HomeMy WebLinkAboutPermit File BLD-2021-0512 3909 W6th Street Cityof Anacortes
Invoice/Permit #: BLD-2021-0512
904 6th Street
Applied date: 06/23/2021
P.O.Box 547 Issue date: 06/23/2021
tor ,_
1 Anacortes, WA 98221-0547 Ex it 2:1, ,� p e date: 12/20/2022
4" (360) 293-1901
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Job Address: 3909 W 6TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-1295 Project:
APN: P107114
Remarks: REPLACE SIDING WITH HARDI-PLANK.
Owner: BAKER THOMAS L Contractor: WASHINGTON ENERGY SERVICES
Address: 3204 D AVE Address: 3909 196TH ST SW
ANACORTES WA 98221-2640 LYNNWOOD WA 98036-5732
Phone: (360) 588-9559 Phone: (206) 378-6648
License #:
General Information: Fees:
Flood plain development N Building Permit Fee 502.85
Building Valuation 35600 Plan Review Fee 326.85
State Building Code Fee Resi 6.50
Total Calculated: 836.20
Deposits/Receipts: 0.00
Total Due: 836.20
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 comment d-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 - amined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
ClT y �� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
t Office Location:904 6th Street, Anacortes WA 98821
\�tiq 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
SUBMITTAL CHECKLIST
x, oa ^ —1 a
Residential Building Permit 0 -�
o -0 n .E m o 3 .
ra y Submittal Requirement Checklist c ° c 0 v t
_ t L _
N a 0 vi = o L 3 N .a .0 U
Q v ' See pages 2-3 of this handout for information about each 3 u `^ N E c E
v ti a�
< U submittal item listed below. Z m Q GI CC E 0 N 2 0
Residential Building Permit Application Form X X X X X
(FORM BP-1—attached)
Structure &Site Information Form X X X X X
(FORM BP-2—attached)
Mechanical& Plumbing Fixtures Form X X X
(FORM BP-3—attached)
Architectural Plans X X X X X
(requirements listed on FORM BP-4-attached)
Stormwater Management Minimum Requirements
Determination X X X X
(FORM BP-5,attached)
Stormwater Site Plan X X X X
Site Plan & Landscape Plans X X X X X
(requirements listed on Form BP-6)
Structural Plans &Calculations X X X X X
Energy Code Plans& Forms X X
Manufacturer's Specifications/Cut Sheets X
Copy of recorded survey X X X X
Technical Reports X X X X
Other Required Permits X X X X X
ADU Affidavit of Owner Occupancy (signed) X
Required Number of Copies and Plan Size Fees
2 paper copies of each item above • Plan review deposit is taken at time of
Plans must be minimum 11" x 17",to scale, and legible application submittal.
1 reduced size copy(maximum size 11"X 17") of the Site • Permit fees are paid prior to building
Plan, Floor Plan and complete Building Plans permit issuance.
Page 1 of 18
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
‘" o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
CAlliL
'" Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
tigW' Phone: (360)293-1901
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION
1. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
3909 W 6th St P107114
Subdivision/Lot#: Zoning Designation: Lot area (size):
sq.ft.
2. TYPE OF PROJECT
❑ New SFR D New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
❑ New Duplex E 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)
X11 Other: SIDING
Project Summary: SIDING
Project Valuation: $ 35600
3. PROPERTY OWNER INFORMATION
Name: Katherine Baker Phone: (425)894-9337
A 6b V6ificgtska FORTES WA 982iailAddress: ksbpreston@yahoo.com
4. CONTRACTOR INFORMATION
NaWASHINGTON ENERGY SERVICEhone: 206-378-6648
Contractor's Business Licenses Stat tjaaSFiIlES851 NS City License#:
*All Contractors&Subcontractors must have a valid City ___
of Anacortes business license prior to doing work in the Ex6i)- )Rr1 Date: Expiration Date:
City. yy lI LL II
Address(Street,City,State,Zip): 3909 196th ST SW AdMNNWOOD WA 98036
5. CONTACT PERSON PERMITS@WASHINGTONENERGY.COM
Select one person the city will contact for anything
Lir Applicant ❑ Property Owner ❑ Contractor
related to this project: ❑ Other(list below)
Name: KAREN MATT IENEY Phone: 206-3(8-6648
Address(Street,City,State,Zip): Email Address:
3909 196th ST SW
LYNNWOOD WA 98036 PERMITS@WASHINGTONENERGY.COM
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 5 of 18
Y .. PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
7/1,. 4' 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 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
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.
