HomeMy WebLinkAboutPermit File BLD-2021-0308 4708 Queen Ann Way 1 C} • City of Anacortes Invoice/Permit#: BLD-2021-0308
904 6th Street
Applied date: 04/22/2021
P.O.Box 547 Issue date: 06/16/2021
0, Anacortes, WA 98221-0547
Expire date: 12/13/2022
(360) 293-1901
Job Address: 4708 QUEEN ANN WAY Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3214 Project:
APN: P59268
Remarks: REMODEL INCLUDING NEW SIDING,WINDOWS, KITCHEN &BATH.
Owner: GREG &ANALISSA NEBEL VERRILL Contractor: BIGFOOT BUILDERS LLC
Address: 4708 QUEEN ANN WAY Address: 5882 BOW ST
ANACORTES WA 98221-3214 BOW WA 98232
Phone: (360)271-6248 Phone: (360)298-1708
License#:
General Information: Fees:
Flood plain development N Building Permit Fee 1,889.75
Building Valuation 260000 Plan Review Fee 1,228.34
Stove, Appliance 1 State Building Code Fee Resi 6.50
#of Tubs, bath 1 Mechanical Permit Fees 64.25
#of Clothes Dryers 1 Plumbing Permit Fee 97.00
#of Clothes Washers 1 Total Calculated: 3,285.84
#of Dishwashers 1 Deposits/Receipts: 0.00
#of Gas Piping 1
#of Gas Water Heaters<= 100k 1 Total Due: 3,285.84
#of Range Hoods 1
#of Showers 1
#of Kitchen Sinks 1
#of Hand Sinks 4
#of Water Closets(Toilets) 1
#of Water Piping 1
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.
3.4ta,0-44..z.....,
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
REVISIONS BY
6-3-21 TP
LAP SIDING. VERIFY
EXPOSURE IF NEW,
OR LEAVE EXISTING PROPOSED SHED ROOF
COVERED ENTRY
BOARD 4 BATTEN SIDING
W/ lx2 BATTENS e 16° O.G. - - - - - o C.-
\ 12 � I -I
- 1 4 PROPOSED SHED ROOF - - - - - - - - - - - - - - - - - - - 0 F A
COVERED ENTRY - - - - - - 14ial cel l A
TOP OF BOARD \ _ - _BATT SIDING
\ TOP OF WINDOWS I I I I _L I I I 1- 1 I " I
II II II I I II II II II
2x4 E 2x2 CORNER TRIM (VERIFY 4 MATCH -
(TYPICAL --VERIFY - EXISTING) % —
W/ OWNER) Z O ,� >E
N m E
o o cfl U
_
4 �" — w p nl E
7 1
p
I
FLOOR �1 � M 1 , 1 1 1 M Ti 1r� 71 Fri r� M h r� MM h r� M 1 M \ cl
._ in ‘ci _
`� N
II II _ \ \ LEVEL II �' , I 1 � 1I , 11 , h -- 1 , i1 , I i1 11 I,' '1' 1I 11 p E oQ " 7)
■ - ■ - - ■ - - ■ - - ■ - - ■ — ■ ■ I I__ �\ cv �I I� �� I� 1 III 1 1 m m m m m m m m N — cn
to
m mom m m■•m -- ---- ---- ---- ---- w
Z Z L
. al W W
m� ■ �� - ■, STONE VENEER, SHINGLE SIDING OR 121
■T.■� �'■T- _.
