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Home My WebLink AboutPermit File BLD-2022-0364 4513 Blakely Drive City of Anacortes Invoice/Permit#: BLD-2022-0364 '> 904 6th Street s Applied date: 05/17/2022 P.O.Box 547 Issue date: 05/17/2022 Anacortes, WA 98221-0547 r. Expire date: 11/13/2023 (360) 293-1901 Job Address: 4513 BLAKELY DR Permit Type: PV Solar Permit ANACORTES WA 98221-1161 Project: APN: P111878 Remarks: Install 15 modules on roof of home for Solar PV system. Owner: KEITH &ANN SORENSON Contractor: BANNER ELECTRIC INC. DBA BANNER POWER S Address: 4513 BLAKELY DR Address: 130 E HAZEL AVE ANACORTES WA 98221-1161 BURLINGTON WA 98233 Phone: (360)303-5979 Phone: (360)770-2185 License M General Information: Fees: Building Valuation 9269 Building Permit Fee 181.25 Plan Review Fee 117.81 State Building Code Fee Resi 6.50 Total Calculated: 305.56 Deposits/Receipts: 0.00 Total Due: 305.56 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 a ed this application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE Y 11 v v 0 4) o v � 4) \ % > a /\ ƒ § � u ua & 2 0 \ ] \ { § \ 24 & | . � - � r� r t� � }�� • i \ • . ƒ � - IL - . 4 � , . ��■ . 4{ ■f� �\ � § �4 � - . _ | � . §{ . , - � . - _ § % . - � �_■ - � � f � i . � / �- . , . • '. PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 c�oR 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 (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 4513 Blakely DR P111878 SUBDIVISION/LOT# ZONING LOT AREA(SIZE) 5400 �R2 SQ. FT. TYPE OF PROJECT NEW ADDITION REPAIR REMODEL CHANGE OF USE SFR Lj Duplex ❑Deck/Porch Accessory Dwelling Unit: ❑Detached ❑Attached ❑Retaining Wall ❑ Manufactured Home ❑Accessory Structure ❑ Shoreline Structure(dock, pilings,floats etc.) * ❑X Other: Photovoltaic power system *If application is for a shoreline structure, please complete the Shoreline Structure Checklist. IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? I YES ✓ NO f YES, provide the permit/application number: PROJECT SUMMARY: PROJECT VALUATION Installation of photovoltaic power of 15 modules on the roof of (Cost of Materials & Labor) home $ 19,269.90 PROPERTY OWNER INFORMATION NAME PHONE Keith M Sorenson 3603035979 ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS 4513 Blakely Dr anacortes WA 98221 ksorenson7@comcast.net CONTRACTOR INFORMATION Banner Electric PHONE 3607553030 CONTRACTOR'S BUSINESS LICENSES STATE LICENSE# EXPIRATION *All Contractors&Subcontractors must have a valid City EC BANNEE1965RP 1/5/2023 of Anacortes business license prior to doing work in the UBI# EXPIRATION City. 602453660 1/5/2023 ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS 130 E Hazel ave Burlington WA 98233 gk.bannerelectric@gmail.com 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 ❑PROPERTY OWNER ❑■ CONTRACTOR ❑OTHER(LIST BELOW) NAME PHONE Aaron Fonoimoana 3607553030 ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS 130 E Hazel ave Burlington WA 98233 aaron@bannerpowersolutions.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 Name Line below. NAME PHONE no lenders ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS ACKNOWLEDGEMENTS & SIGNATURE Read and initial each of the following statements prior to signing this application: 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. G I understand that if 1 submit incomplete, inaccurate, and/or erroneous information it will take