HomeMy WebLinkAboutPermit File BLD-2019-0817 1317 16th Street ,
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Project Inter-Departmental Plan Review Tracking
1'f Y 0 City of Anacortes Invoice/Permit#: BLD-2019-0817
904 6th Street
Applied date: 12/13/2019
P.O.Box 547
Issue date: 01/08/2020
0: Anacortes, WA 98221-0547
_1' r Expire date: 07/06/2021
:'' '' ,_` (360) 293-1901
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.
7,(L
SIGNATURE OF OWNER OR AUTHORIZED GENT ISSUED BY
City of Anacortes invoice/Permit#: BLD-2019-0817
904 6th Street
'+ rApplied date: 12/13/2019
P.O.Box 547 Issue date:
Anacortes, WA 98221-0547(360) 293-1901 Expire date: 06/10/2021
Job Address: 1317 16TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-2226 Project:
APN:
Remarks: New garage with an ADU above. •
LA-Do _ ,JLD 2619 - ogi&)
Owner: NICHOLAS ANDRICH Contractor:
Address: 1317 16TH ST Address:
ANACORTES WA 98221-2226
Phone: (360) 561-5123 773 Phone:
License#:
General Information: Fees:
Building Valuation 102000 Building Permit Fee 1,004.95
Plan Review Fee 653.22
State Building Code Fee Resi 6.50
Total Calculated: 1,664.67
Deposits/Receipts: 0.00
Total Due: 1,664.67
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, R 4
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMME4JCE6::
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISION
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, TH,EF,
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER TAT OR,
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. i •i'
CI, '3, :t I
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY t `1
r•
Y. City of Anacortes Invoice/Permit#: BLD-2019-0818
904 6th Street
ti Applied date: 12/13/2019
P.O.Box 547 Issue date:
Cf� Anacortes, WA 98221-0547
,, `'_ Expire date: 06/10/2021
(360) 293-1901
,..,I(.��■yam■
Job Address: 1317 16TH ST Per t Type: Accessory Dwelling Unit
ANACORTES WA 98221-2226 Pr ject:
APN:
Remarks: New ADU on building permit#BLD-2019-0817,which is a new garage with the ADU above.
Owner: NICHOLAS ANDRICH Contractor:
Address: 1317 16TH ST Address:
ANACORTES WA 98221-2226
Phone: (360) 561-5123 773 Phone:
License#:
General Information: Fees:
#OF HOURS 0
Total Calculated:
Deposits/Receipts: 0.00
Total Due:
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
�1 r r PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT E J w]
Mailing Address: P.O. Box 547, Anacortes, WA 98221 L! ,,` A�
Office Location:904 6th Street, Anacortes WA 98821 ;��I 1.
I r I:
0 -' Phone: (360)293-1901 t DEC a 3 2019 . .
CI fZ F/ANACOOFTES
Residential Building Permit Application
Submittal Packet
New Single Family Residences (SFR) Duplexes Additions and Remodels (SFR & Duplex)
Accessory Dwelling Units Manufactured Homes Residential decks and retaining walls
SUBMITTAL CHECKLIST
3 0 �, LL _ c
Residential Building Permit 0 : o 1... rts o
+ ? 0
Submittal Requirement Checklist LL CU T o c �, o RS .. c n
1 N a u) v, - p i Z Gl .a C v.
a a') Seepages 2-3 of this handout for information about each 3 u U u N E tca E rY r
Q V submittal item listed below. Z m Q GI cc 2 _ tt F. 0
Residential Building Permit Application Form X 0 X X X
(FORM BP-1-attached)
Structure &Site Information Form X g. X X X
(FORM BP-2-attached)
Mechanical&Plumbing Fixtures Form X 110 X
(FORM BP-3-attached)
Architectural Plans X X a,,,X X1,,
(requirements listed on FORM BP-4-attached) t
Stormwater Management Minimum Requirements ` -Determination X X X
(FORM BP-5,attached)
Stormwater Site Plan X , X (v X
Site Plan & Landscape Plans X X X X
(requirements listed on Form BP-6)
Structural Plans&Calculations X X X X X
Energy Code Plans & Forms X X
Manufacturer's Specifications/Cut Sheets X
Copy of recorded survey X X X X
Technical Reports X X X X
Other Required Permits X X X X X
ADU Affidavit of Owner Occupancy (signed) X
Required Number of Copies and Plan Size Fees
2 paper copies of each item above • Plan review deposit is taken at time of
Plans must be minimum 11" x 17",to scale, and legible application submittal.
1 reduced size copy(maximum size 11"X 17")of the Site
• Permit fees are paid prior to building
Plan, Floor Plan and complete Building Plans permit issuance.
Page 1 of 18
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Cat_y PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
'C Off:
Phone: (360)293-1901
REQUIRED SUBMITTAL INFORMATION
Additional details on certain submittal items is provided below to ensure Applicants are fully aware
what City staff will be looking for when an application is submitted to the City.
