HomeMy WebLinkAboutPermit File BLD-2021-0846 4010 R Avenue �►-' Y OCitY of Anacortes Invoece/Perrnuf : ��®=�021-
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904 6th Street
Appllued date: 10/13/2021
_ P.O.Box 547 C Lie date: 1 0/1 5/2021
Anacortes, WA 98221-0547
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(360) 293-1901Expiredate: 0 �'11 l2®2
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Job Address: 4010 RAVE Permit Type: Single Family Interior Only Alteration Permit
ANACORTES WA 98221-3642 Project:
APN: P58834
Remarks: Replace 8 windows. No size/structural changes.
Owner: SETH & KATIE DEBORD Contractor: THE HOME DEPOT
Address: 4010 RAVE Address: 31800 ST RTE 20*
ANACORTES WA 98221-3642 OAK HARBOR WA 98277
Phone: (509) 480-5574 Phone: (360) 945-2787
License #: HOMED**088RH
General Information: Fees:
Building Valuation 10250 Building Permit Fee 195.25
Occupancy Group r-3 Plan Review Fee 126.91
State Building Code Fee Resi 6.50
Total Calculated: 328.66
Deposits/Receipts: 0.00
Total Due: 328.66
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 ex e this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
Y47 Phone: (360)293-1901
0,.-
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION
1. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
4010 R AVE P58834
Subdivision/Lot#: Zoning Designation: Lot area (size):
sq.ft.
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)
❑ Other:
Project Summary:
Replace 8 windows. No size/structural changes.
Project Valuation: $_10249.40
3. PROPERTY OWNER INFORMATION
Name: SETH DEBORD Phone: 509 480 5574
Address(Street,City,State,Zip): Email Address:
4010 R AVE,Anacortes 98221
4. CONTRACTOR INFORMATION
Name:* The Home Depot Phone: 360-945-2787
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City HOMED**088RH
of Anacortes business license prior to doing work in the Expiration Date: Expiration Date:
City. 7/17/2022 7/31/2021
Address(Street,City,State,Zip): Email Address: naida@nwpermit.com
5. CONTACT PERSON
Select one person the city will contact for anything
❑ Applicant ❑ Property Owner ❑ Contractor
related to this project: x❑ Other(list below)
Name: Naida Khan/Northwest Permit Inc. Phone: 360-945-2787
Address(Street,City,State,Zip): Email Address:
1026 SW 151st St
Burien WA 98166 naida@nwpermit.com
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
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: no lenders 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
nk the application has been deemed technically complete and sufficient for staff review.
nk I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the
City longer to process my permits.
nk 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.
nk 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
nk 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
nk 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.
10/12/2021
Signature Date
Naida Khan/Northwest Permit Inc.
Printed Name
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 6 of 18
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HDE Seattle(Everett)
CTB2810 Lincoln Way Mi! ?f ignar
Lynnwood,WA 98087WINDOWS &DOORS
Quote Name: 11096740 DEBORD Quote Number: SQPEVI030370_1
Customer: HDE Created Date: 8/31/2021
Payment Terms: Modified Date: 9/24/2021
Sales Representative: Flendard Stotts Mobile: PO Number:
flendard_stotts@homedepot.com Total Windows: 8
