HomeMy WebLinkAboutPermit File BLD-2021-0196 1219 6th Street Z Y City of Anacortes Invoice/Permit#: BLD-2021-0196
904 6th Street
• Applied date: 03/19/2021
P.O.Box 547
Issue date: 03/19/2021
'O t Anacortes, WA 98221-0547
Expire date: 09/15/2022
Job Address: 1219 6TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-1721 Project:
APN: P55399
P55400
Remarks: REMOVE CURRENT ROOFING AND REPLACE WITH ONE LAYER CLASS A COMPOSITION ROOFING,22 SQUARES.
Owner: PETER OREB REVOCABLE TRUST Contractor: MOUNT BAKER ROOFING
Address: 2515 PUGET WAY Address: PO BOX 31100
ANACORTES WA 98221-4050 BELLINGHAM WA 98226
Phone: (405)812-6825 Phone: (360)733-0191
License#:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 237.25
Building Valuation 13018 State Building Code Fee Resi 6.50
Total Calculated: 243.75
Deposits/Receipts: 0.00
Total Due: 243.75
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 this application and know the same to be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT
ISSUED Y
G� o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
A RE-ROOF PERMIT APPLICATION
k\tr47. Mailing Address:P.O. Box 547, Anacortes, WA 98221
cow 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 ❑ COMMERCIAL
PROJECT ADDRESS(Street,Suite#1: PARCEL(5)#:
1219 6th St, Anacortes, WA, 9 221 P55400
Subdivision/Lot#: PROJECT VALUATION$
$13,018.00
APPLICANT: Phone:
Mt. Baker Roofing Inc 360.733.0191
Address(Street,City, State,Zip): Email Address:
PO Box 31100, Bellingham, WA, 98228 emilyking@mtbakerroofing.com
PROPERTY OWNER: Phone:
Peter Oreb 405.812.6825
Address(Street, City, State,Zip): Email Addres :
2515 Puget Way, Anacortes, WA, 98221 pdoreb agmail.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
PO Box 31100, Bellingham, WA, 98228 emilyking@mtbakerroofing.com
Contractor's License# Exp.Date:
*All Contractors& subcontractors must have a valid City of MTBAKR1055ML 05/2022
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 02/2022
PROPOSED WORK: Remove current roofing and replace with 1 layer of new roofing
TYPE OF ROOFING:Composition NUMBER OF LAYERS:2
CLASS OF ROOFING: O A ❑ B ❑ C NUMBER OF SQUARES:22
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 Other ❑ (specify): Employee MBRI
Signature: Emily King Date: 3.17.21
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Gti ' o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
RE-ROOF PERMIT CHECKLIST
�� w7. Mailing Address:P.O. Box 547, Anacortes, WA 98221
7coR: Office Location: 904 6 Street, Anacortes WA 98821
Phone: (360) 293-1901
RE-ROOF:
OCCUPANCY GROUP: ❑ OFFICE ❑ CHURCH ❑ SCHOOL ❑ RETAIL ❑ RESTAURANT
INSTALLING OR REPLACING SHEATHING: 1 YES ❑ NO
WORK SCHEDULED TO BEGIN:March 2021
WORK SCHEDULED TO END:April 2021
ROOF SQUARE FOOTAGE:
PERMIT TYPE:
7
SUBMITTAL REQUIREMENTS:
The number indicates the number of
copies for submittal(if applicable). 2
—
o
� o `c
Re-Roof Permit Application 1 1
Site Plan 1
Pedestrian Safety Plan 1
Installation Specifications and U.L. Listed Roof Assembly 1
Building Inspection Prior to Work-When Deemed Necessary
Final Inspection&Approval once Re-Roof is Complete-Performed
by City of Anacortes' Building Inspector'
NOTES:
1. The applicant is responsible for providing a method of safely accessing roof for inspection. Please call(360)
293-1901 to schedule an inspection.
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