HomeMy WebLinkAboutPermit File BLD-2022-0790 1906 24th Street ;S.T'Y .0 City of Anacortes Invoice/Permit#: BLD-2022-0790
904 6th Street Applied date: 10/06/2022
P.O.Box 547
Issue date: 10/06/2022
Anacortes, WA 98221-0547 Expire date: 04103/2024
(360) 293-1901
Job Address: 1906 24TH ST Permit Type: Single Family Interior Only Alteration Permit
ANACORTES WA98221-2404 Project:
APN: P57599
Remarks: Replace 12 windows. No size or structural changes.
Owner: DANIELLE E VINCENT Contractor: THE HOME DEPOT
Address: 1906 24TH ST Address: PO BOX 105451
ANACORTES WA 98221-2404 ATLANTA GA 30348
Phone: (360)333-0696 Phone: (360) 945-2787
License#:
General Information: Fees:
Building Valuation 16312 Building Permit Fee 279.25
Plan Review Fee 181.51
State Building Code Fee Resi 6.50
Total Calculated: 467.26
Deposits/Receipts: 0.00
Total Due: 467.26
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 a exa ined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISS
�1 � PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
-`0� ';� Phone: (360)293-1901
• . APPLICATION
1. PROPERTY INFORMATION
Project Address(Street,Suite Assessor Parcel Number:
#): 1906 24TH ST P57599
Subdivision/Lot#: Zoning Designation: Lot area (size):
sq.ft.
2. TYPE OF PROJECT
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
❑ New Duplex ❑ Attached to Primary Unit ® Interior remodel
❑ Detached from Primary Unit
❑ New Addition to SFR ❑ Garage, carport or accessory building ❑ Fence or retaining wall
or duplex (new/repair)
❑ Other:
Project Summary:
Replace 12 windows. No size/structural changes.
Project Valuation: $16311.50
3. PROPERTY OWNER INFORMATION
Name: DANIELLE VINCENT Phone: 360-333-0696
Address(Street,City,State,Zip): Email Address:
1906 24TH ST Anacortes 98221
4. CONTRACTOR INFORMATION
Name:* The Home Depot Phone: 360-945-2787
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City HOMED**088RH
of Anacortes business license prior to doing work in the Expiration Date: Expiration Date:
City. 7/17/2024 7/31/2024
Address(Street,City,State,Zip): Email Address: naida@nwpermit.com
5. CONTACT PERSON
Select one person the city will contact for anything
related to this project: El Applicant ❑ Property Owner ❑ Contractor
X❑ Other list below
Name: Naida Khan/Northwest Permit Inc. Phone: 360-945-2787
Address(Street,City,State,Zip): Email Address:
1026 SW 151st St
Burien WA 98166 naida@nwpermit.com
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 5 of 18
�1 � PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6t"Street, Anacortes WA 98821
, � w� Phone: (360)293-1901
6. LENDER INFORMATION
RCW 19.27.095 requires the City to obtain information with regard to lenders. If there are no lenders involved with your project,
write"no lenders"on the Name Line below.
Name: no lenders Phone:
Address(Street,City,State,Zip): Email Address:
7. ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each of the following statements prior to signing this application:
I understand that when a building permit application is taken in over the counter it does not mean
nk the application has been deemed technically complete and sufficient for staff review.
nk I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the
City longer to process my permits.
nk I understand and acknowledge that I could be responsible for providing as-built drawings (on paper
or electronically) as part of the project's certificate of occupancy process.
nk I understand and acknowledge that Special Inspections could be required as part of my project, and
if needed I will be required to pay for the cost of these inspections.
I understand and acknowledge that financial securities could be required as part of the work I am
nk completing and I agree to provide the items needed for the City to calculate these securities and to
provide the securities themselves.
I understand that if permits are reviewed concurrently such as design review, site plan,traffic
nk concurrency, etc., any required revisions to one permit may affect the entire plan set and could
add costs and time to the project.
