HomeMy WebLinkAboutPermit File BLD-2019-0195 2207 37th Court X` C? Cityof Anacortes
Invoice/Permit#: BLD-2019-0195
904 6th Street
Applied date: 04/10/2019
P.O.Box 547 Issue date:
• Anacortes, WA 98221-0547
Expire date: 10/06/2020
•
Job Address: 2207 37TH CT Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-4725 Project:
APN: P116537
Remarks: Remove current roofing and replace with 38 squares of composition roofing.
Owner: DEANE HISLOP Contractor: MT BAKER ROOFING
Address: 2207 37TH CT Address: 3950 HOME RD
ANACORTES WA 98221-4725 BELLINGHAM WA 98226-9147
Phone: Phone: (360) 733-0191
License#: MTBAKR1055ML
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 181.25
Building Valuation 9850 State Building Code Fee Resi 6.50
Total Calculated: 187.75
Deposits/Receipts: 0.00
Total Due: 187.75
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 A OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B
les
rr v ��., Invoice/Permit#: BLD-2019-0195
-'� ,' t Applied date: 04/10/2019
I f ti ti Issue date:
)8221-0547 Expire date: 10/06/2020
�1t _ r I
,r" •�� "� Permit Type: Reroof Single Family Residence
Project:
Finance Department
019139-.0033 Carla B. 04/15/2.019 04:15141
ace with 38 squares of composition roofing.
PERMITS AND INSPECTIONS
MT BAKER ROOFING Contractor: MT BAKER ROOFING
BLD-2019-0195
Reroof Single Family Address: 3950 HOME RD
Residence
Remove Current roofing BELLINGHAM WA 98226-9147
and replace with Phone: (360)733-0191
pending
2019 Item: BLD-2019-0195 License#: MTBAKR1055ML
Building Permit Fee 181 .2.5
State Building Code Fee Fees:
Resi 6:50 Building Permit Fee 181.25
Payment Id: 240129 30 State Building Code Fee Resi 6.50
Total Calculated: 187.75
107.75 Deposits/Receipts: 0.00
Subtotal 187.75 Total Due: 187.75
Total 107.75
CHECK 187.75
Check Nulllber010612
Change due 0.00
Paid by: MT BAKER ROOFING
II II IIIII!I IIIIIIIIIIIIHIIII
Thank you for your payment
CUSTOMER COPY
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 A OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B
12'L — IIDS
PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
C) RE-ROOF PERMIT APPLICATION
Mailing Address:P.O. Box 547,Anacortes, WA 98221
ry Office Location:904 6"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#): PARCEL(s)#:
2207 37th Ct P116537
Subdivision/Lot#: PROJECT VALUATION S
$9,850
APPLICANT: Phone:
Mt Baker Roofing 360-733-0191
Address(Street,City,State,Zip): E-Mail Address:
3950 Home Rd, Bellingham,WA 98226 jennygarr@mtbakerroofing.com
PROPERTY OWNER: Phone:
Deane Hislop 253-350-5580
Address(Street,City,State,Zip): E-Mail Address:
2207 37th Ct,Anacortes, WA 98221 d.r.hislop@comcast.net
CONTACT PERSON: Phone:
Address(Street,City,State,Zip): E-Mail Address:
CONTRACTOR:* Phone:
Mt Baker Roofing 360-733-0191
Address(Street,City,State,Zip): E-Mail Address
3950 Home Rd, Bellingham, WA 98226 jennygarr@mtbakerroofing.com
Contractor's License# Exp.Date:
*All Contractors&subcontractors must have a valid City of
MTBAKR1055ML 5-4-19
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968.
PROPOSED WORK: Remove current roofing and replace with one layer of roofing.
TYPE OF ROOFING:composition NUMBER OF LAYERS: I
CLASS OF ROOFING: RI A 0 B ❑ C NUMBER OF SQUARES:38
I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and
complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit
application to the City of Anacortes.
Print Name: Jenny Garr Owner 0 Other 0 (specify):
Signature: 90-e-7144-4- Date: 4-8-19
Page lof2
8 -2,014 0 fq. (2,111—1
NNT l bT,
Y PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
C. RE-ROOF PERMIT APPLICATION
ka Mailing Address: P.O. Box 547, Anacortes, WA 98221
7,i1,111itars47 Office Location: 904 6`h Street, Anacortes WA 98821
.Ncoi-�- Phone: (360) 293-1901, Fax: (360) 293-1938
RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL
PLEASE REFER TO THE REQUIREMENTS
12I RESIDENTIAL 0 COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
2207 37th Ct P116537
Subdivision/Lot#: PROJECT VALUATION$
$9,850
APPLICANT: Phone:
Mt Baker Roofing 360-733-0191
Address(Street,City,State,Zip): E-Mail Address:
3950 Home Rd, Bellingham,WA 98226 jennygarr@mtbakerroofing.com
PROPERTY OWNER: Phone:
Deane Hislop 253-350-5580
Address(Street, City,State,Zip): E-Mail Address:
2207 37th Ct, Anacortes, WA 98221 d.r.hislop@comcast.net
CONTACT PERSON: Phone:
Address(Street,City,State,Zip): E-Mail Address:
CONTRACTOR:* Phone:
Mt Baker Roofing 360-733-0191
Address(Street,City,State,Zip): E-Mail Address
3950 Home Rd, Bellingham, WA 98226 jennygarr@mtbakerroofing.com
Contractor's License# Exp.Date:
*All Contractors&subcontractors must have a valid City of MTBAKR1055ML 5-4-19
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968.
PROPOSED WORK: Remove current roofing and replace with one layer of roofing. 1
TYPE OF ROOFING:composition NUMBER OF LAYERS:1
CLASS OF ROOFING: ® A 0 B 0 C NUMBER OF SQUARES:38
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: Jenny GarrOwner ❑ Other Q (specify):
nn
Signature: ,ate- Date: 4-8-19
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