■��■��� F F �■�� ■� - )~ STYLE/TYPE PER OWNER. SIMILAR PER OWNER ELEVATION z 4
=� =- -0.) ,,,IL VERIFY IF CAP IS NEEDED 6 ENTRY ALCOVE EAST _1 �7 0
��
■ 2x10 BAND W/ I/2 14 in 4 APPLICATION TYPE SCALE: 1/4" = 11-0�� 3
�m CHAMFER e TOP,
__-=■T■ HI 1 I III TYP.
�■7_■� 1
m F,i■T■ r I
1 1 \
STONE VENEER,
STYLEVERIFY
STYLE/TYPEE PER ONEEDED
SOUTH ELEVATION
VERIFY IF CAP IS NEEDED
4 APPLICATION TYPE
SCALE: 1/4" = 1'-0"
.11
CK
CK
al
- , miidIll2
12- - ' l
Lii4
_6 ,Airlill
---,..._ ci. tiO
0 tO <1.)-
II II II 11 II i•i•i•i 11 _1 B 4
_ ' I 1
Q 4 Z c17
E z I—
EU 4inct
I p
- I - I p i uQi
C�
I II III I I' — I I I II I p
1 12 0 Lu 1-
l( , ,
1 PROPOSED COVERED ENTRY
— 9 LOWER DOOR. MONO-TRUSSES
- 1 , I - 2
0- In
I f 24" O.C,
al
- i- Z
k1
0
- 1-F
k1
10 PROPOSED COVERED ENTRY
e LOWER DOOR. MONO-TRUSSESLU
8 24" O.C.
WEST ELEVATION 'V
NORTH ELEVATION
SCALE: 1/4" = 11-0" SCALE: 1/4" = 11-0" 0
IlD
�� 12
�� a 4
MILLENNIUM DESIGN 1360-424-3334
troy a drawnbymillennium.com
PROPOSED COVERED ENTRY LOWER DOOR. DRAWN
MONO-TRUSSES f 24" O.C. 3'-0" SPAN, 4:12 PITCH. TP/DW
--2x4 LEDGER 6 TOP d BOTTOM (ATTACHED W/ 1/2" DATE
LAG SCREWS OR SIMILAR), HANG BOTTOM OF TRUSSES 8-19-20
FROM LEDGER W/ SIMPSON LUS26, BLOCK BETWEEN TOP
OF TRUSSES AND NAIL TO TOP LEDGER. SOFFIT UNDERSIDE JOB NO.
19-360
SHEET:
1
OF:
BUILDER TO VERIFY ALL DIMENSIONS. CONSTRUCTION TO COMPLY WITH THE
2018 INTERNATIONAL RESIDENTIAL CODE AND ALL APPLICABLE LOCAL, STATE
3
AND FEDERAL BUILDING CODES.
12'-4i2" 16'-11" 22'-3"
/ / / /
/ 3'-6" / 6'-0" / 2'-10%2" / REVISIONS Bl'
6-3-21 IF
EXISTING DECK
vG\ 1 p`�S r 6 / 3'-9/2" / 6'-O" / W Ct
R
VERIFY IFRENCD DOOR C6-0" SGf��\l���F'( 14,4 c zu 0 cE
O\� III III �I� NSlp�OL� C A
z �
ALTERNATE) ( III NSA 6050 XO 4 Z
\ \ III \ CC CI:1 H A
1- (TEMP.) III p�
cv III en
III A
\ mom\ 0O I CO\ III T W
C Z n,
U i j III 0 E• Z ,� E
m = I III - EXISTING OWN w ill O
rn � � I III BATH 0 IC cv O O Q m V
71- 0 q ' I III EXISTING O ,�,nn i Q m >ir
`-Q I ,_III MASTER 50 CFM VJ 0 N 3
�� z s DINING I xN v QI I� EXISTIBEAMN HANG GS FROM N
8— - Q @III GIRDER TRUSS = ,+1�----\ss 0 J O V)
61
U - Ip WIII m
W II- ciIII - , z N (�(� >�
O c9 O I> [tI I I F KYLIGI-VTR I n O si
O 4 to LIVING III I 3
III I \ / I z 9
m��\ iu �— ��\ �, 4-0" 4-0" I� III
S x w co
\ •4\ Z J CO\ X X \ IQ EXISTING GIRDER - I / \ I I Z Z 13
III EXISTING GIRDER ` - - ' '''
TRUSS fl LIVING/ TRUSS CD EDGE OF = W W
1- I KITCHEN. VERIFY III FORMER BEDROOM. d'CO2 ATTIC 4
O EDGE OF I I I I� CROSS GIRDER III VERIFY SPAN 8 OI w SD I AGGE F" / SKYLICsH� - Q _z
' m I I I TRUSS'S ATTACHMENT III CONSTRUCTION I p 0
EXISTING r _ _ _ 100 CFM w _1 I I \/ I \ / I -J L.
