HomeMy WebLinkAboutPermit File BLD-2020-0406 3815 Copper Pond •
Y
-'" 0 Cityof Anacortes BLD-2020-0406
invoice/Permit #: BLD 2020 0406
904 6th Street
Applied date: 07/14/2020
P.Q.Box 547 Issue date: 07/14/2020
Ariacortes, WA 98221-0547
t,„: Expire date: 01/10/2022
Job Address: 3815 COPPER POND Permit Type: Reroof Single Family Residence
A.NACORTES WA 98221-1154 Project:
APN: P108211
Remarks: REMOVE EXISTING ROOFING AND REPLACE WITH CLASS A COMPOSITION ROOFING, 27 SQUARES, 1 LAYER.
Owner: ASKEY JOEL S Contractor: VALENTINE ROOFING
Address: 3815 COPPER POND Address: 15314 SMOKEY POINT BLVD
ANACORTES WA 98221-1154 MARYSVILLE WA 98271
Phone: Phone: (360) 502-4519
License #:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 265.25
Building Valuation 15817 State Building Code Fee Resi 6.50
Total Calculated: 271 .75
Deposits/Receipts: 0.00
Total Due: 271 .75
Ti.griAiidiVeirMgraritWecialigit-s3Pafnot be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
tb2C l7f-01Ya Esitatblibr..fgc eitilliVPo72o§gYorder, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
gr ipg t '� ted to allow construction ?�i'vit durinr, nperiod o time when . uch construction isprohibited or restricted b y anystate or
I ��.. /���f`�I�ri� ���r°flaC� Y ., Y S
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fe eral law, or order, pcu arcia .on . u an vice of decision of the Governor of this Stat -, this permit shall not authorize such work and shall not be
alia)- �-i iii� nge6Wia1irig' aut`hroVit zedefo-prevvent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
j� c ;ir ,Qrrttrty:other ordinance io7executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
eaGoarf r taRnpuilding offs 4.fauthorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
iriarc� Q iecurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
d�isiOi :o Qovernor. 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 exa this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
JUL 14 2020
e
cT�' o PLC� OMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
l" _... Y OF ANAGO� RE-ROOF PEPMIT APPLICATION
1.�7 c, Mailing Address:P.O. Box 547,Anacortes, WA 98221
``Z1, 084� Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
1
" 1
r'P[I RESIDENTIAL 0 COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#: n I��Z I
3St5 Cyr Pond coo c, VIA q�s224 i t
Subdivision/Lot#: PROJECT VALUATION$
415, rL.c4
APPLICANT: Va�enl nc I;Uohr Phone:
(3ip-6) 50Z-45i I
Address(Street,City State,Zip): Email Address:
15314 c cv_c_i t int- 'am& Mo vgcvi ftc, WA- 98211 I.ae la e von lrhi,kV vw(,C On')
PROPERTY OWNER: JoC 1 /l5 ke Phone:i3 �(441 -2_vyg9
Address(Street,City,State,Zip): Email Address:
_ 3g15 C1 acr Q rc ArY f-tc IAA H jscks ,/p6ma-;k .00m
' CONTACT RSON: Phone:
(3ix) 5o2-4519
Address(Street,City,State,Zip): Email Adress:
6314 SmoV-A Po - g\kicl. MAI(\S i fte,WA- 9sZ t I kacl&( v� lenfin¢�cloc. Corn
CONTRACTO •* Phone:
\Maithne aOkirtp (369 50 45t9
Address(Street,City,State,Zip): Email Address
153i4 Srnogl Polni- BM. Mav vide, vvR °irn( Me(A.@va.ten tin ercoc. OJrn
*All Contractors&subcontractors must have a valid City of Contrac i- License# Exp.Date:
VA�N�'.zR21-n
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: We W0i -1-cnrC1E Atv2 eXl . Comp �F i 1pe ec risi U1 a ,SImjIGr
rio c \i 1e. f� SIneC,i . n�` vwlit repiae'd cw Iar haard vv,n Ve inc�i wed. A-11
ri off i keita.1 v it be \t l lea a wo',
TYPE OF ROOFING: Cann s j-FM NUMBER OF LAYERS: j
CLASS OF ROOFING: 14 A ❑ B 0 C NUMBER OF SQUARES: 2.1
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: KQP�E, 14C Kee Owner 0 Other K(specify):Pro l t
eer,. ik.nia
Signature: ' i./14, +2u-&.J Date: 'II S!2620
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