HomeMy WebLinkAboutPermit File BLD-2021-0706 4210 Brant Circle �►- _ Co of nacorr%os
Invoice/Permit #: 13LD-2021-0706
904 6th Street
-F Applued date: 08/19/2021
P.O.Box 547 p ie date: 08/19/2021
Anacortes, WA 98221-0547
t Expive date: 02/15/2023
Job Address: 4210 BRANT CIR Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3676 Project:
APN9: P82770
Remarks: REMOVE CURRENT ROOFING AND REMPLACE WITH 1 LAYER CLASS A COMPOSITION ROOFING, 20 SQUARES.
Owner: 360-420-9499
Owner: ELSON LEANNE Contractor: ESARY ROOFING & SIDING CO INC
Address: 4210 BRANT CIR Address: 420 PEASE RD
ANACORTES WA 98221-3676 BURLINGTON WA 98233-3114
Phone: Phone: (360) 757-0933
License #:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 265.25
Building Valuation 15200 State Building Code Fee Resi 6.50
Total Calculated: 271 .75
Deposits/Receipts: 0.00
Total Due: 271 .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 exan i cis application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BYE
�T Y o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
i RE-ROOF PERMIT APPLICATION
177• r�, Mailing Address:P.O. Box 547, Anacortes, WA 98221
1. coR`„• Office Location: 904 6ih Street,Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE RE-ROOF PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
Z RESIDENTIAL ❑ COMMERCIAL
PROJECT ADDRESS(Street,Suite#): PARCEL(s)#:
cl Z 10 "Pjran C'VY c..1-e.. ma 98 2:-Li g13,27 V
Subdivision/Lot#: PROJECT VALUATION$
APPLICANT: Phone:
`be.i co r'ra\ 310D IS7. o933
Address(Street,City,State,Zip): Email Address:
L ZD 4'CG. .'?N3 -g1)ur'Si LJ Cr, 9Pa.33 �l ie�P�i
- t »+S\- ESc,r . Cory) _
PROPERTY OWNER: Phone:
Leanne E1st 3(,0- qzD• 9 c/cA
Address(Street,City,State,Zip): Email Address:
"I Z)0 3-oMt Circe- Avia DJA 98tz1 i4e so,- ecbrrIcGS; . rUe
CONTACT PERSON: Phone:
1.S tart-j 3(4)b • 2.02 • 3/Y!o
Address(Street,City,State,Zip): Email Address:
yZD �a. .. KA 9, u.r\,rn (01 98z.33 V..) Q.Esaru • Lben
CONTRACTOR:* Phone:
ES0.rq 1ZcX Si no)
3100 .7 S-)- n933
Address reef,City,S te,Zip): Email Address
1/2D eca�.. kx (burl.ngt� wm 98733 --i cceok'cn -\ P aarq. CO/4/U Contractor's License# Ex . ate:
*All Contractors&subcontractors must have a valid City of Sa,N Si 7 5 f< /Z/,Q 2_
Anacortes business license prior to doing work in the City. Busine5s License#: Exp. Date:
Contact the City's Finance Department at(360)299-1968. (PCO y 4)0 ZZ l,1 ///3D/2/
PROPOSED WORK: f .c Nebo C COY??e - 'i rmMve Q.X i SA,,-11 &L,(7 - kt Acc
TYPE OF ROOFING: co rr) 0 NUMBER OF LAYERS: /
CLASS OF ROOFING: 1E1- A ❑ B 0 C NUMBER OF SQUARES: 2,j
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: 2 e ye,�/�/)6 r�a I Owner El Other :2 (specify):�e ce to/'urii S I
Signature: J(s; .�- Date: /y��/
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�z Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
f G #o RE-ROOF PERMIT CHECKLIST
7 y Mailing Address:P.O. Box 547, Anacortes, WA 98221
�' Office Location: 904 6sh Street,Anacortes WA 98821
Phone: (360) 293-1901
RE-ROOF:
OCCUPANCY GROUP: ❑ OFFICE ❑ CHURCH 0 SCHOOL ❑ RETAIL 0 RESTAURANT
INSTALLING OR REPLACING SHEATHING: 0 YES s-NO
WORK SCHEDULED TO BEGIN: B/,z i ii
WORK SCHEDULED TO END: B/ 1 J 21
ROOF SQUARE FOOTAGE: a2ODD l
PERMIT TYPE:
a n xi C
SUBMITTAL REQUIREMENTS: n�
The number indicates the number of 0 1D
copies for submittal(if applicable). y y
r? = C
-
n A cC
r 0�
0 0
O
Re-Roof Permit Application 1 1
Site Plan 1
Pedestrian Safety Plan 1
Installation Specifications and U.L. Listed Roof Assembly
Building Inspection Prior to Work-When Deemed Necessary
Final Inspection&Approval once Re-Roof is Complete-Performed
by City of Anacortes' Building Inspector' It,
NOTES:
1. The applicant is responsible for providing a method of safely accessing roof for inspection. Please call(360)
293-1901 to schedule an inspection.
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