cy \ WINDOW W O l7 I SD III 01 W
/\ x N m
I OU z I III wI} Q I / \ I I / \ I
I IWI
I - < I m I Q EDGE OF VAULTED AREA �, ' 1 -
'5) ik =(\-
KITCHEN I m I > COAT CLo. LSD \�
m I U O Z S 8 R z
° coO F
1- 0 l I I W
N c' \\\i\_ Y\ — ' 0 la EXISTINGEXISTING X
I I (v �° BEDROOM
OFFICE 1- BATH I\J°� 0
m
0 � - \ '
N 4 I Cq —
I }_ _
r I N I
W
_ J - - - - Wl'1 \
POTENTIA_ 30 z O�
n CK
30" OVEN REFG• PANTRY (Y
12"xd2"xI2" CONC. PAD CAB. CAB.
FTG. W/ (2)*4 REBAR EA. WAY. —I F (V
SIMPSON CBS66 POST BASE OR \ \ \ 3030 AWN. \ :�Z i_ - ' 1'-13/4" 1'_134'T 4036 PIC W/ 4020 PIG 3030 AWN. 4036 XO \
KNIFE BLADE POST BASE. ANGLE �� 6► r �,-5 „ H 4016 AWN. BELOW
TOP OF FTG TO MATCH ANGLE I / -I LL1
OF POSTS ABV, 2 TYP, cv I I
_ _ _ _ - a I >
6x6 DP-L* POST. EXTEND I
FROM FOOTING TO ROOF SUPPORT ` JI
BEAM 6 ANGLE. 2 TYP. 1 -0 / / 3-O / 8-10 / 4-O / 4-O / 4-I1 / 4-O / 2-6 / 3-0" / 4-3 / 4-0 / 3-4 / 4
12'-10" 5'-2" 34'-0"
/ / / / d)
(i/ CD
/ 52'-0" / O tO ,�1
PROPOSED COVERED ENTRY J-L ` v,
2x4 RAFTERS a 24" O.C. 4'-0" SPAN, 3:12 PITCH. r� I �OO J _,4js. I NEW 2x WALLS 6 16" O.G. VERIFY HEIGHT _1--FRAME OFF OF EXISTING ROOF (BUILDER TO ADD SALE IIW/ EXISTING PLATE 4 OPENING SIZES EU z B
ROOF AREA) AND BEAR ON NEW 4x4 OR BETTER BEAM. 0 *S 7
SOFFIT UNDERSIDE SCALE: 1/4" = 1'-OII I I EXISTING WALLS
lot 1: i_
4x4 OR BETTER BEAM. ATTACH TO TOP E4,. Z i_
OF POSTS W/ SIMPSON ECC46 BRACKET NOTE: ALL EXISTING OPENINGS TO BE UPDATED TO SHOWN SIZES. WALLS TO BE REMOVED n Ill
0
OR (2)COUNTERSUNK SDS SCREWS THRU ALL NEW WINDOWS/DOORS TO MAKE USE OF EXISTING HEADERS U.N,O,
TOP OF BEAM INTO POSTS ^ 0
PROPOSED COVERED ENTRY6 LOWER DOOR. EU 1* Qi Z
MONO-TRUSSES 4 24" O.C. 3'-O" SPAN, 4:12 PITCH-
- --2x4 LEDGER - TOP 4 BOTTOM (ATTACHED W/ 1/2" 0 '
30A0 P\G 304o SA./ LAG SCREWS OR SIMILAR), HANG BOTTOM OF TRUSSES O
V.T.O, p ?\G 3O4p FROM LEDGER W/ SIMPSON LUS26. BLOCK BETWEEN TOP 1-
g0� SA./ OF TRUSSES AND NAIL TO TOP LEDGER. SOFFIT UNDERSIDE 0III I-
6030 PIC _ \ ll-
(2)3'-0" FRENCH DOOR)
l/ Ca
(TEMP.) LL1
J- z
0
0— BONUS ROOM
LL1® O
X
OCK
O
0
5'-4" 3'-II2"
VERIFY i SD
, ,
, ,N -9
,
,' USE LOW PROFILE
IID
` ' DRYER VENT N
CONNECTION I- d
Cl (K w
= O MECH.
