HomeMy WebLinkAboutPermit File BLD-2020-0746 4122 Clyde Way (3) Y o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
( RE-ROOF PERMIT APPLEICATION
t 7yr�� Mailing Address:P.O. Box 547, Anacortes, WA 98221
\ 11110gcoR� Office Location: 904 6th Street,Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
121 RESIDENTIAL ❑ 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 c(r�.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:1
CLASS OF ROOFING: VA ❑ 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 VI Other ❑ (specify): Employee MBRI
Signature: Emily King Date: 11.30.20
Page 1 of 2
0' Cityof Anacortes• Invoice/Permit #: BLD-2020-0746
904 6th Street
\ Applied date: 12/01/2020
P.O.Box 547 Issue date: 12/01/2020
Anacortes, WA 98221-0547 Expire date: 05/30/2022
2-441
L,.
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
•
•
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 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 tht" application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT D B •
CITY OF ANACORTES
BUILDING DEPARTMENT ' 0, INSPECTION CARD
9cgR (Card to be on job site at all times)
(360) 293-1901
Job Address: 4122 CLYDE WAY APN: P59992 Permit#: BLD-2020-0746 Issue date: 12/01/2020
Permit Type: Reroof Single Family Residence Expire date: 05/30/2022
Remarks: Remove old roofing material and replace with Class A Composition shake, 27 squars
Applicant: Contractor: Owner: Lender:
MT BAKER ROOFING MT BAKER ROOFING DAVID& BETSY DIAMOND
3950 HOME RD 3950 HOME RD 4122 CLYDE WAY
BELLINGHAM, WA 98226-9147 BELLINGHAM WA 98226-9147 ANACORTES WA 98221-3240
(360) 733-0191 (360) 733-0191 (949)244-9609
License#: MTBAKR1055ML
Inspection: Date: 'n;Pt,asrs Inspection: in:Peomr�5 Comments:
Comments: Date: ,�;t,ai5
Stormwater BMPs* Gas Piping***
Setbacks Rough Ducts&Vents***
Site,Soil&Footings** Vent Termination Clearances
Post Pads** Appliance Installation
1
SIGN FINAL*** Dryer Vent Installation*** INSPECTION CARD for:
Plumbing Ground Work*** Drywall Mechanical,Plumbing,Sign,
Side Sewer*** MECHANICAL FINAL Re-roof,Fence,&Decks
Rough Plumbing*** FENCE FINAL
Drywall Stormwater BMPs* *DO NOT clear,grade,or dig before
Stormwater BMPs inspection passes
Water Line Installation ***
Setbacks
Water Piping Installation*** Site,Soil&Footings** **DO NOT cover with concrete until
inspection has passed
PLUMBING FINAL Post Pads**
Roof Sheathing Nailing*** Deck Framing ***DO NOT cover until signed off
RE-ROOF FINAL BUILDING FINAL