FORMS AND PLANS
• FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION FORM. Provides key information
about your project, including type of permit you are applying for, and property owner, contractor,
and contact information.
• FORM BP-2: STRUCTURE AND SITE INFORMATION FORM. Provides key information about
the proposed structure, including height,floor areas,fire protection proposed, and asks questions
about site characteristics that are used to determine whether your project requires any other
information or additional permit applications to be submitted.
• FORM BP-3: PLUMBING AND MECHANICAL INFORMATION. Form BP-3 provides space for
you to fill in fixture information for plumbing and mechanical appliances and equipment that are
included as part of your project.
• FORM BP-4:ARCHITECTURAL PLAN REQUIREMENTS. Form BP-4 contains a list of all the items
required to be shown on Architectural Plans.
• FORM BP-5: STORMWATER MANAGEMENT DETERMINATION FORM. Most development
within the City of Anacortes that involves disruption of soils,or construction of buildings,streets,
parking lots,etc. requires a Stormwater review. Stormwater review requirements are based on
either the amount of soil to be disturbed (grading,vegetation removal), or the amount of hard
surface that is created or replaced on a site (building footprint,concrete, asphalt or gravel parking,
sidewalk,etc.). Form BP-5 assists you in determining the level of stormwater review (applicable
Minimum Requirements) required for your project.
• STORMWATER SITE PLAN. The Stormwater Site Plan is the comprehensive report containing all
of the technical information and analysis necessary for regulatory agencies to evaluate your
project for compliance with stormwater requirements. The level of stormwater review and
contents of the Stormwater Site Plan will vary with the type and size of the project, and individual
site characteristics. Use Form BP-5 to determine the level of stormwater review and then
complete the applicable Stormwater Minimum Requirements Form on the Public Works-
Engineering Department Forms website and provide required submittal items/plans.
• FORM BP-6: SITE PLANS& LANDSCAPE PLANS. Form BP-6 contains a list of all the items
required to be shown on Site and Landscape Plans.
• STRUCTURAL PLANS: Plans prepared and stamped by a State of Washington licensed
professional structural engineer drawn at a scale approved by the Building Official clearly indicating
the information required by the "Permits" section of the currently adopted International Building
Code and Chapter 19.27 RCW(State Building Code Act,Statewide amendments), and City submittal
forms including: structural members labeled as to size and spacing as well as bracing, blocking,
bridging,special connectors, and anchor bolts; cross-section details, as needed,to show typical
foundation,floor,wall, ceiling and roof construction; insulation of walls,floors and roof/ceiling; and
details of stairs,fireplaces and special construction, if any.
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 2 of 18
Y f� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
"'''' Mailing Address: P.O. Box 547, Anacortes, WA 98221 Di 1i1 {,1
Office Location:904 6th Street, Anacortes WA 98821
' Phone: (360)293-1901 tEc 3 2019
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION RT�S
1. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
p,Il 1c cc co
Subdivi$
ion/Lot#: Zoning Designation: Lot area (size): , "�
2,9 I0 �� ��� sq.ft.
2. TYPE OF PROJECT
❑ 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 0 Fence or retaining wall
or duplex (new/repair)
❑ Other:
Project Summary: ,
GrA.Nriay, LA) 1‘.4;"% abA
Project Valuation: $ �, 000 j
.
3. PROPERTY OWNER INFORMATION {-f 2
Name: dtoks Phone: c,u_c1,Z_J7-)3
Address(Street,City,State,Zip): Email Address:
13 n 14M, 9r AacdceS,1-Jck V221 n 1$309w roc 1 Q,yot OD.co rn
4. CONTRACTOR INFORMATION
Name:* (5` 3 ner Phone:
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City _
of Anacortes business license prior to doing work in the Expiration Date: Expiration Date:
City.
Address(Street,City,State,Zip): Email Address:
5. CONTACT PERSON
Select one person the city will contact for anything
related to this project: ❑ Applicant Property Owner ❑ Contractor
❑ Other(list below) 2
Name: �.C��o� C Phone:�'�I ";12, 3��J
Address(Street,City,State,Zip): Email Address:
IS —1 1LAA1G,��f� -� VA do , coY'->
Rn�Co' , e.
olZ2
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 5 of 18
Y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street,Anacortes WA 98821
Aliop
`' Phone: (360)293-1901
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: n o �eenckQ 1 Phone:
Address(Street,City,State,Zip): Email Address:
7. ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each of the following statements prior to signing this application:
fjLic 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.
tkyt< I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the
� City longer to process my permits.
tiv.!'/ 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.
tAyl`‹ 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.
K I understand and acknowledge that financial securities could be required as part of the work I am
N
Y completing and I agree to provide the items needed for the City to calculate these securities and to
provide the securities themselves.
to~K 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 ' rmation fitted with this application form is in all respects,true,
correct, and co plet o the bes nowledge and belief.
