HomeMy WebLinkAboutPermit File BLD-2022-0311 4905 Doon Way 1 C} City of Anacortes Invoice/Permit#: BLD-2022-0311
904 6th Street
Applied date: 04/28/2022
P.O.Box 547 Issue date: 05/04/2022
_ 0, Anacortes, WA 98221-0547
Expire date: 10/31/2023
(360) 293-1901
Job Address: 4905 DOON WAY Permit Type: Single Family Interior Only Alteration Permit
ANACORTES WA 98221-2905 Project:
APN: P77617
Remarks: Interior remodel, add bath, bedroom, remove chimney, add gas fireplace, minisplit, and remodel kitchen and bath.
Owner: JOHN BURNETTE Contractor: OWNER
Address: 4905 DOON WAY Address:
ANACORTES WA 98221-2905
Phone: (425)246-1722 Phone:
License#:
General Information: Fees:
Use Zone R-2 Building Permit Fee 1,273.75
Building Valuation 150000 Plan Review Fee 827.94
1st Floor Square Footage 127 State Building Code Fee Resi 6.50
#of Wall Heaters 3 Mechanical Permit Fees 214.20
#of Heat Pumps<= 3 Hp 1 Plumbing Permit Fee 62.00
#OF AIR HANDLING UNITS<10000 3 Total Calculated: 2,384.39
#of Ventilation Fans 2 Deposits/Receipts: 0.00
#of Range Hoods 1
#of Tubs, bath 1 Total Due: 2,384.39
#of Clothes Dryers 1
#of Clothes Washers 1
#of Gas Fireplace 3
#of Gas Piping 1
#of Tankless Water Heaters 1
#of Hand Sinks 2
#of Water Closets(Toilets) 1
#of Water Piping 1
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 examined this application and know the same to
be true and correct.
r
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
f ,111111. PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
k74' `�, Mailing Address: P.O. Box 547, Anacortes, WA 98221
�`` cpR 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
4905 Doon Way P77617
SUBDIVISION/LOT# ZONING LOT AREA(SIZE) 7g40
SKYLINE NO. 20, Lot14 R2 SQ. FT.
TYPE OF PROJECT
n NEW _ADDITION n REPAIR n REMODEL I-1 CHANGE OF USE
X SFR [1 Duplex ❑Deck/Porch
Accessory Dwelling Unit: ❑Detached ❑Attached ❑Retaining Wall
❑ Manufactured Home ❑Accessory Structure
❑ 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? YES if NO
If YES, provide the permit/application number:
PROJECT SUMMARY: PROJECT VALUATION
Interior remodel and alterations (add bathroom, new bedroom, (Cost of Materials & Labor)
chimney removal, add gas fireplaces and minisplit, kitchen and 150,000
bathroom remodels.
S
PROPERTY OWNER INFORMATION
NAME PHONE
John Burnette 425 246 1722
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS
4905 Doon Way john.burnette@gmail.com
CONTRACTOR INFORMATION
NAME* PHONE
Property owner
CONTRACTOR'S BUSINESS LICENSES STATE LICENSE# EXPIRATION
*AII Contractors&Subcontractors must have a valid City
of Anacortes business license prior to doing work in the UBI# EXPIRATION
City.
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS
Page 1 of 17
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
CONTACT PERSON -Select one person the city will contact for anything related to this project:
APPLICANT F1PROPERTY OWNER F1CONTRACTOR FlOTHER(LIST BELOW)
NAME PHONE
John Burnette 425 246 1722
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS
4905 Doon Way john.burnette@gmail.com
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
No lenders
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS
ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each of the following statements prior to signing this application:
X 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.
X I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the
City longer to process my permits.
X 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.
X 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.
x 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.
x 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 1 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.
4/27/2022
SIGNATURE DATE
John Burnette
PRINTED NAME
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 2 of 17
SUBMITTAL CHECKLIST
a ? o D ro o 0
> X D C rs N 3 � in n
n' N -- O I 70 Cn
3 Residential Building Permit 0 * �- fD
• o
O' (D 7 3
Submittal Requirement Checklist mri - ,' °' �, '�
N- n + C �_ n
—rt C 7 .. N
'r+ O m '* F
7
O
n Residential Building Permit Application Form X X X X X
(FORM BP-1—attached)
n 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)
n Stormwater Management Minimum Requirements X X X X
Determination (FORM BP-5,attached)
_ Stormwater Site Plan X X X X
Site Plan & Landscape Plans- requirements listed on Form x X X X X
BP-6
n Structural Plans&Calculations X X X X X
Energy Code Plans& Forms X X
n M• anufacturer's Specifications/Cut Sheets X
nC• opy of recorded survey X X X X
n Critical Area Identification Form X X X X X
n Shoreline Structure Checklist, if applicable X X
Technical Reports X X X X
Other Required Permits, if applicable X X X X X
n A• DU Affidavit of Owner Occupancy(signed) X
SUBMITTAL INFORMATION
Please send applications in PDF format to buildingpermit@cityofanacortes.org
➢ Send applications in PDF format with a file and message size no greater than 30 MB.An email
with a link to a file share site (Dropbox, Google Drive, OneDrive, etc.) is acceptable. Paper copies
may be requested after initial review.