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.
6/23/21
Signature Date
KAREN MATHENEY
Printed Name
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 6 of 18
•
WESCO ORDER FORM - PRIMED
Job Name: Katherine Baker I Lansing Building Products
Job Address: 3909 W 6th St Phone: 425-398-8040
Anacortes, WA 98220 Fax: 425-415-0680 ,
PO# Email: seattle@lansingbp.com
Order Date: 6-7-21 Eric Arnsbarger
Start Date: Email: seatis@lansingbp.com
Phil Moran
Woodtone order
Hardie Siding Name& Profile Unit Qty. Color 1111
5-1/4" Cedar Mill (25)-Price break> 190 Sq.
6-1/4"Cedar Mill (20)-Price break> 159 Sq.
7-1/4"Cedar Mill (16.67)- Price break> 137 Sq.
8-1/4" Cedar Mill (14.29)-Price break> 121 Sq. 22.5 Heathered Moss
12"Cedar Mill (10)- Price break> 83 Sq.
8"Colonial Bead Smooth (14.29)- Price break> 121 Sq.
8"Colonial Bead Cedar Mill (14.29)-Price break> 121 Sq.
5-1/4" Smooth (25)- Price break > 190 Sq.
6-1/4" Smooth (20)- Price break > 159 Sq.
7-1/4"Smooth (16.67)-Price break> 137 Sq.
8-1/4"Smooth (14.29)- Price break> 121 Sq.
12"Smooth(10)-Price break>83 Sq.
Hardie Shing (Price Break> 59) Unit Qty. Color
7"Straight Edge Panel (43 pcs) Sq.
7"Staggered Edge Panel (50 pcs) Sq.
1/2 Round Hardie Shingle (43 pcs) Sq.
Individual Shingles(105 pcs) Sq.
Panels. '_' - r: .. - _ '7171
4x8 Cedar Mill Each
4x9 Cedar Mill Each
4x10 Cedar Mill Each
4x8 Smooth Each
4x9 Smooth Each
4x10 Smooth Each
Hardie Soffit(Price Break > 19) Unit Qty. Color III
12x144 Non Vent Cedar Mill Each
16x144 Non Vent Cedar Mill Each
24x96 Non Vent Cedar Mill Each
48x96 Non Vent Cedar Mill Each
12x144 Non Vent Smooth Each
16x144 Non Vent Smooth Each •
24x96 Non Vent Smooth Each
48x96 Non Vent Smooth Each
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12x144 Vented Cedar Mill Each
16x144 Vented Cedar Mill Each
24x96 Vented Cedar Mill Each
12x144 Vented Smooth Each
16x144 Vented Smooth Each
24x96 Vented Smooth Each
Hardie Trim Unit Qty. Color
5/4x4 Rustic Trim Each 22 Navajo Beige
5/4x6 Rustic Trim Each
5/4x8 Rustic Trim Each
5/4x10 Rustic Trim Each
5/4x12 Rustic Trim Each
5/4x4 Smooth Trim Each
5/4x6 Smooth Trim Each
5/4x8 Smooth Trim Each
5/4x10 Smooth Trim Each
5/4x12 Smooth Trim Each
4/4x3 Rustic Batten Each
4/4x3 Smooth Batten Each
White Wood Trim Unit Qty. Color
1"x2"x16'White Wood Each 17 Heathered Moss
1"x3"x16'White Wood Each
1"x4"x16'White Wood Each
1"x6"x16'White Wood Each
1"x8"x16'White Wood Each
1"x10"x16'White Wood Each
1"x12"x16'White Wood Each
2"x2"x16'White Wood Each 9 Heathered Moss
2"x3"x16'White Wood Each
2"x4"x16'White Wood Each
2"x6"x16'White Wood Each
2"x8"x16'White Wood Each
2"x10"x16'White Wood Each
2"x12"x16'White Wood Each
5/4"x3"x16'White Wood Each
5/4"x4"x16'White Wood Each
5/4"x6"x16'White Wood Each
5/4"x8"x16'White Wood Each
5/4"x10"x16'White Wood Each
5/4"x12"x16'White Wood Each
Real Trim Outside Corner 10' Each 15 Navajo beige
Real Trim Outside Corner 12' Each
Blacks Unit Qty. Color
6"x6" Cedar Hose Bib Each 5 Heathered Mos;
R"v7"( .:Aar Picrfirirnl Rlnrlr Farh 9 1-lon+horcri !One.