® O L m' p - AREA —
z
,z 0 I 1 0 it O
3
�oQFMN - - - _ X MILLENNIUM DESIGN
BONUS ROOM O 360-424-3334
`r troy 6 drawnbymillennium.com
/ I \ = It
/ `I es)
O\
I-
C z \ DRAWN
/ I >b CFM Z 0
/ IIII : CO2
, ' TP/DW
, I DATE
/ I
/ I m TOILET/ 8-19-20
SHOWER 3 s „
0ROOM UP / 12-10/4 / JOB NO.
IS-360
h SWEET:
�a o 0 0 0 0 0 0 ova o
o� a s o a a� a s o a a� a s o a a� a s o a a� a s o a a�10 a s o a a� a s o a a� a s a o� a s \
EXISTING WALL, NO MODIFICATION
2
LOWER FLOOR ELAN OF:
SCALE: 1/4" = 1�—OII BUILDER TO VERIFY ALL DIMENSIONS. CONSTRUCTION TO COMPLY WITH THE
2010 INTERNATIONAL RESIDENTIAL CODE AND ALL APPLICABLE LOCAL, STATE
3
AND FEDERAL BUILDING CODES.
REVISIONS BY
6-3-21 IF
A B 0
321-1" 19'-5"
Jo Z
, 3-6 / 6-0 / 3-1 / 16-6 / 4-0 I / 6-O 12ct
/ -I1 J,
I I I 0 A
E.
Z ct
1 —\ \ - - - - I WSP - - - - - - WSP - - - - - - - - - - - - - - -\ _ WSP I - - - - - - WSP I. - - - \ - A
CE
• QCCI
Q N 3 41
- p Z Q co c'�1 0
0 ez m 0
I I Wg
0 \ ZQ
I mm 1r ILI 0 -
N '� '� 3'-31/2 c_ uN Q Q�
n1� r /
cI =-----)_ K o
. r Y cq E
0 =
o I I 7- 3d
II
I11 r
Z
z ° $
Wtiu)
o m 0 ° 0 0
'
_ I � E m
Csl \ r �tV
r
I� 1 1 1— O0IF-
I I
I r
\ L T $ k7 I -
- I I —I
to \ I \
9
I c0 CK
0 N \ - — - — -I-4 - — - - — - - - — - ---1- - — - —I— — - — - _ _ _ _ \ _ 0 IX
' WSP WSP WSP WSP WSP U_I' Ill
I I I >
I'-O"4 / 3'-0" / a'-IO" / 5'-2" / 4I-0" / 4I-0" / 4I-11" / 14'-0" / 2'-6" / 3I-0" / 41-3" / 41-0" / 31-4" 1,
32-1" 1 19l-5" 1 4
B 0 d)
o ti)` t
BiRAC D WALL ELAN _1 .1 2
EU Z2
SCALE: 1/4" = 11-0" O aq Z
WZ1: 1.0
Z f
V 4 W V
ESCTIVE WALL SPACING o z
0 o
fi� R 2015 IRC 602. 10 0 1'U 1-
0_ Xi
LU
z
BRACED UJALL NOTES:
1, SEE WALL PANEL DETAILS FOR REQUIRED BRACING 6 EACH WALL/SECTION 4 0
FOR BRACING PROVIDED 6 EACH BWL, 0
ADJUSTMENT FACTORS 4 CALCULATIONS PERFORMED USING
APA-The Engineered Wood Association PROPRIETARY CALCULATOR LL1
2, PER IRC TABLE R602.10.4 INTERMITTENT BRACING METHODS: CK
METHOD GB: INSTALL 1/2" GYPSUM WALLBOARD W/ NAILS OR SCREWS
6 1" SPACING AT PANEL EDGES INCLUDING TOP 4 BOTTOM PLATES; kil
FOR ALL BRACED WALL PANEL LOCATIONS, EXTERIOR SHEATHING NAIL
OR SCREW SIZE, SEE TABLE R602.3(1); FOR INTERIOR GYPSUM BOARD
NAIL OR SCREW SIZE, SEE TABLE R102.3.5
3. PER IRC TABLE R602.10.4 SHEATHING METHODS:
METHOD WSP: INSTALL MINIMUM 3/8" WOOD STRUCTURAL PANEL W/ 6d
COMMON NAILS 6 6" SPACING PANEL EDGES AND 12" SPACING FIELD
MD
--BUILDER TO EXAMINE EXISTING CONSTRUCTION DURING SIDING REMOVAL
AND ADD NAILING AS NEEDED
9. BRACED WALL LINE CALCULATIONS HAVE APPLIED AN ADDITIONAL ADJUSTMENT FACTOR OF MILLENNIUM DESIGN
