HomeMy WebLinkAboutPermit File BLD-2022-0294 2001 Bradley Drive C? ' City of Anacortes Invoice/Permit#: BLD-2022-0294
904 6th Street
Applied date: 04/25/2022
P.O.Box 547 Issue date: 04/25/2022
0 Anacortes, WA 98221-0547
itf (360) 293-1901 Expire date: 10/22/2023
Job Address: 2001 BRADLEY DR - Permit Type: Single Family Interior Only Alteration Permit
ANACORTES WA 98221-3011 Project:
APN: P59137
Remarks: Replace siding and trim around windows and doors. New siding is hardi-plank.
Owner: VOGEL LOUISE Contractor: POLAR BEAR ENERGY SOLUTIONS
Address: 2001 BRADLEY DR Address: 11208 47TH AVE W
STE A
ANACORTES WA 98221-3011 MUKILTEO WA 98275
Phone: Phone: (877) 948-2327
License#:
General Information: Fees:
Building Valuation 41819 Building Permit Fee 563.45
Plan Review Fee 366.24
State Building Code Fee Resi 6.50
Total Calculated: 936.19
Deposits/Receipts: 0.00
Total Due: 936.19
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 corn ed 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 a fined this application and know the same to
be true and correct. i
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISS
SAY Ci
r�`' C
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547,Anacortes, WA 98221
ANOP
Office Location:904 6th Street,Anacortes WA 98821
Phone: (360)293-1901
RESIDENTIAL BUILDING PERMIT APPLICATION
THIS APPLICATION PACKET IS USED FOR THE FOLLOWING PROJECT TYPES:
Single-Family Residences (SFR), Duplexes, Additions & Remodels, Accessory Structures (i.e. garages,
carports), Accessory Dwelling Units, Manufactured Homes, Residential Decks & Retaining Walls, and
Docks& Pilings.
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION
' PROPERTY INFORMATION .--
PROJECT ADDRESS(STREET,SUITE#) ASSESSOR PARCEL NUMBER
A001 6y ct(-e.y Dv- 3siq -o00 -c3� - 0007
SUBDIVISION/LOT# ZONING LOT AREA(SIZE)
SQ. FT.
TYPE OF PROJECT
u NEW ❑ADDITION n REPAIR X REMODEL . U CHANGE OF USE
1 SFR Duplex ❑Deck/Porch
_Accessory Dwelling Unit: Detached El Attached ❑ Retaining Wall
❑Manufactured Home ❑Accessory Structure
El Shoreline Structure(dock, pilings,floats etc.) * ❑Other:
*If application is for a shoreline structure,please complete the Shoreline Structure Checklist.
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? UYES IX NO
If YES,provide the permit/application number:
PROJECT SUMMARY: Res ya.' ,ck N , -1--riyyl PROJECT VALUATION
st of Material- Labor)
0-V'e u.i)a�. Wins cL-cn45 cl. ckoo�(5 ' ( g'( '
•,,k,.....=_L_____ _________j
PROPERTY OWNER INFORMATION
NAME PHONE
L.17�t,15 e \o € J _3& Q-Z9 3- 7O 0 6
ADDRESS(STREET,CITY,srAtE,ZIP) cig 2.,2.. 1 EMAIL ADDRESS
aoal3r'etc(,) Dr,Aoctr-M--5, WA Wease.\6Ee m5N• Co Vrn
CONTRACTOR INFORMATION
NAME* PHONE
?cum-- ZAP 64-'1 F-x-1-ey►b r SDL-4-ion ' 71 -9 e-} % -a A.7
CONTRACTOR'S BUSINESS LICENSES STATE LICENSE# EXPIRATION
*All Contractors&Subcontractors must have a valid C7 9 p O L A R B E ?q 1 Q7-- i I f i 9 ja o a 3
of Anacortes business license prior to doing work in th UBI# EXPIRATION
City. (o 0 3 i 5'-} 4 3'-} _.
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS
112055 14 - Avg'. ol cur bea-V'/Vv.i , Covvti
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Res.Building Permit Application Submittal Checklist
Updated April 20,2021
CONTACT P RSON-Select one person the city will contact for anything related to this project:
APPLICANT ROPERTY OWNER ECONTRACTOR nOTHER(LIST BELOW)
NAME PHONE
�c 4's€_. Voc e_f .360 z93 - 7.6o,1(
ADDRESS(STREET,CITY,STATE,ZIP)c8.21 EMAIL ADDRESS
,a2/ O`r d l - .2✓ //iveL, itz4 vi/ea 5e/Co I c in,5/V‘ C 0 h'L
LENDER INFOR rATION
RCW 19.27.095 requires the City to obtain information with regard to lenders. If there are no lender^
involved with your project, write "no lenders"on the Name Line below.
. NAME PHONE
Vlb k,e-nd,e,4(5
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS
ACKNOWLEDGEMENTS & SIGNATURE f
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 knowledg nd belief.
..61,___ _1/ "/././....75/2 4'.:2_12-----'
SI ATURE �� DATE
Lo L L/`cS e F' Q . .e_ I
PRINTED NAME e
Res.Building Permit Application Submittal Checklist
Updated December 2021
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