HomeMy WebLinkAboutPermit File BLD-2022-0354 2001 Bradley Drive (2) vim
4 City of Anacortes
tY Invoice/Permit M BLD-2022-0354
G 904 6th Street
Applied date: 05/12/2022
P.O.Box 547
Issue date: 05/12/2022
t ..' Anacortes, WA 98221-0547
Expire date: 11/08/2023
(360) 293-1901
Job Address: 2001 BRADLEY DR Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3011 Project:
APN: P59137
Remarks: Replace existing windows with new vinyl windows,with a .30 U-factor or better.
Owner: VOGEL LOUISE Contractor: LANG GLASS LLC
Address: 2001 BRADLEY DR Address: 3803 TAYLOR RD.
ANACORTES WA 98221-3011 OAK HARBOR WA 98277
Phone: Phone: (360)914-0187
License M
General Information: Fees:
Flood plain development N Building Permit Fee 167.25
Building Valuation 8500 Plan Review Fee 108.71
State Building Code Fee Resi 6.50
Total Calculated: 282.46
Deposits/Receipts: 0.00
Total Due: 282.46
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 examine . application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE
��T a
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-% '' = PLANNING,COMMUNITY,& ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address:P.Q. Box 547,Anocortes, WA 98221
l
0V_ Office Location:904 61h 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 (Le. garages,
carports), Accessory Dwelling Units, Manufactured Homes, Residential Decks & Retaining Walls, and
Docks&Pilings.
FORM ESP-I,: RESIDENTIAL BUILDING PERMIT APPLICATON,
PROPERTY INFORMATION
PROJECT ADDRESS(STREET,SUITE#) ASSESSOR PARCEL NUMBER
2001 Bradley Drive
SUBDIVISION/LOT# ZONING LOT AREA(SIZE)
SQ. F7.
TYPE OF PROJECT
NEW ADDITION REPAIR REMODEL CHANGE OF USE
SFR Duplex Deck Porch
Accessory Dwelling Unit: Detached ❑Attached Retaining Wall
❑Manufactured Home ❑Accessory Structure
I
[:]Shoreline Structure(dock,pilings,floats etc.)* Other: Replace existing windows with new
*if application is for a shoreline structure,please complete the Shoreline Structure Checklist.
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? YES V' NO
If YES,provide the permit/application number:
PROJECT SUMMARY: PROJECT VALUATION
Replace existing windows with new vinyl windows (Cost of Materials&Labor)
$8500
PROPERTY OWNER INFOR IJIATION
NAME PHONE
Louise Vogel 360 293-7006
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
2001 Bradley Drive,Anacortes WA 98221 Weasel 61 a@MSN.COM
CONTRACTOR INFORMATION
NX g
Lang Glass LLC PHONE 360-675-9107
CONTRACTOR'S BUSINESS LICENSES STATE LICENSE# EXPIRATION
"Ali contraftors&Subcontractors must have a valid city LANGGGL820KN 05/15/2024
of Anacortes business license prig to doing work in the LIBI# EXPIRATION
city' 604-234-594
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
3803 Taylor Road,Oak Harbor, WA 98277 glassbylang@yahoo.com
Page 1 of 17
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
CONTACT PERSGN-Select one person the city will contact for anything related to this project:
[]APPLICANT ❑PROPERTY OWNER QCONTRACTOR ❑OTHER(LIST BELOW)
NAME PHONE
Kevin Lang 360-914-0187
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
i3803 Taylor Road,Oak Harhor,WA 98277 glassbylang@yahoo.com
LENDER INFORMATION
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 lV ame Line below.
NAME PHONE
No Lenders
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
ACKNOWLEDGEMENTS& SIGNATURE
Bead and initial each of the following statements prior to signing this application:
KL 1 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.
1 understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the
KL
City longer to process my permits.
KL1 understand and acknowledge that i could be responsible for providing as-built drawings(on paper
or electronically)as part of the ro"ect's certificate of occupancy process.
KL I understand and acknowledge that Special Inspections could be required as part of my project,and
if needed 1 will be required to pay for the cost of these inspections.
KL 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 far the City to calculate these securities and to
provide the securities themselves.
KL l understand that if permits are reviewed concurrently such as design review,site plan, traffic
i concurrenty,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
s 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.
5/10/2012
SIGNATURE DATE
KEVIN LANG
PRINTED NAME
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 2 of 17