HomeMy WebLinkAboutPermit File BLD-2021-0785 1419 10th Street •
1 C} • City of Anacortes Invoice/Permit#: BLD-2021-0785
• 904 6th Street
Applied date: 09/21/2021
P.O.Box 547 Issue date: 10/04/2021
_� t►�: Anacortes, WA 98221-0547
Expire date: 04/02/2023
(360) 293-1901
Job Address: 1419 10TH ST Permit Type: Single Family Interior Only Alteration Permit
ANACORTES WA 98221-1923 Project:
APN: P55732
Remarks: INTERIOR REMODEL,ADDING A BEDROOM AND EXPANDING BATHROOMS,AND NEW FLOORING.
Owner: STEVEN &DONNA GREENHUT Contractor: COOKS CONTRACTING LLC
Address: 1419 10TH ST Address: 1801 DOUGLAS ST
ANACORTES WA 98221-1923 MOUNT VERNON WA 98273-5226
Phone: (909)260-9836 Phone: (360)540-1689
License#:
General Information: Fees:
Building Valuation 25000 Mechanical Permit Fees 100.20
#of Heat Pumps<= 3 Hp 1 Plumbing Permit Fee 83.00
#of Tubs, bath 1 Building Permit Fee 391.25
#of Clothes Dryers 1 Plan Review Fee 254.31
#of Clothes Washers 1 State Building Code Fee Resi 6.50
#of Showers 1 Total Calculated: 835.26
#of Ventilation Fans 3 Deposits/Receipts: 0.00
#of utility Sinks 1
#of Wall Heaters 2 Total Due: 835.26
#of Hand Sinks 2
#of Water Heaters 1
#of Water Piping 2
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 examined this application and know the same to
be true and correct.
7/1(J `-''
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
�rt y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address:P.O. Box 547, Anacortes, WA 98221
Office)_ocation: 904 6ni Street; Anacortes WA 98821
\`"P 4° Phone. (360) 293-1901
Residential Building Permit Application
Submittal Packet
New Single Family Resio-nces(SFR) Duplexes Additions and Remodels(SFR &Duplex)
Accessory Dwelling Unii s Manufactured Homes Residential decks and retaining walls
FORM BP-1 : RESIDENTIAL BUILDING PERMIT APPLICATION
'I. PROPERTY IN I RMATION
Project Address(Stree Suite#): Assessor Parcel Number:
NA10 '5ree} PS5932
Subdivision/Lot#: I Zoning Designation: Lot area(size):
raifock fly q lest -k.� 7 0( ' O sq.ft.
2. TYPE OF PROJE T
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch(new/repair)
❑ New Duplex ❑ Attached to Primary Unit Interior remodel
r, Detached from Primary Unit I
❑ New Addition to SFR El Garage,carport or accessory building ❑ Retaining wall
or duplex (new/repair)
❑ Other:
nn
Project Summary: Ajiidi i3 &4410, 4e.xpetr,,z1 340-Lev,e44,S f) 7/y 1L
toor.• Fs/.I I beLf�
Project Valuation: $
3. PROPERTY OWNER INFORMATION
Name: Phone: a
Address(Street City,State.Z"p): Email Address:
1 YEN !)�11a,-1 Qd c. i b�o '5-6 3 `A-e,r/e ,r €1) 5 met: I . (Osv.
4. CONTRACTOR INFORMATION
Name:* ` tP�hone: e. 50t
Contractor's Business Licenses S ate License#: City License#:
*Ali Contractors&Subcontra`tors must have a valid City o`; c; r
of Anacortes business license riorto doing work in the ExpirationDate���J Expiration Date:
City
Address(Street,City,State,Zip): E i ii A es
18O i bO�c Inf-'0@ cc.r cs C%�n- Ltcww . cern
not Oer no n A gi8ar13
Page 1 of 19
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
,‘ Ito PLAN ING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
%' Maili g Address:P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6tt' Street. Anacortes WA 98821
its ,
`� 57 Phan ' (360) 293-1901
5. CONTACT PER N
Select one person the city,will contact for anything
related to this project: ❑ Applicant ❑ Property Owner Contractor
r-i othr?r(list helnwl
Name:-fir, Phone: C 6 ._ c�is-_ L`
Address(Street,city,Stat ,Zip): Email Address:
o /��y /(ice) �i (���
5e& t b./w( � V ed 291.
