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Permit File BLD-2021-0511 1910 23rd Street
0 `� Cityof Anacortes Invoice/Permit #: BLD-2021-0511 904 6th Street Applied date: 06/23/2021 P.O.Box 547 Issue date: 06/23/2021 4;" ;` Anacortes, WA 98221-0547 Expire date: 12/20/2022 ,`tf� (360) 293-1901 Ct 0 14„; Job Address: 1910 23RD ST Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-2430 Project: APN: P57584 Remarks: REMOVE A NON-LOAD BEARING WALL BETWEEN KITCHEN AND DINING ROOM, AND REPLACE PART OF THE SEWER LINE AND WATER PIPING. *** WORK WAS DONE WITHOUT A PERMIT **. Owner: EKSTROM HANS L Contractor: THE PLUMBING GUYS INC. Address: 1910 23RD ST Address: 2901 T AVE STE 2 ANACORTES WA 98221-2430 ANACORTES WA 98221-2898 Phone: (360) 299-9327 Phone: (360) 293-1878 License #: General Information: Fees: Flood plain development N Building Permit Fee 167.25 Building Valuation 9000 Plan Review Fee 108.71 # of Tubs, bath 1 State Building Code Fee Resi 6.50 # of Clothes Washers 1 Plumbing Permit Fee 97.00 # of Dishwashers 1 Building Without a Permit 167.25 # of Showers 1 Total Calculated: 546.71 # of Hose Bibs 2 Deposits/Receipts: 0.00 # of Kitchen Sinks 1 # of Water Closets (Toilets) 2 Total Due: 546.71 # of Water Piping 2 Permits and Imp,. r ti i I v u i . t�su p r tin f, hhi i . I. of be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of y o�any ii1 9e e3 � �r o n proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or e City, o� state or fe�era��aw, or o any order, p , gP-a'rilin f i V419A#Gs interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or f, iPca13i NOPtio ,lda igGlatiEc gaigNOR@NiPchOMpr decision of the Governor of this State, this permit shall not authorize such work and shall not be li The wilding official is tporized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this a� r'�le z A�iount. f_uriicion or any other ordinance 'cr executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of t#-ierG696ffio' n rtT tbuilding ofria619it authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, m pti orlin-cotnplqt09formation, 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 1' application and know the same to be true and correct. //At,. pave/ SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED 1 1 I CITY OF DO NOT REMOVE c y Q `- CORRECTIONS REPORT ' �4, awl4`' 4COW6 ® Building codes 293-1901 _� ANACORTES ® Fire codes 293-1925 .1 ® Public Works 293-1920 . Y The corrections listed below are hereb ordered and must be completed within days. 4 PERMIT}NUMBER OWNER/9O\ITRACTOR'-,7 IJ - /1„1.--1-'1-1 b 1),..---- - ADDRESS 'r t ' / DATE _ \) ` / / ,..--) ---) /267 2 I Y 01 NOT APPROVED FOR COVER _ Li NOT APPROVED FOR OCCUPANCY OR USE °�. �;= CI CORRECTIONS NEEDED / .\kr--,8 -,-)H,T.N) I/0ov-- . , , STOP WORK ` P Ar • i _--1 )CA-- f\-_,_ .'4,7)--(--- n_ _ ) I i - /7) (-L-t--ietTh )n i )--,A i.--), -, ;\),,19 - _:: , J �� ( . �-- ) - 1� .! � ! V i S �+ . �'!.--, 1 c\i Y f i ,L,--..„ \ (-) _-!--- (9-- ri-1 ,1' V1-1 .t +---- ,_ -5-; bi ! -r70, k\ Pe-,1 7 '--ii----(i I-, : 'T \ J A a_ C C,\y� / J '12, ---- N, \.,. \ ( . ,._,_-t/V:C1---1-; --) '--' -1 , A)—tt.C—\R_ Cl: \j-4-1 1/\.k 9 V 1„) I n 1 ci ,-T,- _Q..) ---1--( ., ___-„ I ,,, --) ,. / , , ,.., c-,_ , , ,--1.--e4),: ( ,..-4,) oi--- k---. .,,' _ ( .1 C.-- (---1 1-z-:----/---- 4 (../1 C./Lk_ 611— 0-...._ ) /1 CA 1-C. -1-7') i--/ (.)--;'--"\ . 