I hereby declare that I am either the owner of the property listed on this application or the owner of
this property has authorized me to be their representative to act for them. I also declare under
penalty of perjury under the laws of the State of Washington that all of the statements and answers
contained herein, and the information submitted with this application form is in all respects,true,
correct, and complete to the best of knowledge and belief.
/Utallf, 10/5/2022
Signature Date
Naida Khan/Northwest Permit Inc.
Printed Name
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 6 of 18
EPOPS: 000835-252055 ********************* NO PRICE COPY ********************* Page: 1
220730 1104 AIC1010 QUOTATION #1166475 9/28/2022
THD/SEATTLE NORTH-Lynnwood WES Sim#: 007533
Accounts Payable B-12 Emp:
Atlanta, GA 30339-4024 Entered: 9/28/2022
Phone: 206-385-8183 Xmitted:
Fax: 206-365-1262 PO#: 11181162
Customer#: 007533 Job Name:VINCENT Home Owner:
THD/SEATTLE NO-Lynwood WEST Project ID:
Location:
Lot#:
Model:
Phone: Contact:
Fax: Cust PO#:
Ln Qty Long Description
No I Ord
01 1 44" (T) X 38 1/2" (T) 6200 White Single Hung; Tip-to-Tip; Block Frame; Energy Star North Central;
Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen
Fiberglass Integral Pull Rail; A3 Mtg Rail&Stile; Tape Applied; Two Cam White; Plain (UI=83");
DP:20; Test Number=A9233.01; U-Factor:.28; SHGC:.33; Unit certified for ENERGY STAR® region
(s): Northern, North Central.; Room ID: KITCHEN
02 1 35 3/4" (T) X 79 1/2" (T) 6200 White Single Hung; Tip-to-Tip Oriel 47.6875"; Block Frame; Energy
Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper Bottom All;
Double Strength (1/8"); Half Screen Fiberglass Integral Pull Rail; A3 Mtg Rail&Stile; Tape Applied;
Two Cam White; Plain (U1=116"); DP:20; Test Number=C4257.01; U-Factor:.28; SHGC:.33; Unit
certified for ENERGY STAR®region(s): Northern, North Central.; Room ID: DINING ROOM
EPOPS: 000835-252055 ********************* NO PRICE COPY ********************* Page: 2
220730 1104 AIC1010 QUOTATION #1166475 9/28/2022
THD/SEATTLE NORTH-Lynnwood WES Sim#: 007533
Accounts Payable B-12 Emp:
Atlanta, GA 30339-4024 Entered: 9/28/2022
Phone: 206-385-8183 Xmitted:
Fax: 206-365-1262 PO#: 11181162
Customer#: 007533 Job Name:VINCENT Home Owner:
THD/SEATTLE NO-Lynwood WEST Project ID:
Location:
Lot#:
Model:
Phone: Contact:
Fax: Cust PO#:
Ln Qty Long Description
No I Ord
03 1 35 3/4" (T) X 79 1/2" (T) 6200 White Single Hung; Tip-to-Tip Oriel 47.6875"; Block Frame; Energy
Star North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper Bottom All;
Double Strength (1/8"); Half Screen Fiberglass Integral Pull Rail; A3 Mtg Rail&Stile; Tape Applied;
Two Cam White; Plain (U1=116"); DP:20; Test Number=C4257.01; U-Factor:.28; SHGC:.33; Unit
certified for ENERGY STAR®region(s): Northern, North Central.; Room ID: DINING ROOM
04 1 36" (T) X 79 1/2" (T) 6200 White Picture; Tip-to-Tip; Block Frame; Energy Star North Central;
Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper All All; Double Strength (1/8"); 00
No Reinforcement; Tape Applied (U1=116"); DP:25; Test Number=SIM-052-02-03; U-Factor:.26;