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'ie Line below.
Name: Phone:
no 1 e444 r'
Address(Street,City,State,Zip): Email Address:
•
7. ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each o 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
6 C the application ras 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
01- City longer to prccess 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.
L 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
6 `- 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
0 V concurrency,etc.,any required revisions to one permit may affect the entire plan set and could
add costs and time to the project.
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
Page 2 of 19
�� 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Maili g Address:P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6'''Street. Anacortes WA 98821
Phone• (360) 293-1901
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 and r the laws of the State of Washington that all of the statements and answers
contained herein, and�he information submitted with this application form is in all respects, true,
correct,and complete to the best of knowledge and belief.
•
0 IAA/
Signature Date
&It C 0
Printed Name
Res.Building Permit Applicatimn Submittal Checklist
Updated April 20,2021 Page 3 of 19
,GW . r� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
pitt, Mailing Address:P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
1,: i b1,
` .;�coNii;, Phone: (360) 293-1901
SUBMITTAL CHECKLIST
x
au 06 .E
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Reside ►tial Building Permit U =' o
Submitt- I Reco .toquirement Checklist ° E 0, 0
Q t See pages 2-3 o this handout for information about each yy .2 u c9 a� E m c E 'Fs
d U s Dmittal item listed below. Z z.= 4 D = = ups i
Residential Build ng Permit Application Form X X X X X
(FORM BP-1—attached)
Structure&Site Information Form X X X X X
(FORM BP-2—attac led)
Mechanical &Plumbing Fixtures Form
(FORM BP-3—attached) X X X
Architectural PIL is X X X X X
(requirements listed on FORM BP-4-attached)
Stormwater Maragement Minimum Requirements
Determination X X X X
(FORM BP-5,attached)
Stormwater Site 'lan X X X X
Site Plan& Landscape Plans X X X X X
(requirements listed on Form BP-6)
Structural Plans 1 `Calculations X X X X X
Energy Code Pla s&Forms X X
Manufacturer's ecifications/Cut Sheets X
Copy of recorde survey X X X X
Technical Repor X X X X
Other Required rmits X X X X X
ADU Affidavit of Owner Occupancy(signed) X
Submittal Information Fees
Send applications in P format with a file and message Once we receive your application,we will
size no greater than 3d MB. Please review our Electronic contact you about payment of the
Submittal Guidelines for more information. An email required deposit, if any.
with a link to a file share site(Dropbox, Google Drive,
OneDrive,etc.)is acceptable. Permit fees are paid prior to building
permit issuance.
Email: buildingpermit@cityofanacortes.org.
Incomplete applications will not be processed.
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
Page 4 of 19
5Ai r �� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
?- Mailing Address:P.O. Box 547. Anacortes, WA 98221
Office Location: 904 6th Street. Anacortes WA 98821
',`I.. `'' Phone. (360) 293-1901
REQUIRED SUBMITTAL INFORMATION
Additional details on ce lain submittal items is provided below to ensure Applicants are fully aware
what City staff will be looking for when an application is submitted to the City.
FORMS AND PLANS
• FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION FORM. Provides key information
about your project, including type of permit you are applying for, and property owner, contractor,
and contact information.
• FORM BP-2: STRUCTURE AND SITE INFORMATION FORM. Provides key information about
the proposed structjre, including height, floor areas, fire protection proposed, and asks questions
about site characteristics that are used to determine whether your project requires any other
information or addil ional permit applications to be submitted.
• FORM BP-3: PLUMBING AND MECHANICAL INFORMATION. Form BP-3 provides space for
you to fill in fixture information for plumbing and mechanical appliances and equipment that are
included as part of your project.
• FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS. Form BP-4 contains a list of all the items
required to be sho n on Architectural Plans.
