HomeMy WebLinkAboutBLD-2019-0171 - RE-ROOF COMMERCIAL �1 ` C _ City of Anacortes Invoice/Permit#: BLD-2019-0171
904 6th Street
Applied date: 03/29/2019
`"u'""! +' P.O.Box 547
Issue date: 03/29/2019
C r Anacortes, WA 98221-0547
_ Expire date: 09/24/2020
Job Address: 1020 12TH ST Permit Type: Reroof Commercial Permit
ANACORTES WA 98221-2102 Project:
APN: P55108
Remarks: Replace existing roofing over the office part of the structure and replace with 10 squares of composition. Replacing 8 roof
sheathing panels.Work started without a permit. $2,000 valuation on materials.
Owner: MOONEY PAT Contractor: OWNER
Address: 2010 41ST ST Address:
ANACORTES WA 98221-4412
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 2000 Building Permit Fee 384.50
State Building Code Fee Comm 25.00
Total Calculated: 409.50
Deposits/Receipts: 0.00
Total Due: 409.50
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAY , O F'
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED-� h:i
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIO L
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, TtlE"'
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OVANY OTHER STATE:t)R-='
LOCAL LAW REG TING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. %:i;: -.I
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SIGNATURE Ot OWNER ORA ' H IZED AGENT ISSUED BY r_ •-�+i
CITY OF DO NOT REMOVE
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,/may CORRECTIONS REPORT
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4 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 "J days.
OWNA CONTRACTOR PERMIT NUMBER
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1 DATE
1 0 6 12- 5 -1
37,2,v/
❑ NOT APPROVED FOR COVER
❑ NOT APPROVED FOR OCCUPANCY OR USE
tA CORRECTIONS NEEDED L STOP WORK
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NOTIFY INSPECTION OFFICE
WHEN READY FOR REINSPECTION
INSPECTOR
10e, A,;4- --rees J.01A1 le 0)
PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
RE-ROOF PERMIT APPLICATION
Mailing Address:P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901, Fax: (360) 293-1938
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
❑ RESIDENTIAL 0 'COMMERCIAL
PROJECT ADDRESS(Street,Suite#): Y� PARCEL(s)#:
/02.o / s7C it �Subdivision/Lot#: PROJECT VALUATION$ �O
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APPLICANT: � r Phone: /n 0R� a l o
a C s& k OOV�,y (�(J
Address(Street,City,State,Zip): E-Mail A s !!
/D, ' ID- 4-- . Pict piSZNSci''c e , Coles
PROPERTY OWNER: Phone.
Address(Street,City,State,Zip): E-Mail Address:
CONTACT PERSON: �p Phone:
a_
Address(Street,City,State,Zip): E-Mail Address:
CONTRACTOR:* Phone:
Address(Street,City,State,Zip): E-Mail Address
Contractor's License# Exp.Date:
*All Contractors&subcontractors must have a valid City of
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Departmentnnn at(360)299-1968. QQ �
PROPOSED WO Y� FAO !�t�a pltr //1.J
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TYPE OF ROOFING: 4 NUMBER OF LAYERS:
CLASS OF ROOFING 0 B C NUMBER OF SQUARES: /O
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 ' o An corte .
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1 / ner —Other ❑ (specify):
e: Date: ,g/a 9//q
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