HomeMy WebLinkAboutPermit File BLD-2021-0533 1712 25th-H Court Cllt
:, Invoice/Permit #: BLD-2021 0533
• f 904 6th Street Applied date: 06/30/2021
'4"400101111e11110' >_ P.O.Box 547
Issue date° 06/30/2021
Anacortes, WA 98221 -0547 4
- =t 1691 Expire date: 12/27/2022
Job Address: 1712 25TH H CT Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3891 Project:
APN: P103546
Remarks: REMOVE CURRENT ROOFING AND REPLACE WITH 1 LAYER OF CLASS A COMPOSITION ROOFING. WILL BE
DOING HOME AND SHED. Home owner: 360-420-9547
Owner: HANSON JONATHAN Contractor: VALENTINE ROOFING
Address: 1712 25TH H CT Address: 400 INDUSTRY DR
STE 120
ANACORTES WA 98221-3891 TU KW I LA WA 98188-3426
Phone: Phone: (360) 502-4519
License #:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 363.25
Building Valuation 22810 State Building Code Fee Resi 6.50
Total Calculated: 369.75
Deposits/Receipts: 0.00
Total Due: 369.75
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 exami ed-tfapplication and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B
�t'V Y o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
RE-ROOF PERMIT APPLICATION
71• r ,� Mailing Address:P.O. Box 547, Anacortes, WA 98221
e0"9: Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
I f RESIDENTIAL 0 COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
I-4i z Zztl. ct. _ _ _ Pi 0 354
Subdivision/Lot#: PROJECT VALUATION$
Z2 $1G-25
APPLICANT: ,Q �eKe2 Phone:(
Address(Street,City,State, Zip): Email Add�� Z 45��
403 Indust1 Or- r. k M- cingi c�a.elav,Vc.lenkineroac.cam
PROPERTY Ove 4-13oTal WNER: Phone:
Jonathon t nson (360) 4-20 -`1541-
Address(Street,City,State,Zip): Email Address:
I1 I Z 25* I+ 0+ Ana..oQcrtcs, 9A'Z2 I
CONTACT PERSON: Phone:
Walk- MMl& (ce2 above.)
Address(Street,City,State,Zip): Email Address.
CONTRACTOR:* , Ia1 k Y' Phone: /2 60\
Address(Street,City,State,Zip): `�`�j Email Address
400 (Y�dus Or_ gu;te We TUILw�t6, �f gnu kAda_e ua►en fine.rad .cep')
Contractor's License# Exp.Date:
*All Contractors& subcontractors must have a valid City of VALZ921-T 2Q22
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. (00Zgtpl 1�2. 7�yz
PROPOSED WORK: S u l
r [�x,npO Yrl l�
TYPE OF ROOFING: ComiOsk h an NUMBER OF LAYERS: 1
CLASS OF ROOFING: K A ❑ B ❑ C NUMBER OF SQUARES: 34
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: Owner Other (specify):C'c 1TaCirr
Signature: e Date: (I z-5/Z-I
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