Weighted Average: U-Factor: .29,SHGC: .27,VT: .51 Total Doors:
Total Sq Ft: 121.00
Comments: Total Perim Ft: 128
Est. Delivery:
For warranty information please visit www.milgard.com/warranty/
Line: 1 Location: LIVING ROOM
Quantity: 1 Trinsic V300,2110, DV, No Fin (Block Frame), Ext Black/Int Black, U-Factor: .29,SHGC: .26,VT:.49
Flat Ext Black/Int Black,Custom
Ext Black/Int Black
No Fin(Block Frame)
Argon Gas Filled
Model=Double Vent
Size=Net Frame:95 3/8"x 47 3/8"
Dimensions=Sash Width:One Quarter
•
Handing=XOX
Energy Package=Energy Star North-Central
Glass=DV 1.1 Left Vent, DV 1.1 Right Vent:3/32"SunCoat(Low-E)over 3/32"Clear with Gray
• EdgeGardMAX Spacer, DV 1.1 Center Fixed: 1/8"SunCoat(Low-E)over 1/8"Clear with Gray
EdgeGardMAX Spacer
Glazing=Dual Glaze with Argon
e Grids=Flat, Ext Black/Int Black, DV 1.1 Left Vent, DV 1.1 Right Vent:Colonial 2W2H, DV 1.1
•
Center Fixed:Colonial 3W2H
Hardware=SmartTouch Lock
Screen=Standard with Fiberglass Mesh
Ratings=STC: No Rating,OITC: No Rating, PG: R15
Clear Opening=W 21 9/16"x H 44 7/8"Sq. Ft.6.72, Egress:Yes
Other Ratings=CPD: MIL-A-294-02289-00002
Viewed From Exterior Customer Approval:
Line: 2 Location: KITCHEN
Quantity: 1 Trinsic V300,2110, HV,No Fin(Block Frame), Ext Black/Int Black, U-Factor: .29,SHGC: .29,VT: .55
Ext Black/Int Black
No Fin(Block Frame)
Argon Gas Filled
\ / Model=Half Vent
Size=Net Frame:35 3/8"x 35 3/8"
Handing=XO
Energy Package=Energy Star North-Central
Glass=3/32"SunCoat(Low-E)over 3/32"Clear with Gray EdgeGardMAX Spacer
Glazing=Dual Glaze with Argon
yHardware=SmartTouch Lock
Screen=Standard with Fiberglass Mesh
Ratings=STC: No Rating,OITC: No Rating, PG: LC25
Clear Opening=W 15 5/16"x H 32 7/8"Sq. Ft.3.5
Other Ratings=CPD: MIL-A-294-02289-00001
/ \
Viewed From Exterior Customer Approval:
Quote Number: SQPEVI030370_1 Print Date:9/24/2021 Page 1 of 5
Line: 3 Location: BEDROOM
Quantity: 1 Trinsic V300,2110, HV,No Fin(Block Frame), Ext Black/Int Black, U-Factor: .29,SHGC:.26,VT: .49
Flat, Ext Black/Int Black, Colonial 4W2H
Ext Black/Int Black
No Fin(Block Frame)
Argon Gas Filled
Model=Half Vent
Size=Net Frame:71 3/8"x 47 3/8"
Handing=XO
Energy Package=Energy Star North-Central
Glass=3/32"SunCoat(Low-E)over 3/32"Clear with Gray EdgeGardMAX Spacer
Glazing=Dual Glaze with Argon
Grids=Flat, Ext Black/Int Black,Colonial 4W2H
Hardware=SmartTouch Lock
Screen=Standard with Fiberglass Mesh
Ratings=STC: No Rating,OITC: No Rating, PG: LC25
e Clear Opening=W 33 5/16"x H 44 7/8"Sq. Ft. 10.38, Egress:Yes
'' Other Ratings=CPD: MIL-A-294-02289-00002
Viewed From Exterior Customer Approval:
Line: 4 Location: BEDROOM2
Quantity: 1 Trinsic V300,2110, HV,No Fin(Block Frame), Ext Black/Int Black, U-Factor: .29,SHGC:.29,VT: .55
Ext Black/Int Black
No Fin(Block Frame)
Argon Gas Filled
\ / Model=Half Vent
Size=Net Frame:47 3/8"x 47 3/8"
Handing=XO
Energy Package=Energy Star North-Central
Glass=3/32"SunCoat(Low-E)over 3/32"Clear with Gray EdgeGardMAX Spacer
Glazing=Dual Glaze with Argon
Hardware=SmartTouch Lock
Screen=Standard with Fiberglass Mesh
Ratings=STC: No Rating,OITC: No Rating, PG: LC25
Clear Opening=W 21 5/16"x H 44 7/8"Sq. Ft.6.64, Egress:Yes
Other Ratings=CPD: MIL-A-294-02289-00001
/ E `
l \
Viewed From Exterior Customer Approval:
Quote Number: SQPEVI030370_1 Print Date:9/24/2021 Page 2 of 5
Line: 5 Location: BEDROOM2
Quantity: 1 Trinsic V300,2110, HV,No Fin(Block Frame), Ext Black/Int Black, U-Factor: .29,SHGC:.29,VT: .55