1.4 TO ALL LINES, PER 2012 IRC r602.10.3(4) TO ALLOW A MAXIMUM BWL SPACING OF UP TO 35'. 360-424-3334
( "> 30 feet and < 35 feet" - IRC r602.10.3(4) ) troy 6 drawnloymillennium.com
--MAIN ROOM = 864 S.F.
DRAWN
TP/DW
DATE
8-19-20
JOB NO,
19-360
SWEET:
3
OF:
BUILDER TO VERIFY ALL DIMENSIONS. CONSTRUCTION TO COMPLY WITI-I TI-IE
2010 INTERNATIONAL RESIDENTIAL CODE AND ALL APPLICABLE LOCAL, STATE
3
AND FEDERAL BUILDING CODES.
lT Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�� Mailing Address: P.O. Box 547, Anacortes, WA 98221
4 Office Location: 904 6th Street, Anacortes WA 98821
7111120
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:
4708 Queen Ann Way P59268
Subdivision/Lot#: Zoning Designation: Lot area (size): 9,583
Skyline no. 4, lot 53 Res. Incorporated Area sq. ft.
2. TYPE OF PROJECT
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
❑ New Duplex ❑ Attached to Primary Unit V 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:
Residential remodel including new siding and windows, kitchen/bath remodel.
Project Valuation: s $260,000
3. PROPERTY OWNER INFORMATION
Name: Phone:
Gregg Nebel,Analissa Verrill 360-271-6248
Address(Street,City,State,Zip): Email Address:
4708 Queen Ann Way, Anacortes, 98221 gregg.nebel@gmail.com, foresthauz@gmail.com
4. CONTRACTOR INFORMATION
Name:* Phone:Bigfoot Builders,LLC office:360-298-1708 (Cameron direct: 360-298-4334)
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City 603528521 603528521
of Anacortes business license prior to doing work in the Expiration Date: Expiration Date:
City. July 31, 2021 July 31, 2021
Address(Street,City,State,Zip): Email Address:
5882 Bow St. cameron@bigfootbuilders.com
Bow, WA 98232
Page 1 of 19
Res.Building Permit Application Submittal Checklist
Updated March 12,2021
1� x o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
"••••••`-' Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
\� wQ Phone: (360) 293-1901
5. CONTACT PERSON
Select one person the city will contact for anything ❑ Applicant ❑ Property Owner ❑ Contractor
related to this project:
r-i Other(list helm)
Name: Phone:
Cameron Sides 360-298-4334
Address(Street,City,State,Zip): Email Address:
5882 Bow St. cameron@bigfootbuilders.com
Bow, WA 98232
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:
n/a
Address(Street,City,State,Zip): Email Address:
7. ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each of the following statements prior to signing this application:
v 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
City longer to process my permits.
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.
