Loading...
HomeMy WebLinkAboutPermit File bld-2020-0200 3920 S AvenueFin;ir�ce De�►artmerit 0201fa1-c?ii5? Erin W. /202i] i11 :33PM PElrMITa AiVD IN�sP[C7IGNB DEREI{ L BRITTON BLD1,,+2.020-0200 Sin01e Family All:eration/Repair Permit REPLACE EXISTING DELI{, USING WOOD AND TR issued 202E Item, BLM02.M200 Building Permit Fern 167.25 Plan Review Fee 10831 State Building Code Fee Resi 5.50 Mechar�ic�al Permit Fees 0.00 Plumhin0 Permit Fee 0.00 Payment ldf 80923 282..4fi Srabtcrta1 2ti32.4fa Fee FEE 4.24 Total 286;70 03FINANCE CREDIT CARD 286.lii Ref--41972500993 Auth-05411 D 9315 1 Caharwe due 0.09 Paid by: DERkK L BRI'i'10N 5i0r�at9ar�:� Ti�ank yia;r frar your Caayrrient C0P1" i1UPLICATP RECEIPT City of Anacortes 904 6th Street P.O.Box 547 Anacortes, WA 98221-0547 (360) 293-1901 invoice/Permit #: Applied date: issue date: Expire date: BLD-2020-0200 04/21/2020 04/29/2020 10/26/2021 Job Address: 3920 S AVE Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3647 Project: APN: P58853 Remarks: REPLACE EXISTING DECK, USING WOOD AND TREX DECKING. Minimal dirtwork at existing deck repair. Stormwater submital not required. Owner: DEREK L BRITTON Contractor: OWNER Address: 3920 S AVE Address: ANACORTES WA98221-3647 Phone: (425) 760-9117 Phone: License M General Information: Fees: Use Zone R-2A Building Permit Fee Deck Square Footage 378 Plan Review Fee Building Valuation 9000 State Building Code Fee Resi Occupancy Group it-1 Total Calculated: Lot Area 7405 Deposits/Receipts: Total Due: 167.25 108.71 6.50 282.46 0.00 282.46 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 wigiin.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 e 7 ed this` pplication and know the same to be true and correct. / SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY `rf V PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DE Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6tl' Street, Anacortes WA 98821 Phone: (360) 293-1901 Lo � 1 0 0 2�0 0 1. PROPERTY INFORMATION Project Address (Street, Suite #): Subdivision/Lot#: Zoning Designation. -D 2. TYPE OF PROJECT ❑ New SFR Assessor Parcel Number: Lot area (size): 7�l G S sq. ft. ❑ New Accessory Dwelling Unit ❑ New Duplex ❑ Attached to Primary Unit ❑ Detached from Primary Unit ❑ New Addition to SFR ❑ Garage, carport or accessory building Elor duplex (new/repair) ❑ Other: i APR 212020 E; � � Deck/porch (new .repair) ❑ Interior remodel Fence or retaining wall / Projectjj Summary: � E J'Lr�G� f; x.L.S/Tr�� i" V*tt • f, �/1J J�re r're c1 / �lJ.'G HASC� CAI 0�O/ oLs Project Valuation: $ 00c) 3. PROPERTY OWNER INFORMATION Name: Phone: Address (Street, City, State, Zip): Email Address: Ta•tir'ZiS(: fAC .Ner 4. CONTRACTOR INFORMATION Name:* 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 ® Applicant a Property Owner ❑ Contractor related to this project: ❑ Other list below Name: Phone: cl Z s �FaU i /1 Address (Street, City, State, Zip): Email Address: Res. Building Permit Application Submittal Checklist Updated October 10, 2019 D���,�i©.v Page 5 of 18 C��06 7,yq.�k� 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 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: Phone: ICI � lr Ettr � �z -- Address (Street, City, State, Zip): Email Address: 7. ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: 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. I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the City longer to process my permits. / I understand and acknowledge that I could be responsible for providing as -built drawings (on paper j� or electronically) as part of the project's certificate of occupancy process. 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. understand and acknowledge that financial securities could be required as part of the work I am completing and I agree to provide the items needed for the City to calculate these securities and to provide the securities themselves. 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 information submitted with this application form is in all respects, true, correct, and complete to the best of knowledge and belief. Signature Printed Name Res. Building Permit Application Submittal Checklist Updated October 10, 2019 Date 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 • • •INFORMATION 1. PROPERTY WHERE WORK IS OCCURRING %DDRESSs Z� S • Au f J o c I rU Ac>o4,T4 li✓ %k PARCEL NUMBER(S)Z> 2. DETAILED PROPOSED STRUCTURE INFORMATION Complete the following information as it relates to your project. Mark items that "N A". are not applicable with Structure height: AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD 1'k Floor: 2"d Floor: 3rd Floor: Basement: Garage: Total deck: %LS Total porch: Other: Other: Other: 3. QUESTIONS ABOUT THE PROPOSED STRUCTURE Is a fire sprinkler system being installed? ❑ YES 0 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 to submit a right-of-way permit application. If you have already submitted a ROW permit, list the permit number here: ❑ YES NO Be Is the property located in a flood zone? If yes, list the flood zone designation: ❑ YES EK NO C. Are there slopes in excess of 15% on or abutting the site? If yes, a geotechnical report will likely need to be submitted. ❑ YES NO Res. Building Permit Application Submittal Checklist Updated October 10, 2019 Page 7 of 18 �ry 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 D. Are there critical areas or buffers on or abutting (within 300-feet of) the ❑ YES L"J 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 A1010. C. F. Is your project involving an accessory dwelling unit? ❑ YES d 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 [YNO 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. Signature Date L Printed Name Res. Building Permit Application Submittal Checklist Updated October 10, 2019 P� r4k C�OCf VOC ys' y Q SEA -L, c - ,. ta APR Y 2 m2020 '" ITY OF ANACORTFfi 1 v bU DIRr %Jr WAY AVM _ � S f i I I Vi o Q N = � V \ V i I 'v