HomeMy WebLinkAboutPermit File BLD-2019-0616 2308 12th Street X O . City of Anacortes Invoice/Permit#: BLD-2019-0616
904 6th Street
Applied date: 09/20/2019
P.O.Box 547
- Issue date: 09/20/2019
Anacortes, WA 98221-0547 Expire date: 03/18/2021
Job Address: 2308 12TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-2014 Project:
APN: P56371
Remarks: Remove existing laminate shingle roofing and install Class A Comp roofing
Owner: SAMUEL GUZIK Contractor: PEAKS NORTHWEST LLC
Address: 2308 12TH ST Address: 360 S BURLINGTON BLVD
ANACORTES WA 98221-2014 BURLINGTON WA 98233
Phone: (971) 801-2194 Phone: (360) 770-5974
License#:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 181.25
Building Valuation 9126 State Building Code Fee Resi 6.50
Building Without a Permit 181.25
Total Calculated: 369.00
Deposits/Receipts: 0.00
Total Due: 369.00
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 P VISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNAT OF NER OR AUTHORIZED AGENT ISSUE
Permits and Insp... - BLD-2019-0616 - 2019
019377-0004 Carla Br... 09/20/2019 10:54AM
12495 - PEAKS NORTHWEST LLC
BLD-2019-0616 Reroof Single Family Residence
Payment Amount: 369.00
Transaction Amount: 369.00 ,
03FIN CC: µ"."y***fr*4157
BL - o ( 9 -
Y )MMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
III RE-ROOF PERMIT APPLICATION
; �+ 4 ft L��Imo ilingAddress:P.O. Box 547, Anacortes, WA 98221
h a7EP ice Location: 904 6th Street,Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
El RESIDENTIAL 0 COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
2308 12th ST P56371
Subdivision/Lot#: PROJECT VALUATION$
$9,126.20
APPLICANT: Phone:
Peaks Northwest, LLC 360-770-59674
Address(Street,City,State,Zip): Email Address:
360 S Burlington Blvd, Burlington WA 98233 Aaron@PeaksNW.com
PROPERTY OWNER: Phone:
Samuel Guzik 971-801-2194
Address(Street,City,State,Zip): Email Address:
2308 12th st Anacortes WA 98221
CONTACT PERSON: Phone:
Aaron Young - Owner, Peaks Northwest LLC 360-770-5974
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* Phone:
Peaks Northwest Roofing 360-770-5974
Address(Street,City,State,Zip): Email Address
360 S Burlington Blvd, Burlington WA 98233 Aaron@PeaksNW.com
*All Contractors&subcontractors must have a valid CityofContractor's License# Exp. 2
PEAKSNL835KJ 05-12-20:
21
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. 604-111-721 04/20/2020
PROPOSED WORK: Remove existing laminate shingle roofing,install new lifetime warranty GAF Timberline HD composition roofing shingles.
26g Painted Steel flashings on all edges and penetrations.Ice&Water underlayment around skylight,chimney and pipe.Vented ridge system.
TYPE OF ROOFING: Comp/GAF Timberline HD NUMBER OF LAYERS: 1
CLASS OF ROOFING: 10 A ❑ B ❑ C NUMBER OF SQUARES: 10
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: Aaron Young-Owner,Peaks Northwest LLC Owner IZI Other 0(specify):
Signature: Date: 09/ 20/2-®9/
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