HomeMy WebLinkAboutPermit File BLD-2020-0468 2021 12th Street •
0 : _ Cityof Anacortes BLD-2020-0468
Invoice/Permit #: BLD 2020 0468
904 6th Street
Applied date: 08/07/2020
P.O.Box 547 Issue date: 08/07/2020
Anacortes, WA 98221-0547
:tt''' :.- Expire date: 02/03/2022
(360) 293-1901
Job Address: 2021 12TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-2005 Project:
APN: P31864
Remarks: INSTALL NE\N FIBER CEMENT SIDING AND REPLACE WINDOWS. WINDOWS WILL REQUIRE A U-FACTOR OF .30
OR BETTER... .28 IS BETTER.
Owner: DAVID TALON Contractor: OWNER
Address: 2021 12TH ST Address:
ANACORTES WA 98221-2005
Phone: (305) 877-7597 Phone:
License #:
General Information: Fees:
Building Valuation 7500 Building Permit Fee 153.25
Plan Review Fee 99.61
State Building Code Fee Resi 6.50
Total Calculated: 259.36
Deposits/Receipts: 0.00
Total Due: 259.36
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 aumorize 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 examin application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
- ,
fironc6 Hepowent
020'.101,r11101 Inn W. 011/21/)ffz0 UM
PLRHW,.i AND EN3Pi-ClION3
DAVID TALON
EiLD-202o-04b8
Single FdfflilY
Alteration/Rewili Peimit
INSIALL NEW [MAR CEMENT
SIIIING AND REP
i5Floed
2020 linm: BIO-2020-0468
Building PerMit Fee 153.2L-J
Plan Review Fee 99,61
State BnildiDO Code Fee
Resi 6.50
Mechanical Pe[mit Fees 0,00
Plomhinu Peimit Fee 0,00
Payment fd; 291321
259,,36
Sublotal 259.36
Total 259,36
03E1N DEB I ! MU 1 itf 259.36
ViSd ****S.4 044'442 117
Ref21218123/1553
AntEr,11.98349
21/7
1
Change due 0,00
Paid h DAVID TALON
1011 111111 IND 11411 111
Signature
hank yoU IC) vonr payment
COPY
DUPLICATE RECEIPT
y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
e Mailing Address:P.O. Box 547,Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
4 claw? Phone: (360)293-1901
ARM $P- 4 RESIDENTIAL Bulu NG pERmiTApI cg N
L. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
2021 12th st p31864
Subdivision/Lot#: Zoning Designation: Lot area (size):
7,884 sq.ft.
R3
2. TYPE OF PROJECT
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
❑ New Duplex ❑ 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)
X Other:
Project Summary:
fiber cement siding replacement, and a window replacement
Project Valuation: $ 7500
3. PROPERTY OWNER INFORMATION
Name: Phone:
David Talon 305-877-7597
Address(Street,City,State,Zip): Email Address:
2021 12th St Dtalon310@gmail.com
4. CONTRACTOR INFORMATION
Name:* Phone:
No Contractor
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 ❑ Property Owner ❑ Contractor
related to this project: Other(list below)
Name: David Talon Phone: 3058777597
Address(Street,Cily,Slate,Zip): Email Address:
2021 12th St Dtalon310@gmail.com
Anacortes, WA, 98221
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
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