HomeMy WebLinkAboutPermit File BLD-2020-0545 1605 35th Place 8. 0 Cityof Anacortes
Invoice/Permit #: BLD-2020-0545
904 6th Street
_ P.O.Box47 Applied date: Q9/11/2020
a f J issue,date: 09/11/2020
r ,q,n-. �... .:....•, :'V,a 98'72 i .u;'�'l
18,3, Expire date: 03/1012022
Job Address: 1605 35TH PL Permit Type: Reroof Single Family Residence
ANACORTES WA 982.21-3333 P,of ct:
APN: P32052
Remarks: REMOVE CURRENT ROOFING AND REPLACE WITH ONE LAYER OF COMPOSITION CLASS A ROOFING, 32
SQUARES.
Owner: KENTH & CHARLEEN FORSMAN Contractor: MOUNT BAKER ROOFING
Address: 1605 35TH PL Address: 3945 HOME RD
ANACORTES WA 98221-3333 BELLINGHAM WA 98226-9147
Phone: (360) 770-6758 Phone: (360) 733-0191
License #:
General information: Fees:
Occupancy Group it-1 Building Permit Fee 181 .25
Building Valuation 9666 State Building Code Fee Resi 6.50
Total Calculated: 187.75
Deposits/Receipts: 0.00
Total Due: 187.75
- �'-D-2����-05�5 - �
i6l�ssifliGn8Pgtan ng o Is ermit shal not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
0,06f ain r 1 Ior 1 ;` f�i (h1e 6P•dfahiq order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
- -TGVU ly2[ZIA ii JA1R iR@���S L.--.;;ow
construction activity Uri n9 any Nor IOd t 1nc Y ce. such
.0 r::trictl G7-, 0 -::: iCtGd by any
sta
te or
-oerai iaY: er clams uo A vice or decision of the Governor of this jtate, this permit shall noi. �uinCriza susr work and shall not be
���... � � rd �l�rc�le�-��i�il���a5��
IAI' 9'i�- kiln o icia au o ze to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
r Octiet Aropti a( other ordinari8g&6executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
%rpRu.R6 o m mbuilding offJ I715 authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
inaccurate Qr2 in omplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
tip&i Q11t46overnor. 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 ex ne this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED Y
-k.°I 1 ,0 . PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
J'ct' RE-ROOF PERMIT APPLICATION
Mailing Address: P.O. Box 547, Anacortes, WA 98221
CQs- Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
0 RESIDENTIAL 0 COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
1605 35th Place, Anacortes, WA, 98221 P32052
Subdivision/Lot#: PROJECT VALUATION$
$9,666.00
APPLICANT: Phone:
Mt. Baker Roofing Inc 360.733.0191
Address(Street,City,State,Zip): Email Address:
3945 Home Rd, Bellingham, WA, 98226 emilyking@mtbakerroofing.com
PROPERTY OWNER: Phone:
Kenth Forsman 360.770.6758
Address(Street,City,State,Zip): Email Address:
1605 35th Place, Anacortes, WA, 98221 frsmn4@comcast.net
CONTACT PERSON: Phone:
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* Phone:
Mt. Baker Roofing Inc 360.733.0191
Address(Street,City,State,Zip): Email Address
3945 Home Rd, Bellingham, WA, 98226 emilykingamtbakerroofing.com
*All Contractors&subcontractors must have a valid City of Contractor's License# Exp.Date
021
MTBAKR1055ML 05/2021
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 02/2021
PROPOSED WORK:
TYPE OF ROOFING:Composition NUMBER OF LAYERS:
CLASS OF ROOFING: VA ❑ B ❑ C NUMBER OF SQUARES:32
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: Emily King Owner iZi Other ❑ (specify): Employee MBRI
Signature: Emily King Date: 9/10/20
Page 1 of 2