HomeMy WebLinkAboutPermit File BLD-2021-0216 3810 Sterling Place Y a City of Anacortes Invoice/Permit#: BLD-2021-0216
904 6th Street
Applied date: 03/22/2021
P.O.Box 547
.. Anacortes, WA 98221-0547 Issue date: 03/22/2021
` (360) 293-1901 Expire date: 09/18/2022
Job Address: 3810 STERLING PL Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-1296 Project:
APN: P107110
Remarks: REPLACE SIDING.
Owner: LAFAVE KELLY Contractor: REVE EXTERIORS LLC
Address: 3810 STERLING PL Address: 922 STATE AVE
BLDG A
ANACORTES WA 98221-1296 MARYSVILLE WA 98270-4239
Phone: Phone: (425)426-3017
License#:
General Information: Fees:
Flood plain development N Building Permit Fee 139.25
Building Valuation 6500 Plan Review Fee 90.51
State Building Code Fee Resi 6.50
Total Calculated: 236.26
Deposits/Receipts: 0.00
Total Due: 236.26
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 -'t
ISSUED Y
C1T y O� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
id Mailing Address: P.O. Box 547, Anacortes, WA 98221
4 Office Location:904 6th Street, Anacortes WA 98821
t 4 4' Phone: (360)293-1901
Residential Building Permit Application
Submittal Packet
New Single Family Residences (SFR) Duplexes Additions and Remodels (SFR & Duplex)
Accessory Dwelling Units Manufactured Homes Residential decks and retaining walls
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION
1. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
3810 Sterling PI Anacortes, WA 98221 P107110
Subdivision/Lot#: Zoning Designation: Lot area (size): 10,019 s ft.
23 p'
2. TYPE OF PROJECT
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
❑ New Duplex ❑ Attached to Primary Unit ❑ Interior remodel
n Detached from Primary Unit
X New Addition to SFR ❑ Garage, carport or accessory building ❑ Retaining wall
or duplex (new/repair)
❑ Other:
Project Summary:
Replacing Siding
Project Valuation: $6500
3. PROPERTY OWNER INFORMATION
Name: Phone:
Susan and Kelly Lafave (360)466-8627
Address(Street,City,State,Zip): Email Address:
3810 Sterling PI Anacortes, WA 98221
4. CONTRACTOR INFORMATION
Name:* Phone:
Reve Exteriors 425-426-3017
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City 603173309 Same
of Anacortes business license prior to doing work in the Expiration Date: Expiration Date:
City. 01/31/2021 Same
Address(Street,City,State,Zip): Email Address:
7017 NE 179th st marysvilleinstalls@dabella.us
Vancouver WA 98686
Page 1 of 19
Res.Building Permit Application Submittal Checklist
Updated March 12,2021
x PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6t"Street, Anacortes WA 98821
t w' Phone: (360)293-1901
5. CONTACT PERSON
Select one person the city will contact for anything
related to this project: ❑ Applicant ❑ Property Owner ElContractor
r1 Other(list helnwl
Name: Phone:
Crystina Owens 425-426-3017
Address(Street,City,State,Zip): Email Address:
922 State Ave Building A marysvilleinstalls@dabella.us
Marysville WA 98270
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: Phone:
No lender
Address(Street,City,State,Zip): Email Address:
7. ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each of the following statements prior to signing this application:
I understand that when a building permit application is taken in over the counter it does not mean
CO the application has been deemed technically complete and sufficient for staff review.
CD I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the
City longer to process my permits.
C.O 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.
CO 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
CO 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
CO concurrency, etc., any required revisions to one permit may affect the entire plan set and could
add costs and time to the project.
Res.Building Permit Application Submittal Checklist
Updated March 12,2021
Page 2 of 19
G1 y PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
f Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6t"Street, Anacortes WA 98821
44, Phone: (360)293-1901
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.
064)-12 1.-e-- 3.17.2021
Si ature Date
Crystina Owens
Printed Name
Res.Building Permit Application Submittal Checklist
Updated March 12,2021
Page 3 of 19