7`) S7117-0 , 4 re af---':. NOTIFY INSPECTION OFFICE _ WHEN READY FOR REINSPECTION / J ` ,- `�""—� I0VSPECTOR-- _ 1 I - i - i CITY OF DO NOT REMOVECApie =' ,�, H.al CORRECTck, IONS REPORT 4co* ❑ Building codes 293-1901 ANACORTES ❑ Fire codes 293-1925 ❑ Public Works 293-1920 -� • The corrections listed below are hereby ordered and must be completed within days. OWNER/CONTRACTOR PERMJT NUMBER ADDRESS i - f DATES s 1 I .0 / 0 f M , ,' ' 'rJ -N` � i 7 — - j - 2. / i`yam x 1 ❑ NOT APPROVED FOR COVER • • ❑ . NOT APPROVED FOR OCCUPANCY OR USE - , :- .- , CORRECTIONS NEEDED, i. ,� STOP WORK -_ , _, , ,s, ‘ .......,..,......___ .C 0 I _:::i 6! �r— .. ! I ! ']f H •,j/ ! ♦ {,1-4 ' f If v F (-V v n 1 it , —r--/ (/' :',..--., .r 4. k:',--e— lc ' I I "7,.1.4 (") '''').--f"-CX. .. 14,---%. P j -1,---f-,A.-- --f---L. r- Llre-::\r- ic-t - kJ( i L.---„2_ It --4.— i .t T 1 ; a y Z:• f _ r •-.-ate vt r _ 1. ��- '! 7. �. �� ` y ! i 'mil k' `t V 'r 4 :'�' `i rt '-- 1 t+'f -r. , FFF I` `� ;.�i! { r _ :3 • NOTIFY INSPECTION OFFICE7-------A---e;°=L -- WHEN READY FOR REINSPECTION --�'� _l /INSPECTOR .I _;J i 1 r c\ l Mgt ii 09_ It 1k u ; _ 7: ...._ ,...........„_________ taa., s. , ., . . .,,, is) 4,,, t i /kV/ e ___ iy) \ \\ .,7 ,, . 4 14 (-14) -Np......,,..„- i ,. , i c& : CA) cp.-, . , . . , , , „< /ire- [I 9 < t , , , it i 1 1 ' : 4)411 1 i \LC 4 .wer ( Si,)' let 1 eiseosuale p. at5:46 \ ‘3/4maim III.e ,4 / ,(2‘30 2 `j/d1 1 i \ ".. 4 l OP . 0, ci v\,__, . cl ct. - \eL 1 le k el) tri5 /CIL esal - -...,j ay ,-0 PraCt6 is\T ° Id n imaltir r ‘ PL3/41 ‘ 1/7 e 1, ' o -> 71 f a- & 1 1 1/0 c_e_e-‘b 1 thj; i7i \ ref) � � ` 1 a• 1 • • J • • • • ti L 1 ,1 Y PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.D. Box 547, Anacortes, WA 98221 Office Location:904 6th Street, Anacortes WA 98821 7'Lq ``' Phone: (360)293-1901 FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION 1. PROPERTY INFORMATION Project Address(Street,Suite#): Assessor Parcel Number: f9/U .3" t Subdivision/Lot#: Zoning Designation: Lot area (size): sq.ft. 2. TYPE OF PROJECT O New SFR 0 New Accessory Dwelling Unit: 0 Deck/porch (new/repair) ❑ New Duplex ❑ Attached to Primary Unit ❑ Interior remodel ❑ Detached from Primary Unit ❑ New Addition to SFR ❑ Garage,carport or accessory building ❑ Fence or retaining wall or duplex (new/repair) ❑ Other: / Project Summary: /L O L1` 40/.►,f( 041'474,601( ,()e-p/ace ce� �- (.41 A , " j Project Valuation: $ � C.�tJC_% 3. PROPERTY OWNER INFORMATION Name: 6 of// f ,,� /12 Phone: 36,0 c Jl Address(Street City,,State,Zip): Email Address: � 4. CONTRACTOR INFORMATION Name:* J 3 Phone: Contractor's Business Licenses State License#: City License#: *AII Contractors&Subcontractors must have a valid City 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 related to this project: Applicant CIProperty Owner CIContractor 1 ❑ Other(list below) 7 Name: ) v A 10,, 7 Phone: z � 0 Address(Street,City,State,Zip): Email Address: /zof .27/ VV ,'5 doe_ wa loi6ote)rG ,J1,4A o c_041 Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 5 of 18 0 Y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT 1/4. '� Mailing Address: P.O. Box 547, Anacortes, WA 98221 1' Office Location:904 6th Street, Anacortes WA 98821 �ti q w� 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 Na Line below. Name: /+�� /ex0� Phone: Address(SSttrreet,City,State,Zip): Email Address: 7. ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: i 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. ,A ) 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. A,11- 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 iv 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. R el�U —// 12 r % �/ _ Signature Date /L& 0/1/) i ©0 Printed Name Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 6 of 18 ♦T y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT `' '`' Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6th Street, Anacortes WA 98821 i y�q �7 Phone: (360)293-1901 FORM BP-2: STRUCTURE AND SITE INFORMATION 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: PARCEL NUMBER(S) 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: 2"d Floor: 3rd Floor: Basement: Garage: Total deck: CAt4L/ Total porch: Other: C Other: ,0 Other: 3. QUESTIONS ABOUT THE PROPOSED STRUCTURE Is a fire sprinkler system being installed? I ❑ YES ❑ NO Is a monitored fire alarm being installed? ❑ YES ❑ NO Are retaining wall(s) being built? ❑ YES D 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 October 10,2019 Page 7 of 18 Gl PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6th Street, Anacortes WA 98821 \ ;q 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 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 /EI 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 E YES 4 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. 7-- AO <,45/ / Signature Date 141R011,3 L G()214° Printed Name Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 8 of 18 ` d` y o� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT ., Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6th Street, Anacortes WA 98821 ',y'L, �� 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): .2 Refrigerator water supply(for water/ice r Kitchen Sink: / Pressure Reduction Valve/Pressure Regulator: Utility Sink: Water Service Line: Tub: 1 Water Piping: / Hand Sink: Clothes Washer: r Shower: / Electric Water Heater: Tank-less? Yes ❑ Dishwasher: f Backflow Prevention Assembly: Hose Bib: a. Other: TOTAL PLUMBING FIXTURES: Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 9 of 18 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6th Street, Anacortes WA 98821 k. ' v Phone: (360)293-1901 FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: PARCEL NUMBER(S) 2. GENERAL INFORMATION This form is intended to assist applicants in creating complete, code compliant architectural plans. Please check the plans you wish to submit to make sure they contain each of the listed items. To the right of the Requirements column is space for you to list the sheet number of the plan set where the listed information is shown. • Minimum Plan Size: 11"x 17" and drawn in an architectural scale. • Architectural plans for structures 4,000 square feet or larger are required to be prepared and stamped by an architect licensed in the State of Washington. • Structural plans must be stamped by a structural engineer licensed in the state of Washington. 3. REQUIREMENTS FOR ALL ARCHITECTURAL PLANS COMPLETE REQUIREMENTS PAGE#ON ? YOUR PLANS Cover(or 15t page) must include: • Site address • Parcel number • Lot number(if applicable) • Lot size • Lot coverage • % impervious surface coverage Floor plans with existing(if applicable) and proposed building layout with square footages and with the use of each room/area labeled. Window and door sizes labeled and window ventilation area. Commercial, Multi-Family, and Mixed-Use Structures must also include door and window schedules. Plumbing, duct, and electrical layout. Penetration protection must be shown. Opening headers, size, and material. Cross section details,showing typical foundation,floor,wall, ceiling and roof construction and insulation. Structural members labeled as to size and spacing as well as bracing, blocking, bridging,special connectors, and anchor bolts. Details documenting energy code compliance. Exterior building elevations demonstrating compliance with applicable structure type design standards (small lot,duplex, or ADU) and maximum building height Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 10 of 18