HomeMy WebLinkAboutPermit File BLD-2020-0746 4122 Clyde Way (2) ..tip.•:., 1
" O' < Cityof Anacortes
Invoice/Permit #: BLD-2020-0746
904 6th Street
Applied date: 12/01/2020
"1"110111111e1111 P.O.Box 547 Issue date: 12/01/2020
' :' Anacortes, WA 98221-0547
1$91 a.. Expire date: 05/30/2022
:1st
Job Address: 4122 CLYDE WAY Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3240 Project:
APN: P59992
Remarks: Remove old roofing material and replace with Class A Composition shake, 27 squars
Owner: DAVID & BETSY DIAMOND Contractor: MT BAKER ROOFING
Address: 4122 CLYDE WAY Address: 3950 HOME RD
ANACORTES WA 98221-3240 BELLINGHAM WA 98226-9147
Phone: (949) 244-9609 Phone: (360) 733-0191
License #: MTBAKR1055ML
General Information: Fees:
Occupancy Group r-3 Building Permit Fee 167.25
Building Valuation 8750 State Building Code Fee Resi 6.50
Total Calculated: 173.75
Deposits/Receipts: 0.00
Total Due: 173.75
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Permits and Insp... - BLD-2020-0746 — 2020
T}-e i e r. tin j th j� g I of be construed to be a permit for, or approval of, anyviolation of this Code or anyother ordinance or order of
9 t ,"tff'tir gtd't6'otgfiede arraw,or''off a y order, proclamation, guidance advice or decisionof the Governor of this State. To the extent the issuance or
ti3ktingkiirtRiAlOblinfilWIFfggreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
Ettc r qqm p46oRciftrod7rgpil 0�{JBR :gagAaivice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
xalid. T build.pg official ;is q , grrzed to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
Tt • tfoB9W?y other ordina c executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
lhenGstenckmmbetbuilding oflli3i l7rs authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
tywyji.KatelobOomplete 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 examined-tlit application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT D B •
-0}' O PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
Alike
R17=ROOF PERMIT APPLICATION
74, Mailing Address:P.O. Box 547, Anacortes, WA 98221
_?c081' Office Location: 904 6th Street,Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
RESIDENTIAL 0 COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
4122 Clyde Way, Anacortes, WA, 98221 P59992
Subdivision/Lot#: PROJECT VALUATION$
$8,750.00
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:
David Diamond 949.244.9609
Address(Street,City,State,Zip): Email Address:
same as project address ddi4mond@gmail.com
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 emilyking(a,mtbakerroofing.com
Contractor's License# Exp.Date:
*All Contractors&subcontractors must have a valid City of 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: Remove current roofing and replace with 1 layer of roofing
TYPE OF ROOFING:Composition NUMBER OF LAYERS:
CLASS OF ROOFING: IA A ❑ B ❑ C NUMBER OF SQUARES:27
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 Id Other 0 (specify): Employee MBRI
Signature: Emily King Date: 11.30.20
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