• FORM BP-5: STO MWATER MANAGEMENT DETERMINATION FORM. Most development
within the City of A acortes that involves disruption of soils, or construction of buildings, streets,
parking lots,etc. re uires a Stormwater review. Stormwater review requirements are based on
either the amount soil to be disturbed (grading, vegetation removal),or the amount of hard
surface that is crea ed or replaced on a site(building footprint, concrete,asphalt or gravel parking,
sidewalk,etc.). For BP-5 assists you in determining the level of stormwater review(applicable
Minimum Require ents)required for your project.
• STORMWATER SITE PLAN. The Stormwater Site Plan is the comprehensive report containing all
of the technical information and analysis necessary for regulatory agencies to evaluate your
project for compliarce with stormwater requirements. The level of stormwater review and
contents of the Stor-nwater Site Plan will vary with the type and size of the project, and individual
site characteristics. Use Form BP-5 to determine the level of stormwater review and then
complete the applicable Stormwater Minimum Requirements Form on the Public Works-
Engineering Departnent Forms website and provide required submittal items/plans.
• FORM BP-6: SITE PLANS & LANDSCAPE PLANS. Form BP-6 contains a list of all the items
required to be shown on Site and Landscape Plans.
• STRUCTURAL PLANS: Plans prepared and stamped by a State of Washington licensed
professional structu-al engineer drawn at a scale approved by the Building Official clearly indicating
the information required by the"Permits" section of the currently adopted International Building
Code and Chapter 19.27 RCW(State Building Code Act, Statewide amendments),and City submittal
forms including: strictural members labeled as to size and spacing as well as bracing, blocking,
bridging,special connectors, and anchor bolts; cross-section details, as needed, to show typical
foundation,floor,wall, ceiling and roof construction; insulation of walls,floors and roof/ceiling; and
details of stairs, fireplaces and special construction, if any.
Res.Building Permit Applicat on Submittal Checklist
Updated April 20,2021
Page 5 of 19
PLAN 1NG, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Maili Address:P.O. Box 547, Anacortes, WA 98221
Offic Location: 904 6th Street. Anacortes WA 98821
`7' Phan : (360) 293-1 901
• STRUCTURAL CA �ULATIONS: An analysis of loads, materials, etc., prepared and stamped by a
State of Washingt n licensed professional structural engineer.
• ENERGY CODE F RMS: The standard Washington State Energy Office form requesting the
information requir under Chapter 51-11 WAC detailing building components used to comply with
the State Residenti I or Nonresidential Energy Code. as applicable.
• MANUFACTURERS SPECIFICATIONS/CUT SHEETS: A document that summarized the
performance and other technical characteristics of a product, machine, component, material, or
subsystem (e.g., a Power supply) in sufficient detail that allows the City to determine the product
will be incompliance with applicable codes.
• COPY OF RECORDED SURVEY. A survey of your property is needed so that conformance
with minimum setback requirements and other development standards can been
confirmed and verified on site by the inspectors. Property markers must be visible on your
property. If they are not at the time an inspection is requested, you may need to have a
new survey completed.
OTHER SUBMITTALS DETERMINED ON A CASE-BY-CASE BASIS
TECHNICAL REPORTS
Following is a list of teck'nical reports that will be required to be submitted to the City when certain
circumstances exist on r near a site an Applicant is planning on making improvements to. The general
triggers for each of the sted technical reports I provided below:
A. CRITICAL ARE S REPORTS: In general. Critical Area reports are required when wetlands
and/or streamsI are located on or near a site. Critical area mitigation plans may also be required,
depending on tl e project proposal. See Anacortes Municipal Code Ch. 17.70 for additional
information.
B. GEOTECHNICAL REPORT: In general, Geotechnical Reports are required when work is
proposed on or,near slopes in excess of 15% and/or known landslide hazard areas. See
Anacortes Municipal Code Ch. 17.70 for additional information.
OTHER PERMITS DETERMINED ON A CASE-BY-CASE BASIS
OTHER FORMS
Following is a list of oth r permits that could be required in certain circumstances. The general triggers
for each of the listed pe mits is provided below.
A. FILL AND GRA E PERMIT: Grading (importing, exporting, and/or moving material on a site)of
more than 50 c bic yards and/or if grading modifies the existing flow of stormwater or
groundwater.
