HomeMy WebLinkAboutPermit File 1920 24th Street (2) ° 8' X t7, :_: City of Anacortes Invoice/Permit#: BLD-2018-0726
• 904 6th Street Applied date: 11/29/2018
P.O.Box 547 Issue date: 12/06/2018
' j; Anacortes, WA 98221-0547 Expire date: 06/03/2020
�1�!�' (360) 293-1901
Job Address: 1920 24TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-2404 Project:
APN: P57613
Remarks: Construct 6'long by 8.5'wide breakfast nook on to north side of existing residence
Owner: BARRETT SHIRLEY Contractor: BARGEWELL CONSTRUCTION
Address: 1920 24TH ST Address: 4303 SAINT MARYS DR
ANACORTES WA 98221-2404 ANACORTES WA 98221-3652
Phone: Phone: (360)708-6281
License#:
General Information: Fees:
Building Valuation 35000 Building Permit Fee 492.75
Plan Review Fee 320.29
State Building Code Fee Resi 6.50
Total Calculated: 819.54
Deposits/Receipts: 0.00
Total Due: 819.54
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 D 'i'S, C i 7
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMfU NCEp; L-i
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVIStOIU
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN ORr.:NOT,r.tHE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER-,STATE OF
LOCAL LAWfCONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 1'-'
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�fU�NAT� R AUTHORIZED AGENT ISSUED BY ID '-''
�1'. J 0 iL \Ni\ � COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
i AlliNe.. RESIDENTIAL BUILDING PERMIT APPLICATION
,;ailinr, Address: P.O. Box547, Anacortes, _� r..�..1g 11 Vl.' 'yj �. -�.: �l.aa.$�:s: zi��
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�-Aggprol Office 1,ocation: 904 (id; Street; Anne nrtp.c r"
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--' ' -c 1 c Phone: (360) 29 3-1 01 [01
Nov 2-9 2018
PLEASE R .;R To , .JL.I1 ENTIAL BUILDING PER IT CLIECKLIST BELOW FO , IBMITTAL REQUIRE'M 'NTS
CITY' OF ANACORTES
PROTECT ADDRESS (Street, Suite try i pARCEL(S) #:
19io 2.4t*Ik 54. I I
Subdivision/Lot#: j PROJECT VALUATION- $
�
APPLICANT: Phone:
bair3 well Cow/5 to di o.s i BLC Mao ® 708- 62.81
Address (Street, City, State,Zip): Email Address:
ea lrr.we(1 Co ss4eet e4 6-.•114g, + 1.co
PROPERTY OWNER: Phone:
5 61 a 1 e t, g kr le e, �_.r_.v_w 3.4,0 - 3 O - l 3 0
Addiress.(Street, City, State, Zip): Email Address:
16)2,0 I'll l'"" `4.. Amieer4s) 9 221 Sq,l9 214 be v st4. co ‘4.1.
CONTACT PERSON: - Phone:
Address (Street, City, State, trip). - Email Address:
9
vb.,1‘1,I. 1 st:t totoo
LENDING AGENCY: l Phone: —
Address(Street City, State, zip): Email Address:
CONTRACTOR:* Phone:
II ft,rq tm.e.e t1 +C.(4s Althatit/ (Lc- 360 708 - 62.Si
Address (Street!City, State, Zip): I Email Address:
Professional License#: Exp. Date:
*All Contractors & Subcontractors must have a valid City of ZA MIE C L.863 AS we/to-0
Anaeortes business license prior to doing work in the Ci€y. Contact
L n . .
ousiiess License#: n h_. Date:
f e Yizy'r Finance n"prt " t at(3.60) 999 :Ov2a
6®1-
520- ` 5''7 ® 74 019
PROPOSED WORK: 1u1 Lei. I -mow K Ai gri- *soy lc Oa 1Jo erg w. ti o . K 6 .4.n
--- 13'R:-FOS D___-- ---- -. 1 2 ., 1f3OTATF= 7777--------- -- -
Basement SQ': ❑ Finished Basement: 0 Unfinished Basement
V��Floor SQ': i. 5' S cz Fr Garage /Carport SO': --_ _-,
2Fi° Floor SQ': Deck/Covered Porch/Patio SQ':
IT• ' 1 1 ' 7 ri - I T A
Fin; Sprinkler: Li i C5 i_i No I Lot Area SQ :
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
I application to.the City of Anacortes.