Signature Date
, Cdoc"s - ' c ,�
Printed Name
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 6 of 18
Y
r� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
q a c"' Phone: (360)293-1901
FORM BP-2- STRUCTURE AND SITE INFORMATION
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS: I? v� � S•
PARCEL p�
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: 21 i Qi/2//
AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD
1st Floor: -goer
2"d Floor: l
;l
3`d 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 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 14 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 KNO
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.
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 7 of 18
�� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
CP' Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street,Anacortes WA 98821
7' ' 4' Phone: (360)293-1901
D. Are there critical areas or buffers on or abutting(within 300-feet of)the ❑ YES Qi NO
project site? If yes, a critical areas report will likely need to be submitted.
E. Is the lot less than 5,000 sq.ft. in area? ❑ YES SA 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? I1r�
r�P
YES ❑ 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 ❑ YES ► NO
(about 1 log truck load) of 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 s itted with t ' pplication form is in all respects,true,correct, and
complete to the best of k wledge d ief.
Des_, 9419
Signature Date
Printed Name
Res. Building Permit Application Submittal Checklist
Updated October 10,2019
Page 8 of 18
y l PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
_ -ems= ? Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
`" ' Phone: (360)293-1901
FORM BP-3: PLUMBING AND MECHANICAL FIXTURES
MECHANICAL
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: kYr Elec#: BTU: Other#:
Wall Heater: Gas#: Elec#: 8 Other:#: Location(s):
Gas Water #: 1, Location(s): fokeike_ F
Heat Pump: Elec#: Other#: CapaZ'fty: '
Air Conditioning: Elec#: Other#: Capacity:
Radiant/Hydronic Gas#: Elec#: Other:#: Location(s): rs(
Exhaust Fans: Bath#: Laundry#: Other: • j
Range Hood: #: Location(s): itic-, - \ eX vj
Fireplace: Gas#: 1 Elec#: Other:#: Location(s): .1.
Clothes Dryer& Duct: Gas#: j Elec#: Other:#: Location(s): I-4 idji/
Stove/Range/Oven: Gas#: j. Elec#: Other:#: Location(s): /
Gas Piping/Outlet(s): #: Li Location(s): I/ia}r ,S OJ- okry.x.r, cd2,p},ke, H ,.//
Boiler Gas#: Elec#: BTUs: Location(s): ,el"
Other: #: Location(s):
TOTAL MECHANICAL OUTLETS: ) J
PLUMBING
Fixture Type(new and
relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): " ,I;Refrigerator water supply(for water/ice 1 `/
Kitchen Sink: " Pressure Reduction Valve/Pressure Regulator:
Utility Sink: /Water Service Line: Xf i 1
Tub: 1. V Water Piping: 5 k I
I
Hand Sink: `if Clothes Washer: A.. •/
Shower: ✓, Electric Water Heater: Tank-less? Yes ❑
Dishwasher: i l Backflow Prevention Assembly:
Hose Bib: 3"j Other:
TOTAL PLUMBING FIXTURES:
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 9 of 18
y rr PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547,Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
71 `;' Phone: (360)293-1901
FORM BP-4: ARCHITECTURAL. PLAN REQUIREMENTS
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS: \'7 fl \ )
PARCEL
NUMBER(S) 0
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 Li
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,
y bridging,special connectors, and anchor bolts.
Details documenting energy code compliance.
Exterior building elevations demonstrating compliance with applicable structure 3
type design standards (small lot, duplex, or ADU) and maximum building height
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 10 of 18
r PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
Building height (see AMC 19.42.120 for measurement methods, exceptions and modifications).
o Label the building height at the highest point of the structure from the average
of the natural topography at the foundation at the front of the building. _0
o Label the average elevation of the natural topography at the front of the
building.
o Label the elevation at the center of all exterior walls of the proposed building.
G For ADUs only, include elevations demonstrating compliance.with the
height/setback plane (see AMC 19.47.030(C)(6)).
Special details as needed (i.e., stairs, fireplaces, special construction).Insulation and insulation values of walls, slab, floors, and roof/ceiling.
Existing and proposed grades with slope of lot shown.
Res. Building Permit Application Submittal Checklist
Updated October 10, 2019
Page 11 of 18
r PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
7 Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
\ ' ` ' Phone: (360) 293-1901
FORM P- : STORMWATER MANAGEMENT MINIMUM
REQUIREMENTS DETERMINATION
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS: 13 n \( ,4 1
PARCEL NUMBER(S) cc:cc--0
2. GENERAL INFORMATION
Most development within the City of Anacortes that involves disruption of soils, or construction of buildings,
streets, parking lots, etc. requires a Stormwater review. Stormwater review requirements are based on either
the amount of soil to be disturbed (grading, vegetation removal), or the amount of hard surface that is created
or replaced on a site (building footprint, concrete, asphalt or gravel parking, sidewalk, etc.)
This form is largely targeted for small projects and single family residences. For larger projects and more
information please refer to the Anacortes Municipal Code (Chapter 19.76 Stormwater Management) and the
latest Washington State Department of Ecology Stormwater Management Manual for Western Washington
(Ecology Manual).