B. RIGHT-OF-WA PERMIT: A right-of-way permit is required anytime the public right-of-way is
disturbed or ob tructed in any way by private development or the general public.
Res.Building Permit Applicati n Submittal Checklist
Updated April 20,2021
Page 6 of 19
Y 0 PLAN ING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Ilhe Mai ii . Address:P.O. Box 547, Anacortes, WA 98221
Offic- ocation: 904 6th Street; Anacortes WA 98821
4.
� � Phon- • (360) 293-1901
Page left blank intentionally.
Res.Building Permit Applicat •n Submittal Checklist
Updated April 20,2021
Page 7 of 19
y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Maili g Address:P.O. Box 547, Anacortes, WA 98221
Offic- Location: 904 68' Street, Anacortes WA 98821
Phon : (360) 293-1901
FORM BP-2: STRUCTURE AND SITE INFORMATION
1. PROPERTY W' ERE WORK IS OCCURRING
ADDRESS: I Li1
PARCEL
NUMRFR(S1 '5 ! 13
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: t 6
AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD
15L Floor: titCo5;(6.,,ti1r4, ( 11a14 1- 5 'YO
2nd Floor: /i(A
3rd Floor: N
Basement: Ai
Garage:
Total deck: AVA
Total porch: ivAi
Other:
Other:
Other:
3. QUESTIONS ABOUT THE PROPOSED STRUCTURE
Is a fire sprinkler systerr being installed? ❑ YES jg NO
Is a monitored fire alarh being installed? l►,. YES ❑ NO `�
Are retaining wall(s)berg built? ❑ YES 4 NO
Are structural plans required? ❑ YES J1,NO
4. PROJECT SITE INFORMATION
A. Is work within the +-ty's right-of-way proposed? If yes,you will be required ❑ YES NO
to submit a right-o -way permit application.
If you have already submitted a ROW permit, list the permit number here:
B. Is the property loc.-ed in a flood zone? ❑ YES , NO
If yes, list the flood zone designation:
C. Are there slopes in -xcess of 15%on or abutting the site? If yes, a ❑ YES KNO
geotechnical repor will likely need to be submitted.
Res.Building Permit Applica ion Submittal Checklist
Updated April 20,2021
Page 8 of 19
Y n PLAN !NG, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Maili g Address:P.O. Box 547, Anacortes, WA 98221
Offic- Location: 904 6th Street. Anacortes WA 98821
74. ` Phon (360) 293-1901
D. Are there critical a eas or buffers on or abutting(within 300-feet of)the ❑ YES rXNO
project site? If ye- a critical areas report will likely need to be submitted.
E. Is the lot less than .,000 sq. ft. in area? YES Q NO
If yes, your site anti building will need to comply with the standards in AMC
19.43.010.C.
-F. Is your project inv1 ving 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-al res be cleared and/or more than 5,000 board feet ❑ YES No
(about 1 log truck Iliad)of timber be harvested? If so you may need to
obtain a forest pre otices permit from DNR.
N. is this project subj$ t to the SEPA process? If yes,you will be required to El YES i No
submit a SEPA che4 list.
if you have already ompleted the SEPA process,list the permit number
here:
5, REQUIRED SI a NATURE
I hereby declare that I .m either the owner of the property listed on this application or the owner of
this property has authd ized me to be their representative to act for them. I also declare under penalty
of perjury under the la` s of the State of Washington that all of the statements and answers contained
herein, and the informs ion submitted with this application form is in all respects, true, correct, and
complete to the best of knowledge and belief.