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
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 March 12,2021
Page 2 of 19
Y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
G41111like, Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
1w� Phone: (360) 293-1901
icov-
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
Printed Name
Res.Building Permit Application Submittal Checklist
Updated March 12,2021
Page 3 of 19
y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
(iGAr Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
5� Phone: (360) 293-1901
FORM BP-2: STRUCTURE AND SITE INFORMATION
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS: 4708 Queen Ann Way, Anacortes, 98221
PARCEL
Nl1MBER(Sl P59268
2. DETAILED PROPOSED STRUCTURE INFORMATION
Complete the following information as it relates to your project. Mark items that are not applicable with
"N/A"
Structure height:
AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD
1st Floor: 1,482 sq ft
2nd Floor:
3rd Floor:
Basement: 896 sq ft
Garage: 500 sq ft
Total deck:
Total porch:
Other:
Other:
Other:
3. QUESTIONS ABOUT THE PROPOSED STRUCTURE
Is a fire sprinkler system being installed? ❑ YES El NO
Is a monitored fire alarm being installed? ❑ YES ❑ NO
Are retaining wall(s) being built? ❑ YES ❑ NO
Are structural plans required? ❑ YES ❑ NO
4. PROJECT SITE INFORMATION
A. Is work within the City's right-of-way proposed? If yes, you will be required ❑ YES ❑ NO
to submit a right-of-way permit application.
_ If you have already submitted a ROW permit, list the permit number here: _
B. Is the property located in a flood zone? ❑ YES ❑ NO
If yes, list the flood zone designation:
C. Are there slopes in excess of 15% on or abutting the site? If yes, a ❑ YES ❑ NO
geotechnical report will likely need to be submitted.
Res.Building Permit Application Submittal Checklist
Updated March 12,2021
Page 8 of 19
1� x o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
"••••••`-' Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
\�I" 4Q Phone: (360) 293-1901
D. Are there critical areas or buffers on or abutting (within 300-feet of) the ❑ YES ❑ NO
project site? If yes, a critical areas report will likely need to be submitted.
E. Is the lot less than 5,000 sq. ft. in area? ❑ YES NO
If yes,your site and building will need to comply with the standards in AMC
19.43.010.C.
F. Is your project involving an accessory dwelling unit? ❑ YES 12I NO
If yes,your site and building will need to comply with the standards in AMC
19.47.
G. Will more than 2-acres be cleared and/or more than 5,000 board feet ❑ YES NO
(about 1 log truck load) of timber be harvested? If so you may need to
obtain a forest practices permit from DNR.
H. Is this project subject to the SEPA process? If yes,you will be required to ❑ YES Er NO
submit a SEPA checklist.
If you have already completed the SEPA process, list the permit number
here:
5. REQUIRED SIGNATURE
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
Printed Name
Res.Building Permit Application Submittal Checklist
Updated March 12,2021
Page 9 of 19
o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
1�` Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Nr� w� Phone: (360) 293-1901
FORM BP-3: PLUMBING AND MECHANICAL FIXTURES
MECHANICAL
Equipment Type: Appliance/Equipment Information (new and relocated): Total#:
Furnace: Gas#: Elec#: BTU: Other#:
Wall Heater: Gas#: Elec#: Other:#: Location(s):
Gas Water #: Location(s):
Heat Pump: Elec#: Other#: Capacity:
Air Conditioning: Elec#: Other#: Capacity:
Radiant/Hydronic Gas#: Elec#: Other:#: Location(s):
Exhaust Fans: Bath#: Laundry#: Other:
Range Hood: #: Location(s):
Fireplace: Gas#: Elec#: Other:#: Location(s):
Clothes Dryer& Duct: Gas#: Elec#: Other:#: Location(s):
Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s):
Gas Piping/ Outlet(s): #: Location(s):
Boiler Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s):
TOTAL MECHANICAL OUTLETS:
PLUMBING
Fixture Type (new and Total #: Fixture Type(new and relocated): Total#:
relocated):
Water Closet(Toilet): Refrigerator water supply(for water/ice
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes ❑
Dishwasher: Backflow Prevention Assembly:
Hose Bib: Other:
TOTAL PLUMBING FIXTURES:
Res.Building Permit Application Submittal Checklist
Updated March 12,2021
Page 10 of 19