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Home My WebLink AboutPermit File BLD-2020-0197 5010 Doon Way Y C, _ Cityof Anacortes Invoice/Permit #: BLD-2020-0197 904 6th Street Applied date: 04/21/2020 P.O.Box 547 Issue date: 04/21/2020 Anacortes, WA 98221-0547 1$91 Expire date: 10/18/2021 Job Address: 5010 DOON WAY Permit Type: Reroof Single Family Residence ANACORTES WA 98221-2908 Project: APN: P59723 Remarks: REMOVE OLD CEDAR SHAKE ROOFING AND REPLACE WITH NEW 30-YR PABCO PREMIER CLASS A COMP ROOFING. Owner: BAILEY-HUDEC GLADYS TRUST Contractor: OWNER Address: 5010 DOON WAY Address: ANACORTES WA 98221-2908 Phone: Phone: License #: General Information: Fees: Occupancy Group it-1 Building Permit Fee 181 .25 Building Valuation 10000 State Building Code Fee Resi 6.50 Total Calculated: 187.75 Deposits/Receipts: 0.00 Total Due: 187.75 The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and ex ed-ris application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE 45-Nr t I I*4"441relfalr , r V74:4100#0,),.‘ity - 4 -714.0"Vr4i c) 9- finance Department 020151-0015 Erin W . 04/22/2020 10NAM PERMITS AND INSPECTIONS BAILEY-HUDEC GLADYS TRUST BID-2020-0197 Reroof Single Family Residence REMOVE OLD CEDAR SHAKE ROOFING AND REPLA issued 2020 Item: BLD-2020-0197 Building Permit Fee 181 .25 State Building Code Fee Resi 6,50 Payment Id: 280170 187.75 Subtotal 18135 Total 187,75 03F1N DEBIT NUT FEE 18/ .75 Vise ************5915 Ref-7.41959157786 Auth=029031 5915 Change due 0.00 Paid by: BAILEY-HUDEC GLADYS TRUST 11111111011111111111111111111111111111111 Signature: Thank you for your payment COPY DUPLICATE RECEIPT 0 �° r�� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT ` . 1► RE-ROOF PERMIT APPLICATION 7tiw Mailing Address: P.O. Box 547, Anacortes, WA 98221 4colt 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 z PROJECT ADDRESS Street,Suite#): II rr PARCEL(s)#: �'(o� i LE. Subdivision/Lot#: PROJECT VALUATION 6:2 APPLICANT: ' kJ Phone: , kij ,.:-__J 07-Nrce)Ai Tql -z(,A.2 - q7,57/?- Address(Street,City, State,Zip): Email Address: 6-0 ro DC/Li - �u/wes t r. .t( ,{0,ii PROPERTY OWNER: Phone: CAL'Afl' s IIIUptvt (M)-9 1e1 5o+4 Address(Street,City, State,Zip):/ Email Address: 1 c)Gt ine....-) ilil biAtkeC.€1,) vvtpl.e , Le,o--t CONTACT PERSON: Phone: l-XpI Address(Street,City, State,Zip): Email Address: CONTRACTOR:* iLI �� Phone: Address(Street,City, State,Zip): " I, Email Address (61-S G-w e✓�) *All Contractors&subcontractors must have a valid City of Contractor's License# Exp.Date: Anacortes business license prior to doing work in the City. Business License#: Exp.Date: Contact the City's Finance Department at(360)299-1968. PROPOSED WORK: 24/i `• a )/` , fib'\L7't NA L On: :. KE- OPl KAl ii►ki 11.1 ?i�ACg) Fr�a—T I, A !� ! v, y r MAP, Y '`tAU�C:c,- <, ' i2 1 TYPE OF ROOFING: / et gels co,*71 NUMBER OF LAYERS: / CLASS OF ROOFING: i A ❑ B ❑ C NUMBER OF SQUARES: .5 `j 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 f Anacortes.. Print Name: 11..)X 4 (__)a ti'se9Ai Owner ❑ Other C'�(specify): 5(-'"l Signature: 6.0 Glr d/l,....---- Date: 2(-7/4.?U Page 1 of 2 0 Y O PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT LAIMIW RE-ROOF PERMIT CHECKLIST 74q �� Mailing Address: P.D. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 293-1901 RE-ROOF: OCCUPANCY GROUP: ❑ OFFICE ❑ CHURCH ❑ SCHOOL ❑ RETAIL ❑ RESTAURANT INSTALLING OR REPLACING SHEATHING: ❑ YES NO WORK SCHEDULED TO BEGIN: 4,/ p WORK SCHEDULED TO END: MA( y / ROOF SQUARE FOOTAGE: L-rp-icvx 5 PERMIT TYPE: n O b SUBMITTAL REQUIREMENTS: a �. The number indicates the number of (q a CD a copies for submittal(if applicable). e n 2. m eD AD O0' eD o q rn C M Re-Roof Permit Application 1 1 Site Plan 1 Pedestrian Safety Plan 1 Installation Specifications and U.L.Listed Roof Assembly 1 4.1/4 Building Inspection Prior to Work-When Deemed Necessary Final Inspection&Approval once Re-Roof is Complete-Performed ✓ ✓ 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. Page 2 of 2