4"0(f/2-
Signature Date
1).?\Olt OLX)
Prrd Name
Res.Building Permit Applicat on Submittal Checklist
Updated April 20,2021
Page 9 of 19
/ a PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address:P.O. Box 547,Anacortes, WA 98221
" '"° Office Location:904 6th► Street, Anacortes WA 98821
�4r '
1 Phone:(360)293-1901
FORM BP-3: PLUMBING AND MECHANICAL FIXTURES
MECHANICAL j
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: Elec#: BTU: Other#:
Wall Heater: Gas#: Elec#: 2► Other:#: Location(s): 2.. 2_
Gas Water It: Location(s):
Heat Pump: Elec#: Other#: Capacity:
Air Conditioning: Elec#: Other* Capacity:
Radiant/Hydronic Gas#: Elec#: Other:#: Location(s):
Exhaust Fans: Bath#: 'Z- Laundry#: % Other: 3
Range Hood: #: Location(s):
Fireplace: Gas#: Elec#: Other:#: Location(s):
Clothes Dryer&Duct: Gas#: Elec#: Other:#: Location(s): j
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:1 (e
PLUMBING
Fixture Type(new and Total#: Fixture Type(new and relocated): Total#:
relocated):
Water Closet(Toilet): Refrigerator water supply(for water/ice
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: ( Water Service Line: I
Tub: I Water Piping: f
Hand Sink: , Clothes Washer: 2
Shower: r Electric Water Heater: Tank-less? Yes o I
Dishwasher: Backflow Prevention Assembly:
1 Hose Bib: Other:
TOTAL PLUMBING FIXTURES; 5-
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
Page 10 of 19
I" o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
ar Mailing Address:P.O. Box 547, Anacortes, WA 98221
_ Office Location: 904 61h Street. Anacortes WA 98821
04
"1.� � Phone: (360) 293-1901
co‘ts,s,
FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS
1. PROPERTY W ERE WORK IS OCCURRING
ADDRESS: I, k1 n \O' 5Ttee
PARCEL �- f
NUMBER(S) 63 5 1 L
2. GENERAL INFO'RMATION
This form is intended tG assist applicants in creating complete,code compliant architectural plans. Please
check the plans you with 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 plant must be stamped by a structural engineer licensed in the state of Washington.
3. REQUIREMENTS FOR ALL ARCHITECTURAL PLANS
i
COMPLETE REQUIREMENTS PAGE#ON
? YOUR PLANS
Cover(or 1S page)must include:
• Site address
• Parcel number
• Lot number(if applicable)
• Lot size
• Lot :overage
• % 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-Famity, and Mixed-Use Structures must also include door and window
schedules.
Plumbing,dart,and electrical layout. Penetration protection must be shown.
Opening headers,size,and material.
Cross sectic i details, showing typical foundation,floor,wall,ceiling and roof
constructiol 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 April 20,2021 1
Page 11 of 19
N.-1,Y r, PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
7,- jiggle Mailing Address:P.O. Box 547, Anacortes, WA 98221
Office Location: 904 61h Street. Anacortes WA 98821
'?# Phon (360) 293-1901
Building height (see AMC 19.42,12Q for measurement methods,exceptions and modifications).
• Show a line representing,and label the elevations of, the existing natural
topography at the foundation at the front of the building.
• For Corner lots and lots that slope downhill from the property line at the front
of e building: Show a line representing,and label the elevations at the center
of 6I exterior walls of the building.
• For ADUs only, include elevations demonstrating compliance with the
height/setback plane(see AMC 19.47.030(C)(6)).
Special details as needed (i.e.,stairs,fireplaces, special construction).
Insulation and insulation values of walls, slab,floors, and roof/ceiling.
Existing and proposed grades with slope of lot shown.
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
Page 12 of 19
•t y r^� PLAN ING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
v e Maili ,g Address:P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6t'' Street, Anacortes WA 98821
Phon:• (360) 293-1901
ORM BP-5: STORMWATER MANAGEMENT MINIMUM
• EQUIREMENT3 DETERMINATION
1. PROPERTY W ERE WORK IS OCCURRING
ADDRESS: I . rCli ‘&" 5.4 , ;t-
PARCEL NUMBER(S) 55 13 2-
2. GENERAL INFORMATION
Most development with n the City of Anacortes that involves disruption of soils,or construction of buildings,
streets,parking lots,etc requires a Stormwater review. Stormwater review requirements are based on either
the amount of soil to be disturbed(grading,vegetation removal),or the amount of hard surface that is created
or replaced on a site(building footprint,concrete,asphalt or gravel parking,sidewalk,etc.)