Ext Black/Int Black
No Fin(Block Frame)
Argon Gas Filled
Model=Half Vent
Size=Net Frame:47 3/8"x 23 3/8"
Handing=XO
Energy Package=Energy Star North-Central
Glass=3/32"SunCoat(Low-E)over 3/32"Clear with Gray EdgeGardMAX Spacer
Glazing=Dual Glaze with Argon
Hardware=SmartTouch Lock
Screen=Standard with Fiberglass Mesh
Ratings=STC: No Rating,OITC: No Rating, PG: LC25
f 1 \ Clear Opening=W 21 5/16"x H 20 7/8"Sq. Ft.3.09
Other Ratings=CPD: MIL-A-294-02289-00001
Viewed From Exterior Customer Approval:
Line: 6 Location: MASTER BEDROOM
Quantity: 1 Trinsic V300,2110, HV,No Fin(Block Frame), Ext Black/Int Black, U-Factor: .29,SHGC:.26,VT: .49
Flat, Ext Black/Int Black, Colonial 4W2H
Ext Black/Int Black
No Fin(Block Frame)
Argon Gas Filled
Model=Half Vent
Size=Net Frame:71 3/8"x 35 3/8"
Handing=XO
Energy Package=Energy Star North-Central
Glass=3/32"SunCoat(Low-E)over 3/32"Clear with Gray EdgeGardMAX Spacer
Glazing=Dual Glaze with Argon
Grids=Flat, Ext Black/Int Black,Colonial 4W2H
Hardware=SmartTouch Lock
e Screen=Standard with Fiberglass Mesh
Ratings=STC: No Rating,OITC: No Rating, PG: LC25
Clear Opening=W 33 5/16"x H 32 7/8"Sq. Ft.7.61, Egress:Yes
Other Ratings=CPD: MIL-A-294-02289-00002
Viewed From Exterior Customer Approval:
Quote Number: SQPEVI030370_1 Print Date:9/24/2021 Page 3 of 5
Line: 7 Location: DEN
Quantity: 1 Trinsic V300,2110, HV,No Fin(Block Frame), Ext Black/Int Black, U-Factor: .29,SHGC:.29,VT: .55
Ext Black/Int Black
No Fin(Block Frame)
Argon Gas Filled
Model=Half Vent
Size=Net Frame:35 3/8"x 23 3/8"
Handing=XO
Energy Package=Energy Star North-Central
Glass=3/32"SunCoat(Low-E)over 3/32"Clear with Gray EdgeGardMAX Spacer
Glazing=Dual Glaze with Argon
Hardware=SmartTouch Lock
Screen=Standard with Fiberglass Mesh
Ratings=STC: No Rating,OITC: No Rating, PG: LC25
Clear Opening=W 15 5/16"x H 20 7/8"Sq. Ft.2.22
\ Other Ratings=CPD: MIL-A-294-02289-00001
Viewed From Exterior Customer Approval:
Line: 8 Location: ENTRY/FOYER
Quantity: 1 Trinsic V300,2110, HV,No Fin(Block Frame), Ext Black/Int Black, U-Factor: .29,SHGC: .29,VT: .55
Ext Black/Int Black
No Fin(Block Frame)
Argon Gas Filled
Model=Half Vent
Size=Net Frame:47 3/8"x 23 3/8"
Handing=XO
/ Energy Package=Energy Star North-Central
Glass=3/32"SunCoat(Low-E)over 3/32"Clear with Gray EdgeGardMAX Spacer
•
Glazing=Dual Glaze with Argon
Hardware=SmartTouch Lock
Screen=Standard with Fiberglass Mesh
Ratings=STC: No Rating,OITC: No Rating, PG: LC25
\ Clear Opening=W 21 5/16"x H 20 7/8"Sq. Ft.3.09
Other Ratings=CPD: MIL-A-294-02289-00001
Viewed From Exterior Customer Approval:
Quote Number: SQPEVI030370_1 Print Date:9/24/2021 Page 4 of 5
HDE Seattle(Everett)
CTB2810 Lincoln WayN'1t1i'? I,
4WINDOWs &DOORS
Submitted By:
Accepted By:
Date:
For warranty information please visit www.milgard.com/warranty/
Please note that actual NFRC energy values may vary from those reported in CTB Quote Plus due to variations that may occur during the
manufacturing process. In most cases variations will be minimal. Please contact your Milgard location with questions or concerns
regarding this potential variation.
Painted Vinyl Note: For stucco applications,please follow the Milgard Stucco Tape Guidelines
https://www.milgard.com/sites/default/files/u/u57666/stucco taping guidelines0920.pdf.
Handing is viewed from outside looking in.
ADDITIONAL INFORMATION:
Quote Number: SQPEVI030370_1 Print Date:9/24/2021 Page 5 of 5