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HomeMy WebLinkAboutPermit File BLD-2019-0224 1204 6th Street ' .3 ' _ City of Anacortes Invoice/Permit#: BLD-2019-0224 904 6th Street P.O.Box 547 Applied date: 04/17/2019 Issue date: 04/26/2019 `, 0 Anacortes, WA 98221-0547 Expire date: 10/22/2020 - (360) 293-1901 Job Address: 1204 6TH ST Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-1722 Project: APN: P55396 Remarks: Convert studio room in existing single-family residence into an ADU.The dimensions of the attached ADU are approximately 16'wide by 20' in length. Subject property is located in the R3 Zone and Oldtown Overlay. Owner: URS& HARRIET KUHNLEIN Contractor: Address: 1204 6TH ST Address: ANACORTES WA 98221-1722 Phone: Phone: License#: General Information: Fees: Building Valuation 30000 Building Permit Fee 442.25 #of Heat Pumps<=3 Hp 1 Plan Review Fee 287.46 #of Range Hoods 1 State Building Code Fee Resi 6.50 #of Ventilation Fans 1 Mechanical Permit Fees 56.10 #of Showers 1 Plumbing Permit Fee 55.00 #of Kitchen Sinks 1 Total Calculated: 847.31 #of Lavatories 1 Deposits/Receipts: 0.00 #of Water Closets 1 #of Water Piping 1 Total Due: 847.31 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 ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF OWNER ORAUT ORIZED AGENT ISSUED BY +►� "~'`` Y.,� rtes Invoice/Permit#: BLD-2019-0224 xryor Applied date: 04/17/2019 Issue date: 04/26/2019 a8221-0547 Expire date: 10/22/2020 4 Jc �f i'f(1,emu ,�1G \i co Permit Type: Single Family Alteration/Repair Permit Project: Finance Department 019158-0047 Carla B. 04/26/2019 02:54PM tingle-family residence into an ADU. The dimensions of the attached ADU are PERMITS AND INSPECTIONS length. Subject property is located in the R3 Zone and Oldtown Overlay. URS & HARRIET KUHNLEIN Contractor: BLD-2019-0224 Single Family Address: Alteration/Repair Permit Convert studio room in existing single-f Phone: issued 2019 Item: BLD-2019-0224 ' License#: Building Permit Fee 442.25 Plan Review Fee 287.46 Fees: State Building Code Fee )00 Building Permit Fee 442.25 Resi 6.50 Plan Review Fee 287.46 State Building Code Fee Resi 6.50 Mechanical Permit Fees 56.10 Mechanical Permit Fees 56.10 Plumbing Permit Fee 55.00 Plumbing Permit Fee 55.00 Payment Id: 241837 Total Calculated: 847.31 Deposits/Receipts: 0.00 847.31 Total Due: 847.31 Subtotal 847.31 Total 847.31 03FINANCE CREDIT CARD 847.31 Visa ************5762 Ref=41318223279 Auth=006422 5762 1 Change due 0.00 Paid by: HARRIET KUHNLEIN IIIIIIIIIIIIIIII III III II I IIII��III I III III I IIIIII RK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF ANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I :D THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS YPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE Signature: GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR PERFORMANCE OF CONSTRUCTION. Thank you for your payment -424- COPY ISSUED BY 1,1 y o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEIp[PT RESIDENTIAL BUILDING PERMIT APPLICATION 17 a Mailing Address: P.O. Box 547, Anacortes, WA 221APR 1 2 2019 11 NilliaPreV Office Location: 904 6th Street, Anacortes WA 9 821 Phone: (360) 293-1901 ,41Y OF AAt'O ', 4b- 2-0(2 — ? PLEASE REFER TO THE RESIDENTIAL BUILDING PERMIT CHECKLIST BELOW FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: 12614- 6 5 t-. 5 5 3 9 Co Subdivision/Lot#: PROJECT VALUATION: $ APPLICANT: Phone: t -5 cd Hi -,e t 14 3(0 0 - Address(Street,City,State,Zip): Email Address: Ia C) i1r5,.ku lnlei( O me i ila cL PROPERTY OWNER: Phone: ,Q" �-i o k 1 py n�Q �Q'�11,E ors c a ' v, efi tiCukn n Address(Street,City, State,Zip): Email Address: CtA al) abrvQ_ CONTACT PERSON: Phone: c� o`dx\e— 0 A a- . Address(Street,City,State,Zip): Email Address: LENDING AGENCY: /I� Phone: Address(Street,City, State,Zip): Email Address: CONTRACTOR:* Phone: Address(Street,City, State,Zip): Email Address: *All License#: Exp.Date: All Contractors&Subcontractors must have a valid City of Anacortes business license prior to doing work in the City. Contact the City's Finance