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HomeMy WebLinkAboutPermit File BLD-2020-0452 1116 Longview Avenue Y 0 _ Cityof Anacortes Invoice/Permit #: BLD-2020-0452 904 6th Street Applied date: 08/03/2020 P.O.Box 547 Issue date: 08/04/2020 j +' Anacortes, WA 98271-05d7 91 Expire date: 011 1/2022 _fr (360) 293-1901 Job Address: 1116 LONGVIEW AVE Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3911 Project: APN: P57863 Remarks: REPLACE SIDING ON SOUTH SIDE OF HOME AND PARTIAL SE SIDE, WITH HARDIPLANK. Owner: DAVIS RICHARD M Contractor: OWNER Address: Address: Phone: Phone: License #: General Information: Fees: Building Valuation 1000 Building Permit Fee 38.75 Plan Review Fee 25.19 State Building Code Fee Resi 6.50 Total Calculated: 70.44 Deposits/Receipts: 0.00 Total Due: 70.44 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 t;overnor 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 e ine this application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B , Rlisollorar/ \ \ , . . . , I' rn , • , !,"7"'llearr Z , , . r7112.0 O4/tW-414- err Finance Department 020280-0197 Erin W. 08/04/2020 0319PM .,t-Z- PERMITS AND INSPECTIONS DAVIS RICHARD M BLD-2020-0452 1 Single Family . 5-E,litid. air FajA,20_ 1 ____ Alteration/Repair Permit REPLACE SIDING ON sato II 1 1,6 Lagiv2/19-0, e j aaai..01443 - SIDE OF HOME AND f'n-0-71 , issued r ) 2020 Item: BLD- 020-0452 t-t-Ufh5- Building Permit Fee 38.75 Plan Review Fee State Building Code Fee 25.19 . en) Resi 6.50 del c) 1, _t i ciA P., hOT-Mtlil, COW-. Mechanical Permit Fees 0.00 Plumbing Permit 4__ Pay Fee 0.00 ment Id: 289667 70.44 ' -SLek-of—k— yoz,U , Subtotal 70.44 FEE To 1.06 71,50 ' 03FINANCE CREDIT CARD 71 .50 Visa 0004447222 Ref.z..42156150394 Auth41193D 7222 1 1 . 1 „ Change due 0,00 Paid by: LINDA DAVIS IINIMEINIMEEffin Signature: Thank you fur your payment COPY DUPLICATE RECEIPT y o PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT C Mailing Address:P.O. Box 547,Anacorr s, A •r$22�/ t Office Location:904 6th Street,Ana t. ° `: 1`.'I r 11' `' Phone: (360)293-1901 .4 ��'�° AUG 0 $ 2020 LI) - 20�. - D c2 ', FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLUCATION 1. PROPERTY INFORMATION Project Address(Street,Suite#): Assessor Parcel Number: 11Vc L 010611 rk Ue , 3' O2-- bO'- , oIS 009_q `Subdivision/Lot#: 3 Zoning Designation: Lot area (size): 1�li�J LDS ILA fa). ®QI b 0 5 0 )( (©d sq.ft. 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) Other: Project Summary: Project Valuation: $ I 0(V) 3. PROPERTY OWNER INFORMATION Name: Phone: Ad re Street,Cit ,St i Email Address: Oct aU.sr tc.-h hoT t i, con-t 4. CONTRACTOR INFORMATION Name:* Phone: OUNI)C R 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 ❑ Contractor related to this project: ❑ Applicant v Property Owner El Other(list below) Name:()\Ic-, propro3 Phone: 5 0g t 7q q r! —/ Address(Street,City,State,Zip): Email Address: Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 5 of 18 -cZ y o4., PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address:P.O. Box 547,Anacortes, WA 98221 Office Location:904 6th Street,Anacortes WA 98821 K.' 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: 14Yill Phone: Address(StreeCity,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 fthe application has been deemed technically complete and sufficient for staff review. _tip__ 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 c-r or electronically)as part of the project's certificate of occupancy process. (p.„, 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. I understand and acknowledge that financial securities could be required as part of the work I am r 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 iconcurrency,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. ,A47 6?-00" fifrelilb Signature Date L1&off DM)) s Printed Name Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 6 of 18