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Home My WebLink AboutPermit File BLD-2019-0609 1614 10th Street 4 City of Anacortes Invoice/Permit#: BLD-2019-0609 904 6th Street Applied date: 09/16/2019 P.O.Box 547 Issue date: 09/16/2019 ` ' Anacortes, WA 98221-0547 `` ► Expire date: 03/14/2021 �iif� ' J� (360) 293-1901 Job Address: 1614 10TH ST Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-1928 Project: APN: P55936 Remarks: Interior remodel: Remove non-load bearing wall, install new floors, paint, and install kitchen cabinets. A seperate premit issued for re-roof. Plumber will get a plumbing permit. Owner: CHRISTINE THOMPSON Contractor: WE DO THAT HANDY MAN SERVICES Address: 1614 10TH ST Address: 32618 224TH PL SE ANACORTES WA 98221-1928 BLACK DIAMOND WA 98010 Phone: (206)427-7292 Phone: (206) 578-1063 License#: General Information: Fees: Building Valuation 57000 Building Permit Fee 692.75 Occupancy Group it-1 Plan Review Fee 450.29 State Building Code Fee Resi 6.50 Total Calculated: 1,149.54 Deposits/Receipts: 0.00 Total Due: 1,149.54 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 RE ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIG TUR OF OWNER ORAUTH RIZED AGENT ISSUED BY Permits and Insp... - BLD-2019-0609 - 2019 019369-0066 Carla Br... 09/16/2019 01 :51 PM 12528 - WE DO THAT HANDY MAN SERVICES BLD-2019-0609 Single Family Alteration/Repair Permit Payment Amount: 1 ,149.54 Transaction Amount: 1,281 .29 03FIN CC: -: '....+J"tL±� 7601 y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT V` pi Mailing Address: P.O. Box 547,Anacortes, WA 98221 Office Location: 904 6th Street,Anacortes WA 98821 Phone: (360) 293-1901 FORM A: RESIDENTIAL BUILDING PERMIT APPLICATION 1. PROPERTY INFORMATION Project Address(Street,Suite#): Assessor Parcel Number: / /4( /o /4 V Subdivision/Lot#: Zoning Designation: Lot area (size): sq.ft. 2. TYPE OF PROJECT D New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair) ❑ New Duplex ❑ Attached to Primary Unit Interior remodel ❑ Detached from Primary Unit ❑ New Addition to SFR ❑ Garage, carport or accessory building ❑ Fence or retaining wall or duplex (new/repair) ❑ Other: Project Summary: "REo-Aoa� ''-' � P"rt p F4 /' PAP-it Kr"ktie.1 6(4 rtc Project Valuation: $ 3. PROPERTY OWNER INFORMATION Name: ^�r Phone: 2 �/2 7 _7 G ^� CW44r(1P IC!on'1?cur r Address(Street,City,State,Zip): Em I Address: l//)/Y o� '' s CI4y 6> 5ice f 4. CONTRACTOR INFORMATION Name:*/\�va� elk�Pl�+� Phone:2 s iv ( 3 Contractor's Business Licenses State License#:l i y License#: U *All Contractors&Subcontractors must have a valid City AJC'_ Oc.:3"t'O 1 1�j�1 LC�' -3 -G`" 6 b of Anacortes business license prior to doing work in the Expiation Date: Expiration Date: City. 2/2(.71 c T' a (o420 Address(Street,City,State,Zip):K^ 4/A ilr1,: p 1 Address: 7e,,,, ( g i 47 (Tilt - S. CONTACT PERSON Select one person the city will contact for anything Applicant ❑ Property Owner Contractor related to this project: L ❑ Other(list below) Name: I Ck.) , 0'1 lc,r Phone: ac.)(0 ,-/c)v ddress(Street Cit l State Zip): r;�r X �� ,�per_ Erpa'tl Address: 1G(a� i C> �) o e�r',' 1 ,M t Irrm� .3(4 f COdr' 6. LENDER INFORMATION RCW 19.27.095 requires the City to obtain information with regard to lenders. If there are no lenders involved with your project, write"no lenders"on the Name Line below. Name: �(( Phone: , ._ 5 _f`e 77 Address(Street,City,State,Zip): 1314 ,c_Di, Agmail Address: 3 calc 2.114' Pi sr✓ wA-. 9so) - ke„):(--) . rn;Ilea_ l i6 /` .//Carl 7. ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: I understand that when a building permit application is taken in over the counter it does not mean the application has been deemed technically complete and sufficient for staff review. I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the City longer to process my permits. I understand and acknowledge that I could be responsible for providing as-built drawings(on paper or electronically) as part of the project's certificate of occupancy process. I understand and acknowledge that Special Inspections could be required as part of my project, and if needed I will be required to pay for the cost of these inspections. I understand and acknowledge that financial securities could be required as part of the work I am completing and I agree to provide the items needed for the City to calculate these securities and to provide the securities themselves. I understand that if permits are reviewed concurrently such as design review,site plan,traffic concurrency, etc., any required revisions to one permit may affect the entire plan set and could add costs and time to the project. I hereby declare that I am either the owner of the property listed on this application or the owner of this property has authorized me to be their representative to act for them. I also declare under penalty of perjury under the laws of the State of Washington that all of the statements and answers contained herein, and the information submitted with this application form is in all respects, true, correct, and complete to the best of knowledge and belief. ig 'ature Date Printed Name City Of Anacortes Residential Building Permit Application Page 6 of 18 FORM B: STRUCTURE AND SITE INFORMATION 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: ( S-F .— Pope od es V)ft PARCEL NUMBER(S) 2. DETAILED PROPOSED STRUCTURE INFORMATION Complete the following information as it relates to your project. Mark items that are not applicable with "N/A". Structure height: I sit9Y-j AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD 15t Floor: ( 0 2nd Floor: 3rd Floor: Basement: Garage: Total deck: Total porch: Other: Other: Other: 3. QUESTIONS ABOUT THE PROPOSED STRUCTURE Is a fire sprinkler system being installed? ❑ YES ;] NO Is a monitored fire alarm being installed? ❑ YES AA NO Are retaining wall(s) being built? ❑ YES NO Are structural plans required? ❑ YES NO 4. PROJECT SITE INFORMATION A. Is work within the City's right-of-way proposed? If yes,you will be required ❑ YES NO to submit a right-of-way permit application. If you have already submitted a ROW permit, list the permit number here: B. Is the property located in a flood zone? ❑ YES NO If yes, list the flood zone designation: C. Are there slopes in excess of 15%on or abutting the site? If yes, a ❑ YES NO geotechnical report will likely need to be submitted. D. Are there critical areas or buffers on or abutting (within 300-feet of)the ❑ YES XfNO project site? If yes, a critical areas report will likely need to be submitted. City Of Anacortes Residential Building Permit Application Page 7 of 18 E. Is the lot less than 5,000 sq. ft. in area? ❑ YES C NO If yes,your site and building will need to comply with the standards in AMC 19.43.010.C. F. Is your project involving an accessory dwelling unit? ❑ YES Vir NO If yes,your site and building will need to comply with the standards in AMC 19.47. G. Will more than 2-acres be cleared and/or more than 5,000 board feet of ❑ YES AO timber be harvested? If so you may need to obtain a forest practices permit from DNR. H. Is this project subject to the SEPA process? If yes,you will be required to ❑ YES / NO submit a SEPA checklist. If you have already completed the SEPA process, list the permit number here: 5. REQUIRED SIGNATURE I hereby declare that I am either the owner of the property listed on this application or the owner of this property has authorized me to be their representative to act for them. I also declare under penalty of perjury under the laws of