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•a. Ivu1 I_ SJ •S LLA u.! Le .la.0 a:la+l...0 Orly V.+
16"x8" Cedar Foundation Vent Each 9 Heathered Moss
8"x8"Cedar Light Block Each
8"x10"Cedar Light Block Each 5 Heathered moss
12"x18" Cedar Rect Gable Vent Each
18"x24"Cedar Rect Gable Vent Each
18"Cedar Round Gable Vent Each
18"Cedar Octagon Gable Vent Each
4" Louvered Dryer Vent Each •
4"Hooded Dryer Vent Each 2
6" Hooded Dryer Vent Each
Flashing(all 10 Feet long) Unit Qty. Color_
2"x.375"x.25"Z Flash White Each
2"x1"x.25"Z Flash White Each 13
2"x1.125"x.25"Z Flash White Each
2"x1.25"x.25"Z Flash White Each
2"x1.5"x.25"Z Flash White Each 5
2"x1.625"x.25"Z Flash White Each
2"x2"x.25"Z Flash White Each
2"x2.25"x.25"Z Flash White Each
2"x3.5"x.25"Z Flash White Each
1.375"x1.375"x.25" Drip Edge Flash White Each
3"x1"Starter Flash White Each
2"x1.375"x.125"Z Flash Brown Each
3"x1.25"Custom Sill Flash w/hem Brown Each 3
Accessories net Qty. Color
Hardie Touch Up Paint(Pint) Each
Hardie Touch Up Paint(Pint) Each
Hardie Touch Up Paint(Pint) Each
Hardie House Wrap 9'x150' Rolls 2
Hardie Seam Tape 2"x165' Rolls 3
Hardie Pro Flash 4"x75' Rolls
OSI Quad Max Caulk Tubes 36 Heathered moss
OSI Quad Max Caulk Tubes 6 Navajo beige
OSI Quad Max Caulk Tubes
4x8 7/16"OSB Sheathing (stock) Each
4x8 7/16" CDX Sheathing (special order) Each
5x8 Step Joint Flashing (100 pcs) Bundle
Bear Skin Joint Flashing (50/pkg) Packages 3
8"x6"Joint Flashing w/lip (50/box) Box
2-3/16"Galvanized Coil Nails Box
1-3/4" Galvanized Coil Nails Box 1
2-3/16"Stainless Coil Nails Box
1-3/4"Stainless Coil Nails Box
2"Stainless Finish Nail Straight Box
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z-iiz atainiess rinisn ivau atraignt CSox
2"Galvanized Finish Nail Straight Box 1
2-1/2" Galvanized Finish Nail Straight Box
2-1/2"Stainless Finish Nail Angle Box
All Staples 3/8" Galvanized Box 1
A19 Staples 1/4"Galvanized Box
Hardie Flat Tabs Carton
Hardie Corner Tabs(5 inch) Carton
Misceliarteatts. ...,. :, . 4t5►. Color
Gallon Touch up paint Each 1 Heathered moss
Gallon Touch up paint Each 1 Navajo beige
Gallon Touch up paint Each
Diablo 7-1/4" Fiber Cement Blade Each 1
Diablo 10" Fiber Cement Blade Each _
Additional ltems' ; Unit Qty. Color
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