Print Name: 'MaC l, s Gib9*we. (I Owner ❑ Agent q (specify): C® 4 rot c 4-- v-
Signature: Date: 11 I ZS`J 0 8
Page 1 of S
_ — IMPF 10 US l F-AC-E IEA:
Existing Impervious SQ': New Impervious SQ':
Total Disturbed Land/Soil SQ': Total Proposed: Cut: Fill:
New hard surfaces(pervious&impervious)
Land converted from native vegetation to lawn or landscaping SQ'
Land converted from native vegetation to pasture SQ'
11F(. II;VNICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total##:
Furnace: Gas#: Nee#: Other#:
Wall Heater: Gas#: Flee#: Other:#: Location(s):
Gas Water Heater: #: Location(s):
Heat Pump: Elec# Other#:
Air Conditioning: Flee#: Other#:
Radiant/Hydronic Heating: Gas#: Flee#: Other:#: Location(s):
Exhaust Fans: Bath##: Laundry#: Other:
Range Hood: #: Location(s):
Fireplace: Gas#: Elec#: Other:#: Location(s):
Clothes Dryer&Duct: Gas#: Elec#: Other:#: Location(s):
Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s):
Gas Piping/Outlet(s): #: Location(s):
Boiler Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s):
TOTAL MECHANICAL OUTLETS:
PL,UIVIBING FIXTURES
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total##:
Water Closet(Toilet): Refrigerator water supply(for water/ice dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes❑ No 0
Dishwasher: Back€low Prevention Device:
Hose Bib: Other:
TOTAL PLUMBING FIXTURES:
Page 2 of 5
0 y O PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT
Allow RESIDENTIAL BUILDING PERMIT CHECKLIST
w4.,
�c; Mailing Address:P.O. Box 547, Anacortes, WA 98221
. `o Office Location: 904 611' Street, Anacortes WA 98821
Phone: (360) 293-1901
Plans shall be of sufficient clarity to indicate the location, nature, and extent of the work proposed, and
conforrrt to the provisions of the adopted International Codes and City Ordinances.
PERMIT TYPE:
SUBMITTAL REQUIREMENTS:Itt o a Z.
M. a
o The number indicates the number of �►�„ - b ara fp
copies for submittal (if applicable. ,1 ,
ItZ
1
Residential Building Permit Application 1 1 1 1 1
Site Plan (Drawn to Scale& Surveyed—if 2 2 0 2 2
applicable)
Building Plans (Drawn to Scale) 2 2 2 2 2
Reduced Site Plan (1 1" X 17") 2 2 0 1 1
Reduced Floor Plan(11"X 17") 2 2 2 2 1
Structural Calculations (if applicable) 2 2 2 2 2
Energy Code Compliance(shown on plans) ✓ ✓ If
Temporary Erosion&Sediment Control 7 7 2
Narrative(13 Elements of SWPPP)
Temporary Erosion and Sediment Control 2 2 2
Site Plan
Drainage Plan (How the site meets DOE's 2 2 2
Stormwater Manual) _ ___—
—
Landscape Plan 2 2 2
Grading Plan/Cut/Fill 2 2 2
Critical Areas Report(if applicable) 1 1 1 1
Geotechnical Report(if applicable) 1 1 1 1
Plan Review Deposit(due upon submittal) I ✓ ✓ ✓ ✓
Page 3 of 5
NOTES:
1. Handouts and standard details may be found on the City's Planning,Community,&Economic
Development website or can be obtained at city hall during normal business hours.
2. Plans, calculation,&reports prepared by state licensed architects or professional engineers must be
stamped and signed by the design professional.
3. The drainage analysis/plan& TESC Plan shall comply with the 2012 Department of Ecology's
Stormwater Management Manual for Western Washington(as amended in December 2014).
4. For new single-family residential building permit applications, a non-refundable plan review deposit
of$200.00 is required at time of application submittal per AMC 19.14.035 & IRC 108.1.1.
5. For remodels/alterations for existing single-family residences, a plan review fee of 65% of the
permit's valuation is required at time of application submittal per AMC 19.14.035 & IRC R1.08.2.4(1).
6. Within 180-days of application submittal refunds are allowed up to maximum of 80% of plan review
fee so long as no review has been performed by staff per AMC 19.14.035& IRC R108.5. The
applicant must initiate this refund request by submitting a signed letter to the Building Department.
Page 4 of 5
STAFF DETERMINATION OF COMPLETENESS:
Please note,that the subject building permit application will be reviewed by staff for completeness. All of the
items above as listed in the"Residential Building Permit Checklist"need to be submitted at time of
application submittal unless deemed unnecessary by staff. If staff deems the application incomplete,the
applicant will be notified by mail and/or email as to what items and/or revisions are still needed.
Additionally, if the application is deemed incomplete,the applicant will have 90-days to submit the
requested information per AMC 19.20.130(B)(2)(b). If the requested items and/or revisions are not
provided by the deadline [90-days],the application may be rejected by staff and returned to the applicant
along with any unspent application fees per AMC 19.20.130(C)(3)(b).
FOR STAFF USE ONLY—COMPLETENESS DETERMINATION:
IS THE APPLICATION COMPLETE? (CIRCLE ONE) COMPLETE INCOMPLETE
If deemed incomplete,what is the date it was deemed incomplete?
If deemed incomplete,was it deemed as such at the counter,by letter,or email(Circle One)?
If by letter or email,when was it mailed by USPS or emailed?
If deemed incomplete at the counter,when was this checklist with items circled given to the applicant?
If deemed incomplete,what is the 90-day deadline for resubmittal of requested items and/or revisions?
If deemed incomplete,who deemed it as such?
(Please include the letter/email in the file detailing what additional items or revisions are still needed).
If the application is deemed complete,what is the date it was deemed complete&who deemed it as
such?
Page 5 of 5
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