This form is largely targeted for small projects and single family residences. For larger projects and more
information please refer):o the Anacortes Municipal Code(Chapter 19.76 Stormwater Management)and the
latest Washington State Department of Ecology Stormwater Management Manual for Western Washington
(Ecology Manual).
3. HARD SURFACE AREA CALCULATION
Please calculate your project's hard surface amount;guidance is provided on the next page of this document. Use
your project's total hard surface calculation to follow the flow chart(s)in this packet and determine the level of
stormwater management required for you project.
When determining your 3ermit level or if stormwater thresholds are met or exceeded the entire project must be
considered. A project is hat portion of a property,properties,or right of way subject to land disturbing activities,
new hard surfaces and replaced hard surfaces. The hard surface on your property will determine the storm water
utility fees and the stormwater general facility charge. All new or replaced hard surfaces should be accounted for.
Below are excerpts from he Anacortes Municipal Code and Ecology Manual that may assist you in preparing this
information.
"Hard surface area"me s an impervious surface. a permeable pavement, or a vegetated roof.
"Impervious surface"me ns a non-vegetated surface area which Either prevents or retards the entry of water into
the soil mantle as under atural conditions prior to development. A non-vegetated surface area which causes
water to run off the surface in greater quantities or at an increased rate of flow from the flow present under
natural conditions prior tp development.
"Replaced impervious surface"means, for structures, the removal and replacement of impervious surfaces down to
the foundation. For other impervious surfaces, the removal down to bare soil or base course and replacement.
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
Page 13 of 19
,A y o PLAN ING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Maili g Address:P.O. Box 547, Anacortes, WA 98221
- Offic- Location: 904 6th Street, Anacortes WA 98821
l�`� ~ Phon (360) 293-1901
Land disturbs ce
Descriptio Total
(SF)
Total Area of Land disturbing activity k,',17
Total area ►•nverted from vegetation to
lawn or Ian'scaped areas gt:
Hard surface area calculation
Existing Removed Proposed Proposed
Description (SF) (SF) Replaced New
(SF) (SF)
Non Pollution Gee erating Hard
Surface Area 4/ C?
(Sidewalks, paths, 4.:tios,etc.)
Pollution Genera ling Hard Surface
Area y 00
(Driveways, parkin, areas,etc.)
Total Hard Surface (6,CV 5'''
47-
Site Size '4`i 6V' '
Existing pervious surface -
coverage% 1 I- 0/
(sq.ft.h d surface!site size)
Use the information in the above table to navigate the flow chart(s) on the next page and
determine the applicable stormwater management minimum requirements for your
project. Then complete the applicable Stormwater Minimum Requirements Form on the
Public Works-Engineering Department Forms website and provide required submittal
items/plans.
Check applicable box Minimum Requirements DeterminationID
Minimum Requirements#1-9.
❑ Minimum Requirements#1-5.
Res.Building Per ;..it pplicati'on Submi'tal Checklist
Updated April 20, . 1 Minimum Requirement#2.
—
1 Paec 14 of 19
C�1 Q� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address:P.O. Box 547, Anacortes, WA 98221
-., Office,Location: 904 6ih Street; Anacortes WA 98821
Phon : (360) 293-1901
FLOW CHART FOR DETE MINING REQUIREMENTS FOR NEW DEVELOPMENT
Start Here
l
Does the site have 35% Yes See Redevelopment Minimum
or more of lexisting ► Requirements and Flow Chart
impervious coverage? (Figure I-2.4.2).
NO
Does the project convert 3/4
v acres or more of vegetation to
Does the projct result in lawn or landscaped areas,or
5,000 squarer feet,or No convert 2.5 acres or more of
greater,of rhaw plus ► native vegetation to pasture?
replaced hart surface
area?
\No
Yes
Yes Does the project result in 2,000
square feet,or greater,of new plus
All Minimum Requirements replaced hard surface area?
apply to the new E nd replaced '.— /
hard surfaces and converted Yes No
vegetation iareas.
I V
1 Does the project have land
Minimum Requirements#1 disturbing activities of 7,000
through#5 apply to the new , Yes square feet or greater?
and replaced hard surfaces
and the land disturbed. No
V
Minimum Requirement#2
applies.
