HomeMy WebLinkAboutPermit File BLD-2019-0518 5403 Doon Way rT Y U City of Anacortes Invoice/Permit#: BLD-2019-0518
904 6th Street
'-M Applied date: 08/06/2019
`"r P.O.Box 547 Issue date: 08/06/2019
`- '' 0: Anacortes, WA 98221-0547 Expire date: 02/01/2021
War
Job Address: 5403 DOON WAY Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2915 Project:
APN: P59631
Remarks: Remove current roofing and replace with one layer of roofing, class A.
Owner: GAIL BEASLEY Contractor: MOUNT BAKER ROOFING
Address: 5403 DOON WAY Address: 3950 HOME RD
ANACORTES WA 98221-2915 BELLINGHAM WA 98226-9147
Phone: (360) 873-8201 Phone: (360) 733-0191
License#:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 237.25
Building Valuation 13410 State Building Code Fee Resi 6.50
Total Calculated: 243.75
Deposits/Receipts: 0.00
Total Due: 243.75
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 ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
Permits and Insp... - BLD-2019-0518 - 2019
019330-0012 Carla Br... 08/21/2019 11 :08AM
11439 - MOUNT BAKER ROOFING
BLD-2019-0518 Reroof Single Family Residence
Payment Amount: 243.75
Transaction Amount: 243.75
CHECK: 11734
.0
(' LD 6 -dctg I AUG 06 2019
alrrf OF ANACORTES 1
Gl2 off_. PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
l RE-ROOF PERMIT APPLICATION
Mailing Address:P.O. Boa:547,Anacortes, WA 98221
Office Location: 904 Err'Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
0 RESIDENTIAL ❑ COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
5403 Doon BAre y P59631
Subdivision/Lot#: ( PROJECT VALUATION$
13,410.00
APPLICANT: Phone:
Mt Baker Roofing (Katy Mount) 360-733-0191
Address(Street, City,State,Zip): Email Address:
3945 Home Rd, Bellingham WA 98226 katymount@mtbakerroofing.com
PROPERTY OWNER: Phone:
Gail Beasley 360.873.8201
Address(Street, City,State,Zip): Email Address:
5403 Doon Ave wetpaws8@comcast.net
CONTACT PERSON: Phone:
Gail Beasley 360.873.8201
Address(Street,City,State,Zip): Email Address:
5403 Doon Ave wetpaws8@comcast.net
CONTRACTOR:* Phone:
Mt Baker Roofing, INC 360-733-0191
Address(Street,City,State,Zip): Email Address
3945 Home Rd, Bellingham WA 98226 katymount@mtbakerroofing.com
*All Contractors&subcontractors must have a valid Ci Contractor's License# Exp.Date:
tJ o f MTBAKR1055ML 05/2020
Anacortes business license prior to doing rvorlt in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. 601526326 001 0001 2-29-20
PROPOSED WORK: To remove current roofing and replace with one layer of roofing
TYPE OF ROOFING:COMPOSISTION NUMBER OF LAYERS:I
CLASS OF ROOFING: VI A 0 B ❑ C NUMBER OF SQUARES:37
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: Katy Mount Owner ❑ Other ❑ (specify):
Signature: Kay L- MV-Ptra— Date: 8.6.19
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