HomeMy WebLinkAboutPermit File BLD-2021-0168 1803 10th Street (2) 11 y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
. '1'1' Mailing Address: P.O. Box 547, Anacortes, WA 98221
i Office Location:904 6th Street,Anacortes WA 98821
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Phone: (360)293-1901
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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
Residential Building Permit 0 ° N o
L -5 = o 3
_ Submittal Requirement Checklist c m ; i o u
Y N -a o — O c 3 as t's .0 S
Qv See pages 2-3 of this handout for information about each 3 v u w E C )_
Q U submittal item listed below. z , Q 0 ix 2 = H 2 O
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
11 Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�'� Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
` 4w7 Phone: (360)293-1901
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION
1. PROPERTY INFORMATION
Project Address(Street,Suite#): Assessor Parcel Number:
Subdivision/Lot#: Zoning Designation: Lot area (size):
sq.ft.
2. TYPE OF PROJECT
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
III 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:
Project Valuation: $
3. PROPERTY OWNER INFORMATION
Name: Phone:
Address(Street,City,State,Zip): Email Address:
4. CONTRACTOR INFORMATION
Name:* Phone:
Contractor's Business Licenses State License#: City License#:
*All Contractors&Subcontractors must have a valid City
of Anacortes business license prior to doing work in the Expiration Date: Expiration Date:
City.
Address(Street,City,State,Zip): Email Address:
5. CONTACT PERSON
Select one person the city will contact for anything
❑ Applicant ❑ Property Owner ❑ Contractor
related to this project: ❑ Other(list below)
Name: Phone:
Address(Street,City,State,Zip): Email Address:
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: 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.
Signature Date
Printed Name
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 6 of 18
I;G � PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
1co�.
`� Phone: (360)293-1901
FORM BP-2: STRUCTURE AND SITE INFORMATION
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS:
PARCEL
NUMBER(S)
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:
AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD
15t Floor:
2nd Floor:
3rd Floor:
Basement:
Garage:
Total deck:
Total porch:
Other:
Other:
Other:
3. QUESTIONS ABOUT THE PROPOSED STRUCTURE
Is a fire sprinkler system being installed? ❑ YES ❑ NO
Is a monitored fire alarm being installed? ❑ YES ❑ NO
Are retaining wall(s) being built? ❑ YES ❑ NO
Are structural plans required? ❑ YES ❑ NO
4. PROJECT SITE INFORMATION
A. Is work within the City's right-of-way proposed? If yes, you will be required ❑ YES ❑ NO
to submit a right-of-way permit application.
If you have already submitted a ROW permit, list the permit number here:
B. Is the property located in a flood zone? ❑ YES ❑ NO
If yes, list the flood zone designation:
C. Are there slopes in excess of 15%on or abutting the site? If yes, a ❑ YES ❑ NO
geotechnical report will likely need to be submitted.
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 7 of 18
1� Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�'� Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
;,7e `�� Phone: (360)293-1901
D. Are there critical areas or buffers on or abutting (within 300-feet of)the ❑ YES ❑ 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 ❑ 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? El 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.
Signature Date
Printed Name
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 8 of 18
I;GI ��� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
1co�.
`� Phone: (360)293-1901
FORM BP-3: PLUMBING AND MECHANICAL FIXTURES imiiM
MECHANICAL
Equipment Type: Appliance/Equipment Information (new and relocated): Total #:
Furnace: Gas#: Elec#: BTU: Other#:
Wall Heater: Gas#: Elec#: Other:#: Location(s):
Gas Water #: Location(s):
Heat Pump: Elec#: Other It Capacity:
Air Conditioning: Elec#: Other#: Capacity:
Radiant/Hydronic Gas#: Elec#: Other:#: Location(s):
Exhaust Fans: Bath#: Laundry#: Other:
Range Hood: #: Location(s):
Fireplace: Gas#: Elec#: Other:#: Location(s):
Clothes Dryer& Duct: Gas#: Elec#: Other:#: Location(s):
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:
PLUMBING
Fixture Type(new and
relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Refrigerator water supply(for water/ice
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes ❑
Dishwasher: Backflow Prevention Assembly:
Hose Bib: Other:
TOTAL PLUMBING FIXTURES:
Res.Building Permit Application Submittal Checklist
Updated October 10,2019
Page 9 of 18
I;GI4, PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
icoW
$ Phone: (360)293-1901
FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS:
PARCEL
NUMBER(S)
2. GENERAL INFORMATION
This form is intended to assist applicants in creating complete, code compliant architectural plans. Please
check the plans you wish 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 plans must be stamped by a structural engineer licensed in the state of Washington.
3. REQUIREMENTS FOR ALL ARCHITECTURAL PLANS
COMPLETE REQUIREMENTS PAGE#ON
? YOUR PLANS
Cover (or 1st page) must include:
• Site address
• Parcel number
• Lot number(if applicable)
• Lot size
• Lot coverage
• % 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-Family, and Mixed-Use Structures must also include door and window
schedules.
Plumbing, duct, and electrical layout. Penetration protection must be shown.
Opening headers, size, and material.
Cross section details, showing typical foundation,floor, wall, ceiling and roof
construction 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 October 10,2019
Page 10 of 18
Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location:904 6th Street, Anacortes WA 98821
1rt w� Phone: (360)293-1901
Building height (see AMC 19.42.120 for measurement methods,exceptions and modifications).
• Label the building height at the highest point of the structure from the average
of the natural topography at the foundation at the front of the building.
• Label the average elevation of the natural topography at the front of the
building.
• Label the elevation at the center of all exterior walls of the proposed 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 October 10,2019
Page 11 of 18