HomeMy WebLinkAboutPermit File BLD-2021-0471 5011 Macbeth Drive ry City of Anacortes
Invoice/Permit #: BLD-2021-0471
904 6th Street
•
Applied date: 06/15/2021
'''" """ P.O.Box 547
Issue date: 06/15/2021
Anacortes, WA 98221-0547
r ... 169) ,r 360 293-1901 Expire date: 12/12/2022
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Job Address: 5011 MACBETH DR Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3027 Project:
APN: P59767
Remarks: REPLACE CEDAR SIDING ON SE FACING WALL OF HOME WITH NEW TYVEC AN HARDI-BOARD SIDING. +++
Contractor will need a City of Anacortes business license endorsement before work begins +++
Owner: DANIEL & THERESA MAHAR Contractor: PRECISION CONSTRUCTION & PAINTING
Address: 5011 MACBETH DR Address: 340 CASCADE PL
APT 218
ANACORTES WA 98221-3027 BURLINGTON WA 98233-3146
Phone: (360) 739-7512 Phone: (360) 941-8205
License #:
General Information: Fees:
Flood plain development N Building Permit Fee 251 .25
Building Valuation 15000 Plan Review Fee 163.31
State Building Code Fee Resi 6.50
Total Calculated: 421 .06
Deposits/Receipts: 0.00
Total Due: 421 .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 examined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED-SC?'
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
• � . A Phone: (360) 293-1901
Residential Permit Ica ion
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:
5oir VllicekTf4 Day r P 5-? 767
Subdivision/Lot#: Zoning Designation: Lot area (size):
&T-f- /6-7 7/ / (5- sq. ft.
2, TYPE OF PROJECT
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
El New Duplex El Attached to Primary Unit ❑ Interior remodel
n Detached from Primary Unit
❑ New Addition to SFR ❑ Garage, carport or accessory building ❑ Retaining wall
or duplex (new/repair)
Other:
Project Summary: 12_1114,ex, t je,,4- c, 1 c_e, �,r �. „ 5 E-
w-QA\ v)e--) cep ok,6 14-c—f-S-;be,e-rc4
Project Valuation: $ /S-; Od
3. PROPERTY OWNER INFORMATION
Name: Phone:
1 ► 14w 3 Co - 73
Address(Street,City,State,Zip): 96--7 2,1 Email Address:
5-0 I IAA 14-c- ET 14 q 01/4-if e. &
4 CONTRACTOR INFORMATION
Name:* r Phone:
hf .- 5,--o" �� �- ��-;�.- - ?cif- Z J
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City 1,8 1' ,o. ~6? ~0 13
of Anacortes business license prior to doing work in the Expiration Date: Expiration Date:
r
City. 41 — 2 -- 20 Z�.
Address(Street,City,State,Zip): Email Address:
pc co:, v,
vliplc) (..,, tviicti(".
" I /-) ! 71
o)4 Mei 2z7�
Page 1 of 19
Res. Building Permit Application Submittal Checklist
Updated April 20,2021
ygg PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
2'6.8
Mailing Address: P.O. Box 547 Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Nt.,11111180ri4:!,'' Phone: (360) 293-1901
5. CONTACT PERSON
Select one person the city will contact for anything '"
related to this project: ❑ Applicant Er Property Owner 17] Contractor
r—� Othuar(list hpl()w1
Name: .Dec3Phone: 3 60
vylittAddress(Street,City,State,Zip): Email Address:
5t1 1.‘ VVNAC-it'S ITN D
1,41/41'filk ? 1 Ck / L, cc
oierit"
VA.,c c-5 tile: ? Z2 ,
6. LENDER INFORMATION
RC
W
W 19.27.095 requires
q es 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:
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
` the application has been deemed technically complete and sufficient for staff review.
I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the
r: City longer to process my permits.
I understand and acknowledge that I could be responsible for providing as-built drawings (on paper
‘i06?"\ or electronically) as part of the project's certificate of occupancy process.
I understand and acknowledge that Special Inspections could be required as part of my project, and
).1V' if needed I will be required
qu ed 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
JO 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
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 April 20,2021
Page 2 of 19
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
/4/8 '' ' Mailing Address: P.Q. Box 547, Anacortes, WA 98221
t� ice Location: 904 6th Street, Ana ort
�; Office c es WA 9882�
4'' 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.
Signature Date
t- 1/0
Printed Name
Res. Building Permit Application Submittal Checklist
Updated April 20,2021
Page 3 of 19