SHGC:.34; Unit certified for ENERGY STAR® region(s): Northern, North Central.; Room ID: LIVING
ROOM
EPOPS: 000835-252055 ********************* NO PRICE COPY ********************* Page: 3
220730 1104 AIC1010 QUOTATION #1166475 9/28/2022
THD/SEATTLE NORTH-Lynnwood WES Sim#: 007533
Accounts Payable B-12 Emp:
Atlanta, GA 30339-4024 Entered: 9/28/2022
Phone: 206-385-8183 Xmitted:
Fax: 206-365-1262 PO#: 11181162
Customer#: 007533 Job Name:VINCENT Home Owner:
THD/SEATTLE NO-Lynwood WEST Project ID:
Location:
Lot#:
Model:
Phone: Contact:
Fax: Cust PO#:
Ln Qty Long Description
No I Ord
05 1 72 3/8" (T) X 79 1/2" (T) 6200 White Picture; Tip-to-Tip Mulled, Horizontal Twins (2 windows, 1
openings); Block Frame; Reinforced Pre-Mulled-Medium; Energy Star North Central; Super Spacer;
ProSolar Low E; Argon Gas; Double Glazed; Temper All All; Double Strength (1/8"); 00 No
Reinforcement; Tape Applied (U1=116"); DP:25; Test Number=SIM-052-02-03; U-Factor:.26;
SHGC:.34; Unit certified for ENERGY STAR® region(s): Northern, North Central.; Room ID: LIVING
ROOM
06 1 36" (T) X 37 3/4" (T) 6200 White Single Hung; Tip-to-Tip; Block Frame; Energy Star North Central;
Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen
Fiberglass Integral Pull Rail; A3 Mtg Rail&Stile; Tape Applied; Two Cam White; Plain (UI=74");
DP:20; Test Number=A9233.01; U-Factor:.28; SHGC:.33; Unit certified for ENERGY STAR® region
(s): Northern, North Central.; Room ID: LIVING ROOM
07 1 36" (T) X 37 3/4" (T) 6200 White Single Hung; Tip-to-Tip; Block Frame; Energy Star North Central;
Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen
Fiberglass Integral Pull Rail; A3 Mtg Rail&Stile; Tape Applied; Two Cam White; Plain (UI=74");
DP:20; Test Number=A9233.01; U-Factor:.28; SHGC:.33; Unit certified for ENERGY STAR® region
(s): Northern, North Central.; Room ID: LIVING ROOM
EPOPS: 000835-252055 ********************* NO PRICE COPY ********************* Page: 4
220730 1104 AIC1010 QUOTATION #1166475 9/28/2022
THD/SEATTLE NORTH-Lynnwood WES Sim#: 007533
Accounts Payable B-12 Emp:
Atlanta, GA 30339-4024 Entered: 9/28/2022
Phone: 206-385-8183 Xmitted:
Fax: 206-365-1262 PO#: 11181162
Customer#: 007533 Job Name:VINCENT Home Owner:
THD/SEATTLE NO-Lynwood WEST Project ID:
Location:
Lot#:
Model:
Phone: Contact:
Fax: Cust PO#:
Ln Qty Long Description
No I Ord
08 1 73 3/4" (T) X 37 3/4" (T) 6200 White Slider(XO); Tip-to-Tip; Block Frame; Energy Star North Central;
Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen
Fiberglass Integral Pull Rail; A2 Mtg Rail/Stile; Tape Applied; One Air Latch; Two Cam White; Plain;
Corrosion Resist Roller/Glide (U1=112"); DP:20; Test Number=SIM-046-03-03; U-Factor:.28;
SHGC:.32; Unit certified for ENERGY STAR® region(s): Northern, North Central.; Room ID:
BEDROOM
09 1 73 3/4" (T) X 37 3/4" (T) 6200 White Slider(XO); Tip-to-Tip; Block Frame; Energy Star North Central;
Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen
Fiberglass Integral Pull Rail; A2 Mtg Rail/Stile; Tape Applied; One Air Latch; Two Cam White; Plain;
Corrosion Resist Roller/Glide (U1=112"); DP:20; Test Number=SIM-046-03-03; U-Factor:.28;
SHGC:.32; Unit certified for ENERGY STAR® region(s): Northern, North Central.; Room ID:
BEDROOM
10 1 73 3/4" (T) X 37 3/4" (T) 6200 White Slider(XO); Tip-to-Tip; Block Frame; Energy Star North Central;
Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen
Fiberglass Integral Pull Rail; A2 Mtg Rail/Stile; Tape Applied; One Air Latch; Two Cam White; Plain;
Corrosion Resist Roller/Glide (U1=112"); DP:20; Test Number=SIM-046-03-03; U-Factor:.28;
SHGC:.32; Unit certified for ENERGY STAR® region(s): Northern, North Central.; Room ID:
BEDROOM2
EPOPS: 000835-252055 ********************* NO PRICE COPY ********************* Page: 5
220730 1104 AIC1010 QUOTATION #1166475 9/28/2022
THD/SEATTLE NORTH-Lynnwood WES Sim#: 007533
Accounts Payable B-12 Emp:
Atlanta, GA 30339-4024 Entered: 9/28/2022
Phone: 206-385-8183 Xmitted:
Fax: 206-365-1262 PO#: 11181162
Customer#: 007533 Job Name:VINCENT Home Owner:
THD/SEATTLE NO-Lynwood WEST Project ID:
Location:
Lot#:
Model:
Phone: Contact:
Fax: Cust PO#:
Ln Qty Long Description
No I Ord
11 1 35 3/4" (T) X 18 1/2" (T) 6200 White Top Hinge Casement; Tip-to-Tip; Block Frame; Energy Star
North Central; Supercept; ProSolar Low E; Argon Gas; Double Glazed; Temper All All; Double
Strength (1/8"); Full Screen Fiberglass Extruded Screen Mold; 00 No Reinforcement; Tape Applied;
Coastal Package; One Cam White; Plain; Flush Mount Crank White (UI=55"); DP:30; Test
Number=SIM-032-03-03; U-Factor:.26; SHGC:.25; Unit certified for ENERGY STAR®region(s):
Northern, North Central, South Central, Souther; Unit qualifies for Title 24.; Room ID: BATHROOM
12 1 73 3/4" (T) X 37 3/4" (T) 6200 White Slider(XO); Tip-to-Tip; Block Frame; Energy Star North Central;
Supercept; ProSolar Low E; Argon Gas; Double Glazed; Double Strength (1/8"); Half Screen
Fiberglass Integral Pull Rail; A2 Mtg Rail/Stile; Tape Applied; One Air Latch; Two Cam White; Plain;
Corrosion Resist Roller/Glide (U1=112"); DP:20; Test Number=SIM-046-03-03; U-Factor:.28;
SHGC:.32; Unit certified for ENERGY STAR® region(s): Northern, North Central.; Room ID: MASTER
BEDROOM
EPOPS: 000835-252055 ********************* NO PRICE COPY ********************* Page: 6
220730 1104 AIC1010 QUOTATION #1166475 9/28/2022
THD/SEATTLE NORTH-Lynnwood WES Sim#: 007533
Accounts Payable B-12 Emp:
Atlanta, GA 30339-4024 Entered: 9/28/2022
Phone: 206-385-8183 Xmitted:
Fax: 206-365-1262 PO#: 11181162
Customer#: 007533 Job Name:VINCENT Home Owner:
THD/SEATTLE NO-Lynwood WEST Project ID:
Location:
Lot#:
Model:
Phone: Contact:
Fax: Cust PO#:
Ln Qty Long Description
No I Ord
13 Total Qty Windows 12 Total Qty Units
NOTES:
Submitted by: Accepted by: Date:
0 WARNING This product can expose you to chemicals, including Titanium Dioxide, which are known to the
State of California to cause cancer, birth defects or other reproductive harm. For more
information go to www.P65warnings.ca.gov
Home Improvement Agreement: Page 1
Home Depot License#'s -For the most current listing visit www.Homedepot.com/LicenseNumbers
WA: HOMED088RH
Charles Bynum
Salesperson Name Registration # (Req. in CA,CT,ME,MD,MI,NJ,DC)
Home Depot U.S.A.,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or
service the equipment listed below at the price, terms and conditions as outlined on this form.
