Zip): Email Address:
811 22nd St, Anacortes, WA 98221
CONTACT PERSON: Phone:
Courtney Wright 206-400-7121
Address(Street,City,State,Zip): Email Address:
400 Industry Dr#130 Tukwila, WA 98188 projectengineers(c�valentineroof.com
CONTRACTOR:* Phone:
Valentine Roofing 206-575-7656
Address(Street, Cit , State Zip): Email Address
400 Industry Dr#130 Tukwila, WA 98188 projectengineers@valentineroof.com
Contractor's License# Exp. Date:
*All Contractors& subcontractors must have a valid City of VALENRI927J8 4/28/2022
Anacortes business license prior to doing work in the City. Business License#: EEx Date:
Contact the City's Finance Department at(360)299-1968. VALENRI927J8 4/281%22
PROPOSED WORK: We are removing the current composition shingle and single ply roofing material.We will be replacing at least 11 squares
of sheeting and with 1/2"Cdx plywood.We will then be install new composition shingles and new single ply PVC material.
TYPE OF ROOFING:Comp/ PVC NUMBER OF LAYERS: 1
CLASS OF ROOFING: EADB ❑ C NUMBER OF SQUARES:13
I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and
complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit
application to the City of Anacortes.
Print Name: Courtney Wright � ) // Owner ❑ Other (specify): Rep
Signature: ett 24- aAGnu.�� Date: 12/7/2021
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Gti ' o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
RE-ROOF PERMIT CHECKLIST
Mailing Address:P.O. Box 547, Anacortes, WA 98221
�coR: Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
RE-ROOF:
OCCUPANCY GROUP: ❑ OFFICE ❑ CHURCH ❑ SCHOOL ❑ RETAIL ❑ RESTAURANT
INSTALLING OR REPLACING SHEATHING: ❑ YES ❑ NO
WORK SCHEDULED TO BEGIN:
WORK SCHEDULED TO END:
ROOF SQUARE FOOTAGE:
PERMIT TYPE:
7 n 7�
SUBMITTAL REQUIREMENTS: a
The number indicates the number of
copies for submittal(if applicable). 2
—
o
� o `c
Re-Roof Permit Application 1 1
Site Plan 1
Pedestrian Safety Plan 1
Installation Specifications and U.L. Listed Roof Assembly 1
Building Inspection Prior to Work-When Deemed Necessary
Final Inspection&Approval once Re-Roof is Complete-Performed
by City of Anacortes' Building Inspector'
NOTES:
1. The applicant is responsible for providing a method of safely accessing roof for inspection. Please call(360)
293-1901 to schedule an inspection.
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