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Home My WebLink AboutPermit File bld-2021-0681 4501 Blakely Drive �►-' 0' 'f.:. Cityof Anacortes Invoice/Permit #: BLD-2021-0681 904 6th Street Applied date: 08/11/2021 `,101111114raftwr P.O.Box 547 Issue date: 08/11/2021 Anacortes, WA 98221-0547 at 1891 Expire date: 02/07/2023 (360) 293-1901 Job Address: 4501 BLAKELY DR Permit Type: Single Family Interior Only Alteration Permit ANACORTES WA 98221-1161 Project: APN: P111889 Remarks: REPLACING 2 WINDOWS, LIKE FOR LIKE, U-FACTOR WILL BE 0.25. NO STRUCTURAL CHANGES. Owner: WILDMAN ERIC S Contractor: NW EXTREME INSTALLERS INC Address: 4501 BLAKELY DR Address: 8800 SE SUNNYSIDE RD STE 315-S ANACORTES WA 98221-1161 CLACKAMAS OR 97015-5703 Phone: Phone: (971) 803-7151 License #: General Information: Fees: Building Valuation 7120 Plan Review Fee 99.61 State Building Code Fee Resi 6.50 Building Permit Fee 153.25 Total Calculated: 259.36 Deposits/Receipts: 0.00 Total Due: 259.36 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 d this application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6th Street, Anacortes WA 98821 Y474 86 Phone: (360)293-1901 FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION 1. PROPERTY INFORMATION Project Address(Street,Suite#): Assessor Parcel Number: 4501 BLAKELY DR ANACORTES, WA 98221 P111889 Subdivision/Lot#: Zoning Designation: Lot area (size): WOODRIDGE ESTATES,LOT 40 O'12aC 2. TYPE OF PROJECT ❑ New SFR ❑ New Accessory Dwelling Unit: ❑ 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 E Fence or retaining wall or duplex (new/repair) ig Other: Like for like (2) window replacement with no structural modifications. Project Summary:We will be replacing(2)windows in a like for like sizing manner,no structural modifications to be made.Windows will be installed as a nail flange application and to be plumb,level and square.Flanges to be covered with roll tape flashing and head flashing as required.All exterior trim to be caulked to siding and windows using exterior grade caulking.Sealed to exterior.New windows to be Milgard Tuscany,OF 0.25 Project Valuation: $ 7120 3. PROPERTY OWNER INFORMATION Name: WILDMAN ERIC S&WILDMAN DOROTHY M Phone: (360)399-9680 Address(Street,City,State,Zip): Email Address: 4501 BLAKELY DR ANACORTES,WA 98221 na 4. CONTRACTOR INFORMATION Name:* NW EXTREME INSTALLERS INC Phone: 855-510-7827 Contractor's Business Licenses State License#: City License#: *All Contractors&Subcontractors must have a valid City NWEXTEI882NL of Anacortes business license prior to doing work in the Expiration Date: Expiration Date: City. Address(Street,City,State,Zip):8800ClackamasSE SUNNYSIDEOR97015 permitting@premierservicegrp.com 315S Email Address: com g@ premierservice r g p• 5. CONTACT PERSON Select one person the city will contact for anything Applicant ❑ Property Owner 2 Contractor related to this project: ❑ Other(list below) Name: Leann Malloy Phone: 971-348-3693 Address(Street,City,State,Zip): Email Address: 8800 SE Sunnyside Rd 315s permitting@premierservicegrp.com Clackamas, OR 97015 Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 5 of 18 Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT 4111‘, Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6th Street, Anacortes WA 98821 Y; %' 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: NA Phone: Address(Street,City,State,Zip): Email Address: 7. ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: LM 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. LM I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the City longer to process my permits. LM 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. LM 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 LM 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 LM 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. 8/10/2021 Signature I Date Leann Malloy Printed Name Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 6 of 18 Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT 4111‘4 Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location:904 6th Street, Anacortes WA 98821 Y; `,:7 Phone: (360)293-1901 D. Are there critical areas or buffers on or abutting (within 300-feet of)the ❑ YES 2 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 g 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 ® 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 ® 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. ,e aafrufi i0-al eoy._ 8/10/2021 Signature (J Date Leann Malloy Printed Name Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 8 of 18 windows.Like for likede New placement of Red boxes indicatets i no structural modifications to be m n replacements wit 1 and Tuscany,OF 0'25' windows to be M' g a like for like sizing manner,no be lacing(2)windows in11 be installed ,n as a nail made.-Windows will insta We will pAll exterior flange application modificationsno be plumb,level and square. lih roll andand head flashing as required. e flange app tape flashing exterior grade caulking• covered with roll and windows using OF 0.25caulking. to be caulked to siding �] and Tuscany, trim New windows to be M $ Sealed to exterior.N BLAKELY DR ANACORTES>WA 98221 Site Address:4501 BL THY M Parce ILDMAN DORO Owner: WILD ERIC S&WILDMAN OR OT WA 98221 Owner:Address: 4 BLAKELY DR A Owner Address:4501 Applicant: Leann Malloy Premier ServiCeS GroupE INSTALLERS INC NW EXTREM garage