3. HARD SURFACE AREA CALCULATION
Please calculate your project's hard surface amount; guidance is provided on the next page of this document. Use
your project's total hard surface calculation to follow the flow chart(s) in this packet and determine the level of
stormwater management required for you project.
When determining your permit level or if stormwater thresholds are met or exceeded the entire project must be
considered. A project is that portion of a property, properties, or right of way subject to land disturbing activities,
new hard surfaces and replaced hard surfaces. The hard surface on your property will determine the storm water
utility fees and the stormwater general facility charge. All new or replaced hard surfaces should be accounted for.
Below are excerpts from the Anacortes Municipal Code and Ecology Manual that may assist you in preparing this
information.
"Hard surface area" means an impervious surface, a permeable pavement, or a vegetated roof.
"Impervious surface" means a non-vegetated surface area which either prevents or retards the entry of water into
the soil mantle as under natural conditions prior to development. A non-vegetated surface area which causes
water to run off the surface in greater quantities or at an increased rate of flow from the flow present under
natural conditions prior to development.
"Replaced impervious surface"means,for structures, the removal and replacement of impervious surfaces down to
the foundation. For other impervious surfaces, the removal down to bare soil or base course and replacement.
Res. Building Permit Application Submittal Checklist
Updated October 10, 2019
Page 12 of 18
" v > PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
. x'''' Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street,Anacortes WA 98821
`" Phone: (360)293-1901
Land disturbance
Description Total
(SF)
Total Area of Land disturbing activity ( d V 0
Total area converted from vegetation to
.0.
lawn or landscaped areas
Hard surface area calculation
Existing Removed Proposed Proposed
Description (SF) (SF) Replaced New
(SF) (SF)
Non Pollution Generating Hard
Surface Area 900 LO°
(Sidewalks, paths, patios,etc.)
Pollution Generating Hard Surface I-� �1
Area (� ti r
(Driveways, parking areas,etc.)
Total Hard SurfaceC
Site Size 9 /
Existing impervious surface n�coverage
(sq.ft. hard surface/site size)
Use the information in the above table to navigate the flow chart(s) on the next page and
determine the applicable stormwater management minimum requirements for your
project. Then complete the applicable Stormwater Minimum Requirements Form on the
Public Works - Engineering Department Forms website and provide required submittal
items/plans.
Check applicable box Minimum Requirements Determination
❑ Minimum Requirements#1-9.
❑ Minimum Requirements#1-5.
Res.Building PerrlApplication Submittal Checklist
Updated October-To,2019 Minimum Requirement#2.
Page 13 of 18
.j I' PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
=Y r,.' . ,,y ;t.c. Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
' 111100 ' Phone: 360 293-1901
FLOW CHART FOR DETERMINING REQUIREMENTS FOR NEW DEVELOPMENT
Start Here
i
1
V .
Does the site have 35% Yes See Redevelopment Minimum
or more of existing I ► Requirements and Flow Chart
impervious coverage? I I (Figure 1-2,4.2),
•
No
Does the project convert 3,74 .
acres or more of vegetation to
Does the project result in lawn or landscaped areas, or
5;000 square feet, or No convert 2.5 acres or more of
greater, of new plus la native vegetation to pasture?
replaced hard surface
area? \ No
Yes
Yes
Does the project result in 2,000
* square feet, or greater, of new plus
AU Minimum Requirements replaced hard surface area?
apply to the new and replaced
hard surfaces and converted �O
11 vegetation.areas. Y j
w
Does the project have land
I disturbingactivities of 7,000
Minimum Requirements #1
I through #5 apply to the new square feet or greater?
s
and replaced hard surfaces
and the land disturbed. No
'V
Minimum Requirement#2
applies. l `
isillail Figure l-2.4. 1
Flow Chart for Determining Requirements for ,
RigiaWa New Development
DEPARTMENT OF Revised June_2.015 :
ECOLOGY Please see httplArmwsezw.wa.gov/copyright.html wa.gov/copyright.htm;for copyright notice including permissions, .
State of Washington limitation of liability, and disclaimer.
Res. Building Permit Application Submittal Checklist
Updated October 10, 2019
Page 14 of 18
r0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
' � Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
1891 Phone: (360) 293-1901
FLOW CHART FOR DETERMINING REQUIREMENTS FOR REDEVELOPMENT
Does the project result in 2,000 square feet, or more, of new plus replaced hard surface area?
OR
Does the land disturbing activity total 7,000 square feet or greater?
Yes No
Minimum Requirements#1 through #5 ; t
apply to the new and replaced hard Minimum Requirement#2 applies.
surfaces and the land disturbed.
Next Question
Does the project add 5,000 square feet or more of new hard surfaces?
OR
Convert acres or more of vegetation to lawn or landscaped areas?
OR
Convert 2.5 acres or more of native vegetation to pasture?
T
Yes No
T
All Minimum Requirements apply Next Question is this a road I
to the new hard surfaces and the related project? ` No
converted vegetation areas.