FEES
Once application is received, staff will reach out if a deposit is required. Otherwise, permit fees are paid
prior to building permit issuance.
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 3 of 17
REQUIRED SUBMITTAL INFORMATION
Additional details on certain submittal items are provided below to ensure Applicants are fully aware
what City staff will be looking for when an application is submitted to the City.
FORMS AND PLANS
• FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION FORM. Provides key information
about your project, including type of permit you are applying for, and property owner, contractor,
and contact information.
• FORM BP-2: STRUCTURE AND SITE INFORMATION FORM. Provides key information about
the proposed structure, including height, floor areas, fire protection proposed, and asks questions
about site characteristics that are used to determine whether your project requires any other
information or additional permit applications to be submitted.
• FORM BP-3: PLUMBING AND MECHANICAL INFORMATION. Form BP-3 provides space for
you to fill in fixture information for plumbing and mechanical appliances and equipment that are
included as part of your project.
• FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS. Form BP-4 contains a list of all the items
required to be shown on Architectural Plans.
• FORM BP-5: STORMWATER MANAGEMENT DETERMINATION FORM. Most development
within the City of Anacortes that involves disruption of soils, or construction of buildings, streets,
parking lots, etc. requires a Stormwater review. Stormwater review requirements are based on
either the amount of soil to be disturbed (grading,vegetation removal), or the amount of hard
surface that is created or replaced on a site (building footprint, concrete, asphalt or gravel parking,
sidewalk, etc.). Form BP-5 assists you in determining the level of stormwater review(applicable
Minimum Requirements) required for your project.
• STORMWATER SITE PLAN. The Stormwater Site Plan is the comprehensive report containing all
of the technical information and analysis necessary for regulatory agencies to evaluate your
project for compliance with stormwater requirements. The level of stormwater review and
contents of the Stormwater Site Plan will vary with the type and size of the project, and individual
site characteristics. Use Form BP-5 to determine the level of stormwater review and then
complete the applicable Stormwater Minimum Requirements Form on the Public Works-
Engineering Department Forms website and provide required submittal items/plans.
• FORM BP-6: SITE PLANS& LANDSCAPE PLANS. Form BP-6 contains a list of all the items
required to be shown on Site and Landscape Plans.
• STRUCTURAL PLANS: Plans prepared and stamped by a State of Washington licensed
professional structural engineer drawn at a scale approved by the Building Official clearly indicating
the information required by the "Permits" section of the currently adopted International Building
Code and Chapter 19.27 RCW (State Building Code Act, Statewide amendments), and City submittal
forms including: structural members labeled as to size and spacing as well as bracing, blocking,
bridging, special connectors, and anchor bolts; cross-section details, as needed,to show typical
foundation,floor, wall, ceiling and roof construction; insulation of walls, floors and roof/ceiling; and
details of stairs,fireplaces and special construction, if any.
• STRUCTURAL CALCULATIONS: An analysis of loads, materials, etc., prepared and stamped by a
State of Washington licensed professional structural engineer.
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 4 of 17
• ENERGY CODE FORMS: The standard Washington State Energy Office form requesting the
information required under Chapter 51-11 WAC detailing building components used to comply with
the State Residential or Nonresidential Energy Code, as applicable.
• MANUFACTURER'S SPECIFICATIONS/CUT SHEETS: A document that summarized the
performance and other technical characteristics of a product, machine, component, material, or
subsystem (e.g., a power supply) in sufficient detail that allows the City to determine the product
will be incompliance with applicable codes.
• COPY OF RECORDED SURVEY. A survey of your property is needed so that conformance with
minimum setback requirements and other development standards can been confirmed and verified
on site by the inspectors. Property markers must be visible on your property. If they are not at the
time an inspection is requested,you may need to have a new survey completed.
• CRITICAL AREA IDENTIFICATION FORM. Use this from to determine and/or identify if critical
areas or critical area buffers are located on or within 300 ft. of the development area. If critical
areas are determined to be present, a Critical Area Permit may be required.
• SHORELINE STRUCTURE CHECKLIST.This checklist is required to supplement the building permit
application if the proposed structure or development is waterward or within 200 ft.from the
shoreline.This checklist will also assist in determining what other approvals or permits may be
required for the proposed work.