the State of Washington that all of the statements and answers contained herein, and the information submitted with this application form is in all respects, true, correct, and complete to the best of knowledge and belief. /1,---&i,d'i fiat 'Sigure Date A/ t Printed Name City Of Anacortes Residential Building Permit Application Page 8 of 18 FORM C: PLUMBING AND MECHANICAL FIXTURES MECHANICAL Equipment Type: Appliance/Equipment Information (new and relocated): Total#: Furnace: Gas#: Elec#: BTU: Other#: Wall Heater: Gas#: Elec#: Other:#: Location(s): Gas Water #: Location(s): Heat Pump: Elec#: Other#: Capacity: Air Conditioning: Elec#: Other#: Capacity: Radiant/Hydronic Gas#: Elec#: 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: PLUMBING Fixture Type(new and Total#: Fixture Type(new and relocated): Total #: relocated): Water Closet(Toilet): Refrigerator water supply(for water/ice 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 ❑ Dishwasher: Backflow Prevention Assembly: Hose Bib: Other: TOTAL PLUMBING FIXTURES: City Of Anacortes Residential Building Permit Application Page 9 of 18 FORM D: ARCHITECTURAL PLAN REQUIREMENTS 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: PARCEL NUMBER(S) 2. GENERAL INFORMATION This form is intended to assist applicants in creating complete, code compliant architectural plans. Please check the plans you wish to submit to make sure they contain each of the listed items. To the right of the Requirements column is space for you to list the sheet number of the plan set where the listed information is shown. • Minimum Plan Size: 11"x 17" and drawn in an architectural scale. • Architectural plans for structures 4,000 square feet or larger are required to be prepared and stamped by an architect licensed in the State of Washington. • Structural plans must be stamped by a structural engineer licensed in the state of Washington. 3. REQUIREMENTS FOR ALL ARCHITECTURAL PLANS COMPLETE REQUIREMENTS PAGE#ON ? YOUR PLANS Cover(or 1st page) must include: • Site address • Parcel number • Lot number(if applicable) • Lot size • Lot coverage • % impervious surface coverage Floor plans with existing(if applicable) and proposed building layout with square footages and with the use of each room/area labeled. Window and door sizes labeled and window ventilation area. Commercial, Multi-Family, and Mixed-Use Structures must also include door and window schedules. Plumbing, duct, and electrical layout. Penetration protection must be shown. Opening headers, size, and material. Cross section details, showing typical foundation, floor, wall, ceiling and roof construction and insulation. Structural members labeled as to size and spacing as well as bracing, blocking, bridging, special connectors, and anchor bolts. Details documenting energy code compliance. Exterior building elevations demonstrating compliance with applicable structure type design standards (small lot, duplex, or ADU) and maximum building height City Of Anacortes Residential Building Permit Application Page 10 of 18 1,u0a., zeta N c . - , �� n CITY OF ANACORTES r( 1, , °R e1 - dab"- r$ "s r to PLANNING & BUILDING DEPT: , Kip4 74,-01x,4 004 APPROVED PLANS r PERMIT#: ,g®r''d ��[�tl( u� t� ° (5®off 9 /c9� t� d1/ o;1E4 e 11.3 I6� VA ski 1,1 `t1 APPRO'i ED Y - - ---;-,-------7:2;77, .";ii z‘r-e7 9 : B r 0 1 ��; 3e� j �� SUBJECT TO FIELD INSPECTION. APPROVED PLANS ' it I SHALL I OT BE ALTERED WITHOUT AUTHORIZATION. ,- or- 1; - rif.'rc - ' .;' / A �0'.fr t- 1 ,v FILE C - -f iir ,t,..,;„,, .4,es ,, ,,,,,,,..,„ , - -___ _ _ , , c..,\. _11 ._ I 0 '2 ciao il� EE ____J ......., III Sbr++-f— rhs .• 4...^i Pu di Ail., off'71.al 1,4_4 4 . , ioc:7 1® d/-. ('0 e4 .j rct 6.,ke./".4 ,y Aft i'bi". 1 er.,.t he, iLer,y4-ek fit ar /7n44r-. o3f7- ^^S.