Yes
T
Does the project add 5,000 square feet or more of new hard surfaces?
Yes
f
No Is the total of new plus replaced hard surfaces
Do the new hard 5,000 square feet or more,
surfaces add 50% or No No additional No AND
more to the existing 4 does the value of the proposed improvements
hard surfaces within requirements. - including interior improvements - exceed
the project limits? 50% of the assessed value (or replacement
value) of the existing site improvements?
Yes All Minimum Requirements apply to the new and replaced
hard surfaces and converted vegetation areas. JYes
ems► Figure 1-2.4.2
Flow Chart for Determining Requirements for
Redevelopment
DEPARTMENT OF Revised June2015
ECOLOGY Please see httpliWww,ecy.wa govicopyrrght,html for copyright notice including permissions,
State of Washington limitation of liability, and disclaimer. •
Res. Building Permit Application Submittal Checklist
Updated October 10, 2019
Page 15 of 18
y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
Phone: (360)293-1901
FORM BP-6: SITE PLAN REQUIREMENTS
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS: � 1(04) Sr
PARCEL
NUMBER(S)
2. GENERAL INFORMATION
This form is intended to assist applicants in creating complete, code compliant site 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 engineering or architectural scale.
3. INFORMATION REQUIRED ON ALL SITE PLANS
COMPLETE? REQUIREMENTS PAGE#ON
YOUR PLANS
Cover sheet must contain all of the following:
• Vicinity Map
• Name of the project
• Name, address, and telephone number of owner and agent(s)
• Name,address, and telephone number of Applicant(if different from
the owner)
• Zoning designation of the site
• Area, in square feet and acreage, of the project site
• Reference to the Building Code used
• Proposed use
• Occupancy group
• Construction type
• Square footage and height of each individual building
• Percent lot coverage
• Percent impervious surfaces
Scale and North Arrow j.
Property features:
Location, identification, and dimensions of all property lines and �(
easements. All easements shown on the title report, Record of
Survey,or plat must be dimensioned and shown.
Location and dimensions of existing critical areas(wetlands,streams,
steep slopes) and their associated buffers.
Location of Ordinary High Water Mark and shoreline jurisdiction limits
(if adjacent to a shoreline).
Existing and proposed contours and site elevations (i.e.finished
grades) at 5-foot minimum increments. The horizontal and vertical
control datum must be clearly shown.
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 16 of 18
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street,Anacortes WA 98821
4 Phone: (360)293-1901
Structures:
Location, identification, dimensions and size of all existing and
proposed buildings and other structures.
Location of existing and proposed retaining walls, rockeries,and
Location, identification, and dimensions of all setbacks.
Show proposed projections into required setbacks, including
dimensions (see AMC 19.44.140)
Utilities & Easements:
Location and dimensions of existing and proposed stormwater,
sanitary sewer, potable water, and fiber lines/facilities. All wells and
septic systems located on or near the project site must also be
identified.
Location of all existing and proposed fire hydrants within 300 feet of
the boundary of the project site.
Location and dimensions of existing and proposed freestanding
lighting fixtures, utility junction boxes, public utility transformers.
Stormwater
Proposed Temporary Erosion and Sediment Control Measures, if not
located on other plans.
Proposed permanent stormwater management BMPs.
Access, Circulation & Parking
Location, identification, and dimensions of all existing and proposed
on-site and adjacent streets and alleys, including the location and
dimensions of all existing and proposed curbs,gutters, sidewalks,
median islands,and street trees.
Show existing and proposed vehicular access to the site, including the
size and location of driveways and curb cuts.
Show existing and proposed parking spaces, including surface material
and dimensions of spaces.
Open Space (ADUs, Small Lots, and Duplexes)
Show calculations, location, dimensions and provided square footage
of required open space area per AMC 19.43.010.C, E, or AMC 19.47,
as applicable.
Landscaping
Show the location and design of landscape areas to be preserved and
planted, and a plant list to include the location, number, size and type
of plant material by botanical and common name.
Location of irrigation system if a permanent or temporary system is
proposed.
Show the location of existing trees to be retained in conformance
with AMC 16.50, and tree protection measures to be implemented,
when applicable.
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 17 of 18
.1 y r) PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street,Anacortes WA 98821
- �` Phone: (360)293-1901
Provide a maintenance plan for any infiltration-based stormwater
best management practices (BMPs) built as part of the landscaping
design, including the specifications and maintenance procedures of
any soil amendments.
