HomeMy WebLinkAboutPermit File BLD-2020-0232 2016 10th Street -Vr Y r Co' y of Anacortes invoice/Pert°rirAt ° o C LD-2020-t'232
- 904 6th Street
f" ApG 6oeci data: 04428/2020
P.O.Box 547 ossue date: 0028/2020
Anacortes WA 98221-0547
:::, 4et 1841 E pore date: 10/25/2021
Job Address: 2016 10TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-1422 Project:
APN: P56122
Remarks: REMOVE CURRENT ROOFING AND REPLACE WITH ONE LAYER OF CLASS A COMP SHINGLES, USING 7
SQUARES.
Ounver: ANDRICH BRET Contractor: MOUNT BAKER ROOFING
Address: 2016 10TH ST Address: 3945 HOME RD
ANACORTES WA 98221-1422 BELLINGHAM WA 98226
Phone: Phone: (360) 733-0191
License #:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 97.25
Building Valuation 3425 State Building Code Fee Resi 6.50
Total Calculated: 103.75
Deposits/Receipts: 0.00
Total Due: 103.75
Permits and Insp... - BLD-2020-0232 - 2020
Tpgr� sue e- r #in f i, e,,r i fthall,,not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
�Si� fir. )� ���
the C:ty, of.any state_or fecieraflaw, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
grai ing Rf { $ rr t R}iRie'fpfff d'to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
fe`derg011fn Ob`Vbr'der_p rQt latnalionilgi idah epadvice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
MOrrj.peAMK frog official is 9413or ed 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
ti r6 G6rf?cf`rrifill building offtEiAl7r@ authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
rnaitiliratelor ili omplete 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 examined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
Y r PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
RE-ROOF PERMIT APPLICATION
ISICIVMailing Address: P.O. Box 547, Anacortes, WA 98221
R � 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)#:
2016 10TH ST P56122
Subdivision/Lot#: PROJECT VALUATION$
$3425
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:
BRET ANDRICH 360.202.3024
Address(Street,City, State,Zip): Email Address:
SAME BRET@COMCAST.NET
CONTACT PERSON: Phone:
BRET 360.202.3024
Address(Street,City, State,Zip): Email Address:
BRET@COMCAST.NET
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 CityContractor's License# Exp.Date:
o f 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:2
CLASS OF ROOFING: VA ❑ B ❑ C NUMBER OF SQUARES:7
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: Katy Mount Owner ❑ Other ❑ (specify):
Signature: Katy L Date:
Page 1 of 2