Department at(360)299-1968. Business License#: Exp.Date: PROPOSED WORK: i se_vn 0 e l (t n cr/ vV cN kG PROPOSED NEW SQUARE FOOTAGE: Basement SQ': El Finished Basement: ❑ Unfinished Basement 1 St Floor SQ': Garage/Carport SQ': 2nd Floor SQ': Deck/Covered Porch/Patio SQ': Fire Sprinkler: El Yes El No 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 application to the City of Anacortes. Print Name: (lyre, 1-kftiiit udkn n Owner Agent ❑ (specify): Signature: l(,A.tun i i 1 . JL� , ate: /cR / prl I , o?O 19 Page 1 of 5 1 IMPERVIOUS SURFACE AREA: Existing Impervious SQ': 300 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' MECHANICAL: Equipment Type: Appliance/Equipment Information(new and relocated): Total#: Furnace: Gas#: Elec#: BTU: Other#: Wall Heater: Gas#: Elec#: Other:#: Location(s): Gas Water Heater: #: Location(s): Heat Pump: lec rn,�,�-�I,t- TEA Other#: ) ir Conditioning: Elec#: Other#: Radiant/Hydronic Heating: Gas#: Elec#: Other:#: Location(s): Exhaust Fans: Bath#: ( Laundry#: Other: 1 Range Hood: #: 1 Location(s): 1 Fireplace: Gas#: Elec#: Other:#: Location(s): Clothes Dryer&Duct: Gas#: Elec#: Other:#: Location(s): Stove/Range/Oven: Gas#: Elec#: ` Other:#: Location(s): j Gas Piping/Outlet(s): #: Location(s): Boiler Gas#: Elec#: BTUs: Location(s): Other: #: Location(s): TOTAL MECHANICAL OUTLETS: Li PLUMBING FIXTURES: Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#: Water Closet(Toilet): I Refrigerator water supply(for water/ice dispenser): Kitchen Sink: 1 Pressure Reduction Valve/Pressure Regulator: Utility Sink: 1 Water Service Line: Tub: Water Piping: Hand Sink: ) Clothes Washer: Shower: 1 Electric Water Heater: Tank-less? Yes ❑. No ❑ Dishwasher: Backflow Prevention Device: Hose Bib: Other: TOTAL PLUMBING FIXTURES: fia el j't 4S,/ifi Page 2 of 5 0 City of Anacortes Invoice/Permit#: BLD-2019-0224 - � `� - 904 6th Street Applied date: 04/17/2019 !` P.O.Box 547 Issue date: Anacortes, WA 98221-0547(360) 293-1901 Expire date: 10/13/2020:_ Cr 0 Job Address: 1204 6TH ST Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-1722 Project: APN: P55396 Remarks: Convert studio room in existing single-family residence into an ADU.The dimensions of the attached ADU are approximately 16'wide by 20'in length. Owner: URS& HARRIET KUHNLEIN Contractor: Address: 1204 6TH ST Address: ANACORTES WA 98221-1722 Phone: Phone: License#: General Information: Fees: Total Calculated: 0.00 Deposits/Receipts: 0.00 Total Due: 0.00 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 ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY APR 12 2019 20\C\ 0?_2.) �<N Y OF ANACORI ,.. PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT ACCESSORY DWELLING UNIT (ADU) PERMIT APPL1©ATION Mailing Address:P.O. Box 547, Anacortes, WA 98221 ' Office Location: 904 6th Street,Anacortes WA 98821 coIL Phone: (360) 299-1984, Fax: (360) 293-1938 PLEASE REFER TO THE ACCESSORY DWELLING UNIT PERMIT APPLICATION CHECKLIST THAT FOLLOWS FOR SUBMITTAL REQUIREMENTS ❑ NEW CONSTRUCTION /0 CONVERSION ❑ ADDITION (V ATTACHED ❑ DETACHED HABITABLE FLOOR AREA OF ADU: 300 3cD PROJECT ADDRESS(Street,Suite#): l a O (o Tt` S fi S Subdivision/Lot#: PARCEL(S) #: 5 j 5 39, APPLICANT: Phone: l✓l.l GC ultvirl 3Csz0 S 5- 1-1-co S Address(Street,City,State,Zip): E-Mail Address: U v-S,k u kn lel i ,m 1 I l,._c-q PROPERTY OWNER: \ Phone: u. (c2i✓),�J lNt c- 1(e CV r v I� KLx(Av, € v Address(Street,City,State,Zip): E-Mail Address: cLb cv e_ as obcrv-e_ CONTACT PERSON: Phone: Ct.ba i C o j)c &e Address(Street, City, State,Zip): E-Mail Address: PROPOSED WORK: R eAnnoctra ( ((-1 cPot(-0 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: U C'S axs- [4 K ✓1 'Owner 0 Other Signature: `4 1 L--JL41 I�QIl Date: IA_ /-ip I(`l `) _)01 9 Page 1 of 2 11111 In ri00 19\11 i.M ti4tV NA 11111 201904250050 04/25/2019 01:26 PM Pages: 1 of 3 Fees: $101.00 Skagit County Auditor When Recorded,Return To: City of Anacortes Planning, Community, &Economic Development Department 904 6th Street/P.O. Box 547 Anacortes, Washington 98221 **, Grantor's Name: Urs &Harriet Kuhnlein Tax Parcel#: P55396 Abbreviated Legal Description(Lot,Block, Subdivision Name/Number): ANACORTES, LOTS 18, 19,AND 20,BLOCK 73,MAP OF THE CITY OF ANACORTES, ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 2 OF PLATS, PAGES 4 THROUGH 7, RECORDS OF SKAGIT COUNTY, WASHINGTON. LOTS 18, 19, AND 20,BLOCK 73, MAP OF THE CITY OF ANACORTES,ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 2 OF PLATS,PAGES 4 THROUGH 7,RECORDS OF SKAGIT COUNTY, WASHINGTON. ACCESSORY DWELLING UNIT COVENANT: LANDOWNER(S) NOTICE AGAINST PROPERTY TITLE (AMC § 19.44.020): 1. Each single-family-residence may have only one(1) accessory dwelling unit and these two units may not be condominiumized. 2. One (1) of the dwelling units must be occupied by one or more owners of the property as the owner's permanent and principal residence. "Owners" include title holders and contract purchasers.The applicant must record a notice against the property title with the County Auditor, on forms provided by the Department, describing this requirement. 3. The total number of persons who may occupy the principal and accessory dwelling units combined may not exceed the number of persons that are defined by Title 19 of the Anacortes Municipal Code as a"family." 4. The habitable floor area of the accessory dwelling unit may not exceed 900 square feet. 1 5. Any accessory dwelling unit included within a primary residence must have no interconnected interior spaces. 6. A minimum of three (3) off-street parking spaces must be provided for the principal and accessory dwelling units. 7. The appearance and character of the dwelling shall be maintained when viewed from the surrounding neighborhood. Only one (1) entrance to the residential structure may be located on any street side of the structure; provided that this limitation shall not affect the eligibility of a residential structure which has more than one (1) entrance on the front or street side on the effective date of the original ADU ordinance. 8. If a building permit is required, it must be issued before any construction or conversion work is done to establish the accessory dwelling unit. I, f ` ri 2 7 K� Gv,, 1e i , declare that pursuant to Anacortes Municipal Code § 19.44.020, I am the landowner of tax parcel # PS S 3?Co located at �a O y C, ' ' cS b'- s-t and that I am making application to create an Accessory Dwelling Unit that will be in compliance with Anacortes Municipal Code regulations stated above and listed in AMC 19.44.020, and requiring that the property owner(s) resides in the principal dwelling unit or the accessory dwelling unit. I hereby certify that the information on this application is true and correct and that the applicable requirements of the City of Anacortes will be met. As property owner(s), I declare that I will notify any prospective purchaser of the occupancy limitations of the Accessory Dwelling Unit as regulated by Anacortes Municipal Code. Furthermore, if any of the provisions of Anacortes Municipal Code 19.44.020 are violated, it is acknowledged that this is cause of the removal of the Accessory Dwelling Unit. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct and will be addressed should a transfer of property ownership occur. Executed at /-CM a GNr-S , Washington this 1,5 th day of Ale In , 20 ly t- /VA, Declarant Declarant ACKNOWLEDGEMENT STATE OF WASHINGTON ) ss. ) COUNTY OF SKAGIT ) On this 'r' day of v% \ , 20 l ' ,before me,the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn,personally appeared Ha,VI(j ate.d ,to be known to be the individual that executed the foregoing instrument and acknowledged the said instrument to be free and his/her free and voluntary act and deed for the uses and purposes therein mentioned. Witness my hand and official seal hereto affixed the day and year first above vken. �.� ®®®em°e�®4E TEs(;h#1, Notary Public in and for the State of Washington, o o NOTARY PUBLIC pp residing at Ci dF A- 2 (2U.4 2 s V o comm.EXPIRES ® DEC.23,2019= a - ' • � � FOR OFFICE USE ONLY: %4%;q •r• ••�aG„ ,.�`' OFWASH ,,. 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