OTHER SUBMITTALS DETERMINED ON A CASE-BY-CASE BASIS
TECHNICAL REPORTS
Following is a list of technical reports that will be required to be submitted to the City when certain
circumstances exist on or near a site an Applicant is planning on making improvements to. The general
triggers for each of the listed technical reports I provided below:
A. CRITICAL AREAS REPORTS: In general, Critical Area reports are required when wetlands
and/or streams are located on or near a site. Critical area mitigation plans may also be required,
depending on the project proposal. See Anacortes Municipal Code Ch. 19.70 for additional
information.
B. GEOTECHNICAL REPORT: In general, Geotechnical Reports are required when work is
proposed on or near slopes in excess of 15%and/or known landslide hazard areas. See
Anacortes Municipal Code Ch. 19.70 for additional information.
OTHER PERMITS DETERMINED ON A CASE-BY-CASE BASIS
OTHER FORMS
Following is a list of other permits that could be required in certain circumstances. The general triggers
for each of the listed permits is provided below.
A. FILL AND GRADE PERMIT: Grading (importing, exporting, and/or moving material on a site) of
more than 50 cubic yards and/or if grading modifies the existing flow of stormwater or
groundwater.
B. RIGHT-OF-WAY PERMIT: A right-of-way permit is required anytime the public right-of-way is
disturbed or obstructed in any way by private development or the general public.
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 5 of 17
FORM BP-2: STRUCTURE AND SITE INFORMATION
PROPERTY WHERE WORK IS OCCURRING
ADDRESS 4905 Doon Way
PARCEL NUMBER(S) P77617
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
1'FLOOR: 127
2ND FLOOR:
3RD FLOOR:
BASEMENT:
GARAGE:
TOTAL DECK:
TOTAL PORCH:
OTHER:
OTHER:
OTHER:
QUESTIONS ABOUT THE PROPOSED STRUCTURE
Is a fire sprinkler system being installed? FIVES ❑X NO
Is a monitored fire alarm being installed? FIVES ENO
Are retaining wall(s) being built? nYES ❑NO
Are structural plans required? OYES ENO
PROJECT SITE INFORMATION
A. Is work within the City's right-of-way proposed? DYES LINO
If YES, you will be required to submit a right-of-way permit application.
If you have already submitted a ROW permit, list the permit number here:
B. Is the lot less than 5,000 sq. ft. in area? [1YES rNO
If YES, your site and building will need to comply with the standards in AMC
19.43.010.C.
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 6 of 17
C. Is your project involving an accessory dwelling unit? OYES E NO
If YES, your site and building will need to comply with the standards in AMC
19.47.030.
D. Will more than 2-acres be cleared and/or more than 5,000 board feet OYES NNO
(about 1 log truck load) of timber be harvested?
If YES, you may need to obtain a forest practice permit from DNR. �/
E. Is this project subject to the SEPA process? YES X NO
If YES, you will be required to submit a SEPA checklist.
If you have already completed the SEPA process, list the permit number:
REQUIRED SIGNATURE
1 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.
4/27/2022
SIGNATURE DATE
John Burnette
PRINTED NAME
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 7 of 17
FORM BP-3: PLUMBING & MECHANICAL INFORMATION
MECHANICAL
APPLIANCE/EQUIPMENT INFORMATION (NEW AND RELOCATED)
EQUIPMENT TYPE Indicate the number of fixtures for each equipment type TOTAL
GAS ELECTRIC OTHER-Please specify COMMENT
Furnace 0
Wall Heater 3 3
Water Heater 1 tankless WH 1
Heat Pump 0
Air Conditioner/Handler 3 mini-split 3
Radiant/Hydronic Heating 0
Exhaust Fans 2 bath / laund. 1
Range Hood 1 1
Fireplace 3 3
Clothes Dryer& Duct 2 2
Stove/Range/Oven 0
Refrigeration Unit 0
Gas Piping/Outlet(s) 1 new lines 0
Boiler BTUs: 0
Other 0
L TOTAL MECHANICAL OUTLETS 14
PLUMBING FIXTURES
FIXTURE TYPE(NEW AND RELOCATED) TOTAL FIXTURE TYPE(NEW AND RELOCATED) TOTAL
Toilets 1 Refrigerator water supply 1
Kitchen Sink Pressure Reduction Valve/ Regulator
Utility Sink Water Service Line
Tub 1 Water Piping
Hand Sink 2 Washing Machine 1
Shower Electric Water Heater:Tank-less? Yes n No n
Dishwasher Backflow Prevention Device
Urinal Hose Bib
Floor Drain/Floor Sink Drinking Fountain
Hydronic Heat in:❑Floor ❑Wall Grease Interceptor
Other-please specify:
I TOTAL PLUMBING FIXTURES 6
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 8 of 17
Project Address: 4905 Doon Way, Anacortes
Property Owner: John Burnette
425 246 1 722
John.burnette@gmail.corn
Parcel Number: P77617
Lot Description: LOT 14, SKYLINE DIVISION NO. 20, ACCORDING TO THE PLAT THEREOF
RECORDED IN VOLUME 10 OF PLATS, PAGES 4 AND 5, RECORDS OF SKAGIT COUNTY,
WASHINGTON.