M 11
Figure 1-2.4.1
Flow Chart for Determining Requirements for
New Development
DEPARTMENT OF Revised June2015
E C( L O( Y Please see http/Jww.v.ecy wa.gov/copyright html for copyright notice including permissions,
State of Washington J limitation of liability,and disclaimer.
Res.Building Permit Applicat'on Submittal Checklist
Updated April 20,2021
Page 15 of 19
0 PLA LNG,COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
;` " Maili g Address:P.O. Box 547, Anacortes, WA 98221
Ottic Location: 904 6th Street Anacortes WA 98821
Phan : (360) 293-1901
FLOW CHART FOR DET RMININO REQUIREMENTS FOR REDEVELOPMENT
H
Does the project result in 2,000 square feet,or more,of new plus replaced hard surface area? I
OR
Does the land disturbing activity total 7,000 square feet or greater?
Yes No
Minimum Requsrements#1 through#5 s
apply to the new and replaced hard Minimum Requirement#2 applies.
surfaces and the land disturbed.
i
jr
Next Question
Doe] s the project add 5,000 square feet or more of new hard surfaces?
OR
Co ivert 3/4 acres or more of vegetation to lawn or landscaped areas?
OR
Convert 2.5 acres or more of native vegetation to pasture?
i ♦Yes No
All Minimum Requirements apply Next Question Is this a road
to the new hard surfaces and the frelated project? \No
converted vegetation areas.
Yes
Do V
s the protect add 5,000 square feet or more of new hard surfaces?
'oes v__-
T , No is the total of new plus replaced hard surfaces
Do the new hard v 5.000 square feet or more,
surfaces add 50%or No I No additional No AND
more to the existing does the value of the proposed improvements
hard surfaces within j[ iremenj4ts. -including interior improvements-exceed
the project limits? 50%of the assessed value(or replacement
value)of the existing site improvements?
I(` 1I Minimum Requirements apply to the new and replaced / ,/
Yes i hard surfaces and converted vegetation areas. ...)Yes
Figure 1-2.4.2
Flow Chart for Determining Requirements for
Redevelopment
DEPARTMENT OF Revised June2015
ECOLOGY Please see http://www.ecywagovicapyright.html for copyright notice including permissions,
State of Washington limitation of liability,and disclaimer.
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
Page 16 of 19
o PLAN ING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
MaiIi Address:P.O. Box 547, Anacortes, WA 98221
Offic Location: 904 6"' Street. Anacortes WA 98821
lc
�� Phon : (360) 293-1901
FORM BP-6: SITE PLAN REQUIREMENTS
1. PROPERTY W 'ERE WORK IS OCCURRING
ADDRESS: a 91 ‘et‘
PARCEL
NUMBER(S) 7 2 3 2
2. GENERAL INFORMATION
This form is intended to assist applicants in creating complete, code compliant site plans. Please check
the plans you wish to st.bmit 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 engineering or architectural scale.
3. INFORMATION REQUIRED ON ALL SITE PLANS
COMPLETE? REQUIREMENTS PAGE#ON
YOUR PLANS
Cover sheet must contain all of the following:
• Vicinity Map
• Name of the project
• Name, address,and telephone number of owner and agent(s)
• Name.address,and telephone number of Applicant (if different from
the owner)
• Zoning designation of the site
• Area, in square feet and acreage,of the project site
• Re erence to the Building Code used
• Proposed use
• Occupancy group
• Construction type
• Square footage and height of each individual building
• Pe'rcent lot coverage
• Percent impervious surfaces 1 i
Scale and North Arrow
Property features:
Lo:ation, identification,and dimensions of all property lines and
easements. All easements shown on the title report, Record of
Survey, or plat must be dimensioned and shown.
Loation and dimensions of existing critical areas(wetlands,streams,
steep slopes)and their associated buffers.
Loation of Ordinary High Water Mark and shoreline jurisdiction limits
(if adjacent to a shoreline).
Existing and proposed contours and site elevations(i.e. finished
grades)at 5-foot minimum increments. The horizontal and vertical
control datum must be clearly shown.
