HomeMy WebLinkAboutPermit File BLD-2021-0902 4016 Astrea Place " Y
t ` '4: City of Anacortes
Invoice/Permit #: BLD-2021-0902
904 6th Street
"gramillsieloor Applied date: 10/29/2021
P.O.Box 547
= Issue date: 10/29/2021
• Anacortes, WA 98221-0547
Expire date: 04/27/2023
:,.
Job Address: 4016 ASTREA PL Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-3957 Project:
APN: P108783
Remarks: RE-ROOF HOME WITH CLASS A COMPOSITION ROOFING, 25 SQUARES.
Owner: ROBINSON GARY Contractor: SAVAGE ROOFING CO.
Address: 4016 ASTREA PL Address: 9020 MOLLY LN
ANACORTES WA 98221-3957 ANACORTES WA 98221-9345
Phone: Phone: (360) 293-2021
License #:
General Information: Fees:
Occupancy Group it-1 Building Permit Fee 181 .25
Building Valuation 10000 State Building Code Fee Resi 6.50
Total Calculated: 187.75
Deposits/Receipts: 0.00
Total Due: 187.75
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--fo -a-period-off80—days--many-dime-a#er-roer s-eetfneneed:-+ ave ead-and - plication-and-krrwv-tlie sa>>ie lu
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
F� PLANNING, COMMUNITY, & ECONOMIC DEVEI PMEWT DEPARTMENT
- RE-ROOF PERMIT APPLICATION
'. Jldaii Address; P-0, Box 547,Arracorfs, '.4 g822I
C OftL ; 904 6111.Sweet,.Ap cj 'A 98821
None: (360)293-I90/
PLEA.'REFER THE RE-ROOF?Eakin'chErja,ISTFOR SU Jif/TT. L R 'QCl1RJsMENTS
Ii RESIDIIN1I..tl, C COMMERCIAL.
PROJECT_ D SS(. t,Sigge#); PARCEL[)#;
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LIhdtadsi W — t PROJECT`VALUATION$
APPI•IC 'T• Phone:
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iddre$s(.Ste t,City, 4 .Zip): Email Maras:
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' 'RO ERT' V4'NBR] Phone-
Address{S t_City, State, Email Adt1 R=
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A&rcas(S City,R$ Stale,Zp); trasii Address
CONTRACTOR:* no.e: •
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Address(S1i 4,Stat •:uip , Entail
0 -i sari 1 . ... . . r l- - LuA z-. (
''Af1 Cr Kr cars& g miracrars ami8 haw
►alid `ity of C' a�actor's Li License# Exp. _
lhartiar�rr brr. �rss freselrrlo todoirrg wvr in the QV. • iiq '
Consul'the C yis Finance Depsrim orb plain
)299-1 I rrsin ej&_il
nse R#65112,64.0,4. . Exp_I31-
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PROPOSED WORK: a i -C 11.p Li
TYPE OF ROOFING: Liu 64.r:p NUMBER OF LAYERS: t
CLASS OF ROOFING!•ilk 0 B u C NUMBER O1• SQUARES: b
I declare under penalty of perjury that the ifforrnariock I havo pl oviiled fln this foriniapplicatica is tribe,correct,and
complac,and that I am the property owner or duly authorizeii age cif the poverty owner in submit a peanut
application to the ty of.&+naeoritx
Priit Name: Ada i, 6.orIed rla.m Owner C Other sp�dt ;
Signai ire;
Page.1 of 2
ILANNDia, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
111441451r-. - - RE-ROOF PERMIT CHECKLIST
�� Mailing Address: P.a- Box 547,. Am cox fssr ikei 98221
Office Location.: 904 614 Street, . nacortes IVA88f
Phone; 0) 2. 3-2901
kI-ROOF,
( C1FPAN CY GROUP: 4 OFFICE 0 CiI U RC ii 0 SCHOOL ❑ RETAIL 0 RESTAURANT
INSTALLING OR REPLACING SHEATHING: ❑ YE& NO
WORK SCHEDULED TO BEGIN: I I" I— V -- _
WORK SCHEDULED TO END: i!,+ — +-.L.I . i
ROOF SQUARE POOTAGE:
IPERMI'l'TYE
i
xi �
SUBMITTAL rimmE v'ts;
Tire number indicates rite member of
cnpiac for sullonival(if apoficablo. ` ;;
F_Iiiiiik,
tl
CI
le 64
P. '''
Re-toofPfrmie App]icati.'ti I
lice Plan - ] -
Pedesiian Safes+Plan ]
hslal]ation Speei{icatitiria and U.L. Listed.I2 f Assembly I i
I Banding Inspection Prior to Work-14rhen Liccirripi Neeessar)
' Finat Inspection&Appeoval ohcc Re-Roof is Complete-performed
by City of A naaeor'trs' lkui Wing lri-pertor' tif
I
NOTES
1. The applicant is responsible fnr providing a method of safely accessing ruaf`for inspection. I'timse call 0360}
293-]913] to schedule in inspection.
Rage 2OF2