HomeMy WebLinkAboutPermit File BLD-2020-0052 1414 10th Street Cityof Anacortes
Invoice/Permit#: BLD-2020-0052
904 6th Street
Applied date: 01/30/2020
N1"6114111.11011ftwr P.O.Box 547
K►`�' Anacortes, WA 98221-0547 Issue date: 01/30/2020
Expire date: 07/28/2021
W° / (360) 293-1901
011
Job Address: 1414 10TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-1924 Project:
APN: P55723
Remarks: Replace siding on North and West side of home with Nardi plank siding, and replace 3 windows on south side of home
with U-rating 0.30 or better.
Owner: AARON HOWELL Contractor: NICOLO BRUNO CONSTRUCTION
Address: 1414 10TH ST Address: 1885 FORT NUGENT RD
ANACORTES WA 98221-1924 OAK HARBOR WA 98277-8884
Phone: (360)293-4584 Phone: (360) 969-1551
License#:
General Information: Fees:
Building Valuation 14329 Building Permit Fee 251.25
Plan Review Fee 163.31
State Building Code Fee Resi 6.50
Total Calculated: 421.06
Deposits/Receipts: 0.00
Total Due: 421.06
Permits and Insp...- BLD-2020-0052-2020
020039-0066 Erin Wil... 01/30/2020 03:27PM
11115}26-NICOLO�BRUNO CONSTRUCTION/� � t �i r '�
THIS 2PERMIT2BtbMg��IIULrANu/R7lur IFrWORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
67Atelrkt5tIfit9N OR WORK 4 1SVSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREEV112EFtiElfirTHAT I HAVE1R1 AD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
S D ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHE: SPECIFIED HEREIN OR NOT, THE
d IJG OF RMIT ES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL T - -ROV.SIONS OF ANY OTHER STATE OR
LOCAL LAW RE U TIN C STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OW R OR HORIZE GENT ISSU
Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
'P I�t�^. ry
Mailing Address:P.O. Box 547, Anacortes, WA 98221 (((r.? `3 1':l I
1.
it Office Location:904 6th Street, Anacortes WA 98821 I�%
w� Phone: (360)293-1901 JAN 3 0 2020 0
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION
1. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
/014 S7' -e t
Subdivision/Lot#: Zoning Designation: Lot area (size):
sq.ft.
2. TYPE OF PROJECT
❑ New SFR 0 New Accessory Dwelling Unit: 0 Deck/porch (new/repair)
❑ New Duplex 0 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)
TL Other:
Projectel Summary:
/''FW % /E SI ct,JN/G. oN Wd/Lt l(,LEST Sid E oF1(CQ f Zmie&koom4"i"✓doW ,QE ive,tiT
/`f 371g.do IWO W5 u v,Rf-si
Project Valuation: $ O. 30 VJ LRE)
3. PROPERTY OWNER INFORMATION
Name:ifb" /ii Mate.L - Phone:
-I FS- Aidi A- Pt L.PS 360 --a9 3-ik 5 g 5�
Address(Street,City,State,Zip): Email Address:
/4l io fh S7= f}ii/#Coittes Ai- '7CP/ PEIU6kgd CoFFe E 6alm con-.
4. CONTRACTOR INFORMATION
.*
N cO la Ageort co/esThi
cur/ Phone
96 9/SS/
Contractor's Business Licenses State License#: City License if: ci4/
*All Contractors&Subcontractors must have a valid City Al rcp L19 cj j o Al 6 0 1-i0`/ -S(0 3
of Anacortes business license prior to doing work in the Expiration Date: Expiration Date:
City. ke 5 g—a/—lox/ / - aoxi
Address(Street,City,State,Zip): Email Address: fijKCitt S cDo I(M 74
5. C0 TN ACT PERSONd �Mc � Lr4 7)
rf%ce (sD NY/to
Select one person the city will contact for anything
related to this project: ❑ Applicant ❑ Property Owner FP-.Contractor
❑ Other(list below)
Name: c,D to /,3/1y#o Phone: 3 ba_9�
Address(Street,City,State,Zip): Email Address:
l 8 gs cT uuaElir i)KCftfek.tto 2 CT m C,9 4'F r
OA'K ,4oaL GJ4- 9Sa77
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 5 of 18
GAT y PLANNING,COMMUNITY,& ECONOMIC DEVELOPMENT DEPARTMENT
r _
Mailing Address: P.O. Box 547,Anacortes, WA 98221
Office Location:904 6th Street,Anacortes WA 98821
�4w� Phone:(360)293-1901
COR
6. LENDER INFORMATION
RCW 19.27.095 requires the City to obtain information with regard to lenders. If there are no lenders involved with y..r project,
write"no lenders"on the Name Line below.
Name: Phone:
Address(Street,City,State,Zip): Email Address:
7. ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each of the following statements prior to signing this a •lication:
I understand that when a building permit application is take' in over the counter it does not mean
the application has been deemed technically complete an,. sufficient for staff review.
I understand that if I submit ince mp e,in curate, nd/or erroneous information it will take the
City longer to process my permi
I understand and acknowled:`• th:t I oul bt responsible for providing as-built drawings(on paper
or electronically)as part of th pr,jec s ce, ificate of occupancy process.
I understand and acknowledg- t•:t Sp-cial Inspections could be required as part of my project,and
if needed I will be required to •ay fo the cost of these inspections.
I understand and acknowledge at financial securities could be required as part of the work I am
completing and I agree to pro is e the items needed for the City to calculate these securities and to
provide the securities them:elves.
I understand that if per. its are reviewed concurrently such as design review,site plan,traffic
concurrency,etc.,an required revisions to one permit may affect the entire plan set and could
add costs and time o the project.
I hereby declare th. I am either the owner of the property listed on this application or the owner of
this property has uthorized me to be their representative to act for them. I also declare under
penalty of pen under the laws of the State of Washington that all of the statements and answers
contained he -in,and the information submitted with this application form is in all respects,true,
correct,an. complete to the best of knowledge and belief.
Signat ref a Date
c. (9iJ)
Printed Name
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 6 of 18
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
o
FORM BP-2: STRUCTURE AND SITE INFORMATION
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS: /tL/T /® 5 ,t_7 ES &) —
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:
AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD
15t Floor:
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 ER 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 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.
Res. Building Permit Application Submittal Checklist
Updated October 10,2019
Page 7 of 18
Y r�, PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
`' Mailing Address: P.O. Box 547, Anacortes, WA 98221Office Location:904 6th Street, Anacortes WA 98821
"., Phone: (360)293-1901
D. Are there critical areas or buffers on or abutting (within 300-feet of)the ❑ YES 4fla 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 ❑ 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 '..rNO
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 t6 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 submitted with this application form is in all respects,true, correct, and
complete to the best of knowledge and belief.
Signs r Date
Printed Name
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 8 of 18