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HomeMy WebLinkAboutPermit File BLD-2021-0920 1904 24th Street Cirity ou ;, nacorte r. 904 6th Street ���pII e �9 date: t`10`€_ 12021 P.O.Box 547 � ue date: ��i l®�12021 Anacortes, WA 98221-0547 ,' Expire ©gate: 05/07/2023 +.j.y,�► (360) 293-1901 Job Address: 1904 24TH ST Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-2404 Project: APN: P57596 Remarks: REPLACE ONE WINDOW. NO SIZE OR STRUCTURAL CHANGES. U-FACTOR .29 Owner: CASSIDY LOIS A Contractor: HOME DEPOT, THE Address: 1904 24TH ST Address: 1026 SW 151 ST ST ANACORTES WA 98221-2404 SEATTLE WA 98166 Phone: Phone: (360) 945-2787 License .11: General Information: Fees: Flood plain development N Building Permit Fee 69.25 Building Valuation 1939 Plan Review Fee 45.01 State Building Code Fee Resi 6.50 Total Calculated: 120.76 Deposits/Receipts: 0.00 Total Due: 120.76 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 commen d 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 an eCcamined this application and know the same to be true and correct. 401110 SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU Y 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 c0,.- FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION 1. PROPERTY INFORMATION Project Address(Street,Suite#): Assessor Parcel Number: 1904 24th St P57596 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 1 window. No size/structural changes. Project Valuation: $ 1938.57 3. PROPERTY OWNER INFORMATION Name: LOIS CASSIDY Phone: 360 293 0181 Address(Street,City,State,Zip): Email Address: 1904 24TH ST,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 7/31/2022 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. 11/5/2021 Signature Date Naida Khan/Northwest Permit Inc. Printed Name Res.Building Permit Application Submittal Checklist Updated October 10,2019 Page 6 of 18