Show new trees to be planted and tree unit credit calculations, in
conformance with AMC 16.50 Tree preservation,when applicable
The following table,with project specific information filled in, must be placed
on the site plan:
Required Landscaping For Example
Calculations
Site Area 7,500 sq.ft.
of site area to be landscaped (per 20%-R2A zone
AMC Tables 19.42.020-.030) 1,500 sq.ft. required
1,850 sq.ft. provided
Compliance with AMC Ch. 16.50 Tree unit credits required:
Tree Preservation. • 8 tree units required
Tree unit credits retained:
• 2 trees 6"dbh=4 tree unit
credits retained
Tree unit credits provided:
• 2 new deciduous trees(min.2"
caliper @ 6"above ground)
• 2 new evergreen trees(8'in
height)
Number of required street trees 1 per 30'of frontage
60 lineal feet of frontage=3 street
trees
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 18 of 18
When recorded return to:
1111
III*.1 MI 11111
202001240106
01/24/2020 01 :45 PM Pages : 1 of 2 Fees : $104 . 50
Skagit County Auditor
SPECIAL POWER OF ATTORNEY
•
kCi\-\ 0\01/4S Lte. As( t-1-( sciLk.,
hereby appoint po,:c KJ 1')S i 1 Qk
as my true and lawful attorney for me and in my name and stead and for my use and benefit to execute
promissory notes, bonds, mortgages, contracts, deeds of trust and any other instrument which may be necessary
or proper to purchase and/or encumber the following described real property:
Abbreviated Legal: (Required if full legal not inserted above)
L0 < C1 CUnc-A t l) -6l oC,K. Cj\ `'V )1/4(!LP Cic ()C
Tax Parcel Number(s): � PnGt,C:k-N)y-k n
Together with any personal property located thereon.
Giving and granting unto my said attorney in fact full authority and power to do and perform any and all other
acts necessary or incident to the performance and execution of the powers herein expressly granted with power
to do and perform all acts authorized hereby; as fully to all intents and purposes as the Grantor(s) might or could
do if personally present.
This Special Power of Attorney will cease and be of no further effect after the day of
Neckl 2020 , or six (6) months from the date hereof, whichever first occurs.
WARNING: This power of attorney will result in another person having full right to encumber
your real and personal property and obligate you to a debt. It is recommended that you obtain
counsel from your attorney prior to execution of this document.
LPB 71-05
Page 1 of 2
Dated:
e f1\
(\.01Yct
STATE OF VI C^LC Y, .n
SS.
COUNTY OF S Kam%•k"
I certify that I know or have satisfactory evidence that
\e\A6k_ PirtNt,Ln4,c (is/are) the person(s) who appeared
before me, and said person(s) acknowledged that Kt. osigned this instrument and acknowledged it to be
free and voluntary act for_the uses and purposes mentioned in this instrument..
Dated: l Mirc
1 Z Z to 12_01S Notary name printed or typed: us«rw.
Notary Public in and-for
r the State of �(a
Residingat
My appointment expires:
SUSANN ELIZABETH DILLARD
NOTARY PUBLIC #208474 ;
' STATE OF WASHINGTON
COMMISSION EXPIRES
J U LY 9, 2023
LPB 71-05
Page 2 of 2
muili ON II lil
202001240107
Return Address: 03/24/2020 01:45 PM Pages: i of 5 Fees: $107.50
Skagit County Auditor
City of Anacortes
Planning, Community& Economic Development Department
P.O. Box 547
Anacortes, WA 98221
Please print or type information. WASHINGTON STATE RECORDER'S Cover Sheet. (RCW 65.04)
Document Title(s) (or transactions contained therein):
COVENANT FOR OWNER OCCUPANCY
Reference Number(s) of Documents assigned or released:
Project Number: 1 nt OS g
Grantor(s) (Last name,first name, middle initial):
1. N ► CK t env tkS L e-
2.
Additional names on page of document.
Grantee(s) (Last name,first,then first name and initials):
THE CITY OF ANACORTES
Legal description
(abbreviated: i.e. lot, block, plat or section,township, range):
3 al ((0+`
Additional legal is on page of document.
Assessor's Property Tax Parcel/Account Number:
T 5 c
The Auditor/Recorder will rely on the information provided on the form. The staff will not read the
document to verify the accuracy or completeness of the indexing information provided herein.
COVENANT FOR OWNER OCCUPANCY
This Covenant for Owner Occupancy("Covenant") is entered into by the undersigned owner(s) of real
property legally described in Exhibit A hereto, in the favor of the City of Anacortes as required for the
issuance to the owner(s) of a permit allowing the construction and/or use of an accessory dwelling unit
on the property described in Exhibit A hereto ("th property").
v 10 WO L-,0 YEr i L 1 agree(s) as
follows:
1. That he/she/they are the owner(s) of the property located in Anacortes, Washington at
177 164- zei , and legally described
in Exhibit A, and that there are no other owners;
2. That he/she/they applied for a permit to construct and/or use an accessory dwelling unit on the
property pursuant to Anacortes Municipal Code (AMC) 19.47.030 and make(s)this covenant as
required by AMC 19.47.030(C)(10);
3. That the owner(s) of the property will restrict the use of the principal and accessory dwelling
unit on the property in compliance with the requirements of AMC 19.47.030;
4. That the owner with at least a 50 percent interest in the property will occupy either the principal
dwelling unit or the accessory dwelling unit for six or moths of each calendar year as the
owner's principal residence, unless a waiver has been applied for and granted by the City of
Anacortes Planning, Community& Economic Development Department (PCED);
5. That if the owner(s) of the property are unable or unwilling to fulfill the requirements of AMC
19.47.030 for owner occupancy, then the owner(s)will remove those features of the accessory
dwelling unit that make it a dwelling unit, as determined by PCED, including but not limited to
removing electrical and plumbing fixtures and connections;
6. That this covenant shall run with the land and be binding upon the property owner(s),
his/her/their heirs and assigns, and upon any parties subsequently acquiring any right, title or
interest in the property;
7. That the undersigned owners and their heirs, successors and assigns will inform all prospective
purchasers of the property of the terms of this Covenant; and
8. That this Covenant will be recorded by the owner(s) in the real estate records of the Skagit
County Auditor's Office as a deed restriction, prior to issuance of the permit allowing
construction and/or use of an accessory dwelling unit on the property.
