HomeMy WebLinkAboutPermit File BLD-2021-0015 3816 Fidalgo Bay Road 0 r.. City of Anacortes Invoice/Permit #: BLD-2021-0015
904 6th Street
Applied date: 01/05/2021
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P.O.Box 547 Issue date: 01/05/2021
Anacortes, WA 98221-0547
'' (360) 293-1901
1891 1- Expire date: 07/04/2022
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Job Address: 3816 FIDALGO BAY RD Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-9611 Project:
APN: P33100
Remarks: REPLACE 2 FRONT ENTRY DOORS, LIKE FOR LIKE, PRE-HUNG.
Owner: GRAHAM & MARGARET READ Contractor: NW EXTREME INSTALLERS INC
Address: 3816 FIDALGO BAY RD Address: 8800 SE SUNNYSIDE RD
STE 315-S
ANACORTES WA 98221-9611 CLACKAMAS OR 97015-5703
Phone: (360) 299-8506 Phone: (971) 803-7151
License #:
General information: Fees:
Flood plain development N Building Permit Fee 111 .25
Building Valuation 4500 Plan Review Fee 72.31
State Building Code Fee Resi 6.50
Total Calculated: 190.06
Deposits/Receipts: 0.00
Total Due: 190.06
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 exa this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED
' PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�l�y
Mailing Address: P.O. Box 547,Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360)293-1901
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION
1. PROPERTY INFORMATION
Project Address(Street,Suite if): Assessor Parcel Number:
3816 FIDALGO BAY ROAD Anacortes, WA P33100
Subdivision/Lot#: Zoning Designation: Lot area (size):
Lot 7 0.8200Acre sq.ft.
2. TYPE OF PROJECT
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
❑ New Duplex 0 Attached to Primary Unit 0 Interior remodel
❑ Detached from Primary Unit
❑ New Addition to SFR ❑ Garage,carport or accessory building 0 Fence or retaining wall
or duplex (new/repair)
❑ Other: Like for like entry door replacement with no structural modifications.
Project Summary: We will be replacing(2)entry doors in a like for like sizing manner,no structural modifications to be
made.Entry doors will be installed as a pre-hung unit.Doors to be installed plumb,level and square.All
exterior trim to be caulked from unit to siding with exterior grade caulking.Sealed to exterior.
Project Valuation: $4500
3. PROPERTY OWNER INFORMATION
Name: READ GRAHAM A&READ MARGARET J Phone: (425)677-5043
Address(Street,City,State,Zip): Email Address:
3816 Fidalgo Bay Rd,Anacortes,WA 98221 na
4. CONTRACTOR INFORMATION
Name:* NW EXTREME INSTALLERS INC Phone: 971-803-7151
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City NWEXTEI882NL obtaining it
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 es Applicant ❑ Property Owner 2 Contractor
related to this project: ❑ Other(list below)
Name: Leann Malloy Phone: 971-803-7151
Address(Street,City,State,Zip): Email Address:
8800 SE Sunnyside Rd 315s permitting@premierservicegrp.com
Clackamas, OR 97015
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 5 of 18
y PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
• 1 ., Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
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: no lenders Phone:
Address(Street,City,State,Zip): Email Address:
7. ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each of the following statements prior to signing this application:
LM I understand that when a building permit application is taken in over the counter it does not mean
the application has been deemed technically complete and sufficient for staff review.
LM I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the
City longer to process my permits.
LM I understand and acknowledge that I could be responsible for providing as-built drawings (on paper
or electronically) as part of the project's certificate of occupancy process.
LM 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
LM 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
LM concurrency, 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.
Le- W� 12/28/2020
Signature I Date
Leann Malloy
Printed Name
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 6 of 18
front of house
front/side deck
Red boxes indicate placement of new entry doors. Site Address: 3816 Fidalgo Bay Rd,Anacortes,WA 98221
We will be replacing (2) entry doors in a like for like sizing manner, Parcel: P33100
no structural modifications to be made. Entry doors will be Owner: READ GRAHAM A &READ MARGARET J
installed as a pre-hung unit. Doors to be installed plumb, level and Owner Address: 3816 Fidalgo Bay Rd,Anacortes, WA 98221
square. All exterior trim to be caulked from unit to siding with
exterior grade caulking. Sealed to exterior. Applicant:
Leann Malloy
Premier Services Group
NW EXTREME INSTALLERS INC