1. Service Provider Contact Information
The Home Depot The Home Depot
Service Provider Contact Name Service Provider Company Name
(425) 207-2926 customercancellationwest@homedep WA: HOMED088RH
Phone# K 'ffce Provider Email Address Service Provider License#(s)
2. Customer Information
Vincent Danielle Seattle North F27954771
Customer Last Name Customer First Name Store #/Branch Name Customer Lead/PO#
1906 24th Street Anacortes WA 98221
Customer Address City State Zip
(360) 333-0696 danielle.vincent83@gmail.com
Home Phone# Work Phone# Cell Phone# Customer Email Address
3.NOTICE OF RIGHT TO CANCEL
YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING
THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT:
customercancellationwest@homedepot.com
OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT:
3600 Lind Ave. SW Suite 150 Renton WA 98057
Address City State Zip
BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE
SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT
CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE.
YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME
DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME
DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE
SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED
TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN
SHIPMENT AT HOME DEPOT'S EXPENSE.
THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT
TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL
AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL.
Acknowledged by: I 09/11/2022
Customer's Signature Date
460 Standard Form HIA(21 Jul.21)(E) Generated Date n a i i i)g o? Lead/PO# F 9 7 Q 5,a 7 71 v 0.1.12
Home Improvement Agreement: Page 2
4.Description of Work to be Performed
A detailed description of the work to be performed is included in the paragraph entitled Scope of Work, Specification,
Customer Summary Sheet, Quote Form, Estimate, Invoice or Measure which is included in this Agreement.
5.Anticipated Delivery Date/Installation Schedule
Approximate Start Date: 03/10/2023 Approximate Finish Date: 04/09/2023 All dates are approximate
and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in
confirming insurance coverage of Your claim for any repair, if applicable.
6. Electronic Records Authorization
You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy, your consent
applies to this Agreement and all subsequent documents and written communications related to this Agreement. By
contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy
of the Agreement or related documents at no charge. By providing your consent and verifying your email address
above, you confirm that you have access to a computer that can receive and open emails and PDF documents.
7. Contract Price and Payment Schedule
Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified
below or in a payment addendum.
Contract Price: $ 116311.50 Includes all applicable taxes. Excludes finance charges.*
Sales Tax: $ 11250.10 (If applicable, total amount of taxes included in Contract Price)
*Maximum deposit ONLY applicable in MD,MA,ME(33016),NJ, WI(99%)
Deposit% 1 25.0 Deposit Amount$ 1 4077.88 Remaining Balance $ 12233.62
8. Finance Charges
Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan
agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this
Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No
funds should be made payable to Service Provider; however, Service Provider may collect Customer's payments
made payable to Home Depot. _
9.Acceptance and Authorization
By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b)
order and arrange for the delivery of special order merchandise, including special order merchandise that may be
custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting
information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand,
and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You
are receiving a complete copy of this Agreement; (iii) all rights and interests under this Agreement are solely vested
in the person listed as "Customer" above; and(iv) Electronic signatures will be deemed originals for all purposes.
X 09/11/2022
Customer's Signature Date
X /s/The Home Depot 09/11/2022
The Home Depot Digital Signature Date
For questions related to your installation, contact Service Provider at (425)
For any other concerns, contact The Home Depot at 1-800-466-3337 -
460 Standard Form HIA(21 Jul.21)(E) Generated Date n a i i i)g n? Lead/PO# F 9 7 Q 5,a 7 71 v 0.1.12
la 1a CO)
3 �$ lip
Jr
31�
1 I1� I(v2- �atnit 11�c ►r+a�n�' �3�3�,�
Ara�oc--�, t�•z� . 9 sz21 3��
iCF)
3S ly 3sX 31�
7 q�!L
ar
C./
'71
AEN �.' w