Owner Signature Owner Signature
Owner Signature Owner Signature
STATE OF WASHINGTON )
COUNTY OF SKAGIT )
, '
On this 2--Lc day of� &C , 20 2—Q , before me, a Notary
Public in the State Washington, duiy commissioned and sworn, personally appeared
'r fC.EL/1 CQ'1 personally known to
me (or proved to me on the basis of satisfactory evidence) to be the person who executed this
instrument and acknowledged it to be a free and voluntary act and deed for the uses and purposes
mentioned in the instrument. IN WITNESS WHEREOF I have set my hand and official seal the day and
year first above written.
(signat, - .2 pate)
w/Lcui1/440
(print or type name) L)--,- —CC--)-
`` `\J�Q ....Hri�����'1/
G.' \RES �,
NOTARY PUBLIC in and for the State of Washington .�_`i°A •e'• '
a
Residing at �� ' - . =N.zw. m Av V.1;_=
�. •'bob • ,QJ c�`9S. ,:c
••. CAS. VC�a
•
•
My commission expires 2 Z'� �3 �����'i„,'/i���niis-N,0
EXHIBIT A
Lots 8,9 and 10,Block 91,"MAP OF THE CITY OF ANACORTES,SKAGIT COUNTY,
WASHINGTON,"as per plat recorded in Volume 2 of Plats,pages 4 through 7,records of Skagit
County,Washington.
Situate in the City of Anacortes,County of Skagit,State of Washington.
END OF EXHIBIT A
EXHIBIT A TO OWNER OCUPANCY COVENANT
COMPLETE LEGAL DESCRIPTION OF PROPERTY SUBJECT TO COVENANT
LEGAL DESCRIPTION:
-k 4,1_4
�31�] I
G1TY0
IPLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT
4COS
December 27th, 2019
Nicholas Andrich
1317 16th ST
Annacortes, WA 98221
RE: Permit BLD-2019-0817
Address: 1317 16th ST
Dear Sir:
Thank you for the submittal of your Building Permit application. The Building Department
has reviewed the Building Plans for structural deficiencies and has determined that additional
information is required in order to proceed. Additional specialties within the Planning,
Community, and Economic Development Department may have other outstanding concerns.
Please provide the following information as soon as possible so that we may continue the
review process:
1. Braced wall line B on floor 1 (garage)has inadequate length of braced wall panels for
the length of the wall. Prescriptive design does not include double sided/sheathed
portal frames. Please revise design within prescriptive parameters or provide lateral
engineering for this wall.
2. Double joists under East wall at second floor are inadequate to meet the roof loads
from above. Please provide adequately sized members and include calculations.
3. Please indicate water and sewer lines on site plan.
4. Provide approval of utility pole owner for proximity of proposed work to pole base.
If engineering is provided, engineering is to consist of calculations and criteria with a wet
stamp and signature of a Washington State licensed engineer or architect.
Thank you for your attention on these matters and I look forward to working with you on this
project. If you have any questions please do not hesitate to contact me at(360) 588-8297 or
by e-mail at robf@cityofanacortes.org'
Sincerely,ce 204:2444,2....„
76
Rob Frisinger
Plans Examiner
robf@cityofanacortes.org
Office(360)588-8297
Cell (360) 391-1403
My incoming and outgoing email messages are subject to public disclosure requirements per RCW 42.56
City of Anacortes 1904 6th ST,Anacortes,WA 98221 1360-293-1901 I buildingpermit@cityofanacortes.org www.anacorteswa.gov
Cricchio, Kevin
From: Cricchio, Kevin
Sent: Tuesday,January 7, 2020 3:25 PM
To: 'nlandrich@yahoo.com'
Cc: Frisinger, Rob; Oicles, Dave
Subject: ADU Permit Application; BLD-2019-0817 &0818
1-7-20
Hello Nicholas. You recently applied for a two-story accessory building with the garage being on the first floor and an
ADU above it. Please come on in to the Planning Department and pick-up the ADU Covenant and signed findings of fact.
The findings of fact are for your records only while the ADU Covenant needs your notarized signature placed on it. Once
your notarized signature is on it, please record this at the Skagit County Auditor's Office. Once this is done, please
provide a copy of the recorded covenant to me so that your building permit can be issued. Please note that there may
be other persons/departments still reviewing your building permit application. Let me know if you have any questions.
