HomeMy WebLinkAboutPermit File BLD-2019-0774 4907 Macbeth Drive ,. y 4 City of Anacortes Invoice/Permit#: BLD-2019-0774
:_ 904 6th Street
°" P.O.Box 547 Applied date: 11/25/2019
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Issue date: 11/25/2019
,0 Anacortes, WA 98221-0547 Expire date: 05/23/2021
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Job Address: 4907 MACBETH DR Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3025 Project:
APN: P59777
Remarks: Remove current roofing and replace with one-layer Class A composition roofing.
Owner: JAMES& KATHLEEN PERKINS Contractor: MOUNT BAKER ROOFING
Address: 4907 MACBETH DR Address: 3945 HOME RD
ANACORTES WA 98221-3025 BELLINGHAM WA 98226
Phone: (360) 873-8902 Phone: (360) 733-0191
License#:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 181.25
Building Valuation 9654 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 5, VISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED
Permits and Insp... - BLD-2019-0774 - 2019
019493-0021 Carla Br... 1 2/09/201 9 02:08PM
12527 - MOUNT BAKER ROOFING
BLD-2019-0774 Reroof Single Family Residence
Payment Amount: 187.75
Transaction Amount: 187.75
CHECK: 012890
NOV 2 5. 2019
Y PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
(144
��al,ll'► '� RE-ROOF PERMIT APPLICATION
41411spv Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
RESIDENTIAL ❑ COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
4907 Macbeth Dr P59777
Subdivision/Lot#: PROJECT VALUATION $
9654.00
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:
Kathy Perkins 360-873-8902
Address(Street,City,State,Zip): Email Address:
4907 Macbeth Dr jkextrastuff@comcast.net
CONTACT PERSON: Phone:
Kathy 360-873-8902
Address(Street, City, State,Zip): Email Address:
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 City of Contractor's License# Exp.Date:
MTBAKR1055ML 05/2020
Anacortes business license prior to doing work 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: 1
CLASS OF ROOFING: 21 A ❑ B ❑ C NUMBER OF SQUARES:38
I declare under penalty of perjury that the information I have provided on this fount/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 0 Other ❑ (specify):
Signature: Kay L Mov,etA- Date: 11/21/2019
Page 1 of 2
t't Y. 0 PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
_ RE-ROOF PERMIT CHECKLIST
'.7 - Mailin Address: P.O. Box 547, Anacortes, WA 98221
_s.-cov- Office Location: 904 6t Street, Anacortes WA 98821
Phone: (360) 293-1901
RE-ROOF:
OCCUPANCY GROUP: ❑ OFFICE ❑ CHURCH 0 SCHOOL 0 RETAIL ❑ RESTAURANT
INSTALLING OR REPLACING SHEATHING: ❑ YES 121 NO
WORK SCHEDULED TO BEGIN:December 2019
WORK SCHEDULED TO END: December 2019
ROOF SQUARE FOOTAGE:
PERMIT TYPE:
O
SUBMITTAL REQUIREMENTS: �,
3 The number indicates the number of CD
copies for submittal Of applicable). -a.
m O
CD
oo
Re-Roof Permit Application 1 1
Site Plan 1
Pedestrian Safety Plan 1
Installation Specifications and U.L.Listed Roof Assembly 1
Building Inspection Prior to Work-When Deemed Necessary
Final Inspection&Approval once Re-Roof is Complete-Perforuied
by City of Anacortes' Building Inspector'
NOTES:
1. The applicant is responsible for providing a method of safely accessing roof for inspection. Please call (360)
293-1901 to schedule an inspection.
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