Lot size: 7840 sqft
Project: Interior alterations per plan, to include addition of 127 sqft of livable space (taken
from existing garage space). Project includes Kitchen, bathrooms, flooring remodel, partitioning
of a 4th bedroom (4 bed total) and additional full bathroom (3.5 bath total), as well as addition
of gas fireplaces and mini-split system.
Existing Footprint, per Skagit County records
2 29ft .
7l_ 'i_
S DECK CP
- 'Area ?2E.fN: P,1
— [,rea:326ftz]
MA 22ft BMF 22ft
25ft [Area:1348 ftl [Area:1348 fe]
25ft
A
o a
N
N AGAR
cc
.- [Area:700 ft9
2Eft 25ft
25ft
I I I � I I - I I � I
Existing
III-
Floor Plan Living
_,1
1 . Deck
.._ Non_load bearing wall
Remove Wall (Remove)
Chimney
Note: (Remove)
Drawings are not to scale, but are almost 3/16" : 1' Kitchen ti
8' 11" k
ifill
VI 11 WA —
/ .71. r
------\\I—
ke. —Y— — ir-
1
Stair
l
, ';;7." I ' - 1-
Bath
..', J =
Non-load Non-load bearing 'all
., bearing wall (Move)
:� ' (Remove)'1'\,, __ .-.:.....,......,i. 1 Master Bed
H Non-load bearing wall
Garage (move) 81 6 V /
CITY OF ANACORTES - - III-
PLANNING AND BUILDING DEPT: - }
APPROVED PLANS �1
h II
REVIEWED FOR CODE COMPLIANCE
PERMIT#: BLD-2022-0311 - i
ADDRESS: 4905 DOOV WAY I
APPROVED BY:
SUBJECT TO FIELD INSPECTION.APPROVED PL S SHALL NOT Notes: Existing roof is comprised of manufactured Fink trusses which
BE ALTERED WITHOUT AUTHORIZA ON. are self supporting. This allows free movement of exist walls
I flI 11
IIIIIIII
New Upstairs Floor Flare - -
pis
-
- Living Room Use of mini-split DECK
meets energy
bis Mini-split Head code
requirements.
0 CO2 Detector - Framing for-
fireplace yen
SD Smoke DetectorX Kitchen
, , , ,
..
,,,..; Exhaust Fan - Ir
PIke Gas Fireplace Stairs
\ bath
Remove Wall
Mud Room MS
w
'l New eaIIglieW) U._
l�l Window 7 ...
Master Bed
Lau rye
2X8 joists r - •
acceptable. I Kitchen extension + ry 1
mud room = 127 new Bath
livable square footage - _ _
Garage = 1,
Raised Floor System
--' R.5 Rigid Insulalian on atemwalla up
to 9"exposed height Insutale taller `Min.2x6 Floor Floor over
4stemwalls per details on page 2. 1 Jvtsts 0 16-o-c. —3/4"or 23132" Plywood subfloor
. ..—
rC garage
° 2 Solid rlrlg Blocking at ' slab is
R^7-5 Rigid insulation beanng pQinls C1
ildatwsen the sleepers required
a n n n to be
I I e n a n a
° 6 mil Vapor Barrier required on
2nd PT sleepers ci 6'u.n.max-Fasten securely to insulated,
` ° top of slop.Lap spaces 1$^min slab using corrosion-resistant fasteners.Continuous
and run 6"min up the sides. solid btoddng or 2x4 pony wall to joists above. per detail
4 qto left.
Figure 4:Approved Insulation Options Above the Slab —
I__ __ I I - I I I
Existing DownstairsWindow
Floor Plan (Remove)
Family Room -
Chimney)
R
X , . . ,
Laundry Stairs Bid 1
n_
Bath
11
1
I I
Utility Bed 2
Exterior wall to be insulated to R21, minimum.
ii
Fqew Downstairs 10'5 1 f4" 17' 7 iii" R310 Escape &
Floor Plan rescue opening to
be min. 24" high,
Family Rm min. 20" wide,
MI (ExisW
_ min. 5.7 sq ft and
C
Bed 3 I
max. 44" from sill
to finished floor.
MinispIit Head r�s Must meet all four
requirements.
0 CO2 Detector "
0 ( Gas fireplace
SD Smoke Detector —• _ (New)
i iii, 1 0
el Exhaust Fan — FORE PO
• - � -
M. Gas Fireplace - --
Remove Wall A ,,_
Bed Y
New Wall ( L ( )
Windowi - 1-1
X Wall Heater :II°
'�
I
„E___,,......„) n .
- poi Bed 2
el (Ex )
Wily
( s)
11