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
Page 17 of 19
-, ,r _4. ;
�I I I I 1
1
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I
1— �1T Y -
, '7. I, k /*-:- i 1 1/ e°
I —....---, ; /
( �,' PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT
'_- I I � i I � j i � � t-'4COZl;-s' DEPARTMENT
I
— �� Mailing Address:P.O.Box 547,Anacortes, WA 98221
' i Office Location:904 6`"Street,Anacortes WA 98821
', 4- Phone:(360)293-1901
€ o- 1
Instructions for Printing Digital Plan Review Documents
i Ij 1 'rh F
P
i - _- - ___ _ __—_ _��� -_ �I-__ _ __—__— _�-�-- _ —I I / - ___ This City of Anacortes Planning,Community,and Economic Development has adopted an optional digital plan review
; k3 ( � i r '' �� k� process,in response to COVID-19,for those who wish to reduce contact or reduce natural resource use. If you have
J
p ! I any questions please contact the The Permit Coordinator at 360-293-1901. We are also interested in any comments
G_ -- - I r —""fa_i you have to improve this system.
j I I ! 6 ` It is the applicant's responsibility to provide copies of all
11 -1 ;-—.i -- I '" !— approved submittal documents for use on the fob site.
-
— ,_ ! ; F : __ � __ _ _ � i_ � • Documents with color or with approval stamps are to be reproduced in
i 1
color,or black and red.
4 =� •-1-r- _ �� ---- j — • Documents shall be provided in full size, and to scale.
IN - � i 1 i-il !
I w- . •_ i_ - _ f Lkil
• It is advisable to protect the documents from inclement weather. Plastic
�i4 sleeves are available upon request.
1
i � i �� � I � 1 , i I I � I I • All drawings,engineering,surve s and su ortin documents are
� I1I i �
g � Y I ;-- _ __ supporting
4 required to be on the job site at the time of inspections.If documents
1 ' ____. are not available,the inspection will be cancelled.After the second
Inspect
I j cancelled inspection,a re-inspection fee will be charged.
- 1 I� ! Be sure your packet includes:
,� Q 1• • Permit
�1 P ci r\-7'` 1 ( • Permit Inspection Card,print on heavy stock if possible.This will need to last the
__ll duration of your project.
•
-- - -- - ---- � �� � � • Site Plan� I • All Drawings l ngsa —
• Stormwater Plan or SWPPP
—, • Engineering,if included in submittal
� ' - LA,„,ity, • Landscape Plan
t ,
I
__I . _ •_I
• Any other supporting reports or documents
— r 1I
Being properly prepared with the necessary plans on site will allow our
inspectors to complete your inspections.We appreciate your assistance.
-
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Exposed exterior 2X4 walls to be
c.b.) insulated to the minimum of RI5, 2X6 to Some inspection
. _ .41,, R21. may be required in
#a Windows within 60” of floor in bathrooms 4 lieu of plans. A`
to be tempered or safetyglass. M1507.4 50cfm min
R310 Escape & p
bathroom, and
rescue opening to be laundry rooms,
02 g min. 24" high, min. a �,
20" wide, min. 5.7 s 0 vented to the outside
0.... uo ft and max. 44" from ,; (Table M1507.4)
sill to finished floor. "
Must meet all four
requirements. -t it
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r Fireplace to be n 1p' v 4 _ ' - '
t unused or disabled, �...4. �v,
A and future units will Yt. .
`t have to meet side , A �� 0 a� #
s� °' setback requirements j A
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_ ‹ ,, , - manufacturers tr `; } r- / e
t installation
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°� instructions. �� ._-; ffi�
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k CITY OF ANACORTES
;i�.r Z as
VS w ,�' PLANNING AND BUILDING DEPT:
, -ter `'t,.> : - APPROVED PLANS
«.I ca_ REVIEWED FOR CODE COMPLIANCE
,� ��� PERMIT#: BLD-2021-0785
1419 10TH ST
., ADDRESS: /�'- - w' ` <-' I APPROVED BY: —Ir"� V
r SUBJECT TO FIELD INSPECTION. APPROVED PL S SHALL NOT
r
BE ALTERED WITHOUT AUTHORIZA ON.
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