Kevin Cricchio, AICP, ISA, WPIT I Senior Planner I Certified Arborist
Planning, Community & Economic Development Dept.
City of Anacortes I P.O. Box 547 1904 6th Street I Anacortes, WA 98221
360.293.1937 (work) I kevinc@cityofanacortes.org I www.cityofanacortes.org
My incoming and outgoing email messages are subject to public disclosure requirements per RCW 42.56.
1
i AUDITOR'S CERTIFICATE
Filed for record at the request of FairWeather Surveyor.
201904300081 Conformed Copy
Fd.Nun.gurfoce No Mon.Fd.field Oak.
04/30/2019 10:21 All Total Pages: 0 Fees: 9183.00
lion.crak�no8 PoSilionAP.No. Sandra Perkins Auditor, Skagit County, WA
Kirgna&oP/2018 ZfJI t10300069 Pd.PK Nail
(f1dd)osiwie a r
_ 16th Street
S 88'09'58" E 379.73' S 8809'58" E 379.73' — COUNTY AUDITOR
40 40
• • 40 40 l 4
89.91' T 29.974' 40
Typ
o r----
3 2 1 o io 9 8 Obi 7 6 5 4 3 2 1 SURVEYOR'S NOTES:
RO5 4146 201712106074 a
I ^ o„,
Z a � I o L _ I I. Peering Datum. A.F. Nos 201410500064 and #201712010'/�}
N z N
W • • 89.92' co CU
a Z 2,13asis of t3eartq: A.F. No 20410500064
SD
di �v W CD S 8810'38" E N �.
IT .Cc t •-� W 3. Method of Mau mat Location was by Meld Survey.
o • ~• en
14
' IZ aZ �
4. Instremeret Utilized: roPcoN Grs ZUD Seal No, Lc,a3o2
I
Map elf t h� city of I na co ft es Z I a 5.The Field Salley was conducted Mach, 2018. corners Set March 15, 2018.
1
18 19 20 11 12 13 14 15 IOC 16 17 18 19 20 6. Set aid/ a verified the property carers of Nicholas L. Andnch property at 1517
Recorded ¢/01/1890 Ro0IF No.201410360064 -16th Street, Parcel No. 55550.
I 1. Found prvpertti careers of two RO5's as noted; Pucka-'s Fie Nos
40 40 Typ +' I 20141055000654 aid 201712100074.
• • 40
40 8.54vey held street manmentation and Record of'Surveys carers as lard,
N 8811'I7" W 379.64'
_____Lici
9.1his aney was performed to locate the baadarles of Lots 6 -IO, 91. Plat of
0-- N 8811'1 r w 379.78' utiaortes.
PS.Alum.5udorr Fd.PK Nab 17 t h Street la This money locates al a pate°of the exterior bouidary of the described parcel and
lion.(Faking S (Yield)o9/2a18
Kirgno)o,.iwie Pd.Go'c lion clans rat lixessarii show at a-Al easanento, restrictions aid /a-reservations which
,dcoia 0'i2018 na affectthls parcel.FarWeather 5rleepr assumes no resporisibdtty fa any
ernmbrarocs other than those Shown.
Legal I— LEGEND 11.1195 stiwy meteor meals the standards and*delves set forth r,the "Suvey
Reaordtnq Act" 58.09 RCW,The final rewlts meet a exceed the standards
Lot 8 /O, PJlock 9l, Gil)/ of/traeoute5, according to the Plat attained„Wk 532- 090'
thereof, Peeorded in Volume 2 of Plats, Page 4, Pecord of 0 • Pd, Original Gorner ,', a5(larked,
5kogit County, W a5hington, Z 0 PJ, 5tred/nter5ection lion, a5 12.lhis drawtnq Is the property of FairWeather`Swveya and shall not be used fa aiy
noted purpose w1#ptihe written consent of an authorbed agent of FairWeather Surveyor,
S Set Fc0ar ff Gap Cl..-5 No, 19651) WI
1"=40 FEET or corder e noted, IM r
0 20 40 80 'OE 13 2U19 IL)
0111 '0FArtHAefilatE s
r k SURVEYOR'S CERTIFICATE FairWeather Surveyor
�``� 1419- 151hSueec
1` `9,1c� Thismap Y a survey map made by me or wader�Y direction in a�iercetarsue' Anacor s,WA 98221
\ 11t` ? ` with the Survey Recording Act for Nicholas L.Andrich phones:360.70 .7953 cell
360.293.E787Office
i d : .. Weillingtan. �ie10ma c Consultant
. # tr I
:, \' 19897 0 4 ' �- AUDITORS INDEXING DATA
o�'AL�sN99 ��� I / '50 f IS NE of SECTION TOWNSHIP RANGE
looms li co24 35 1
, -, Professional ." urveyor,L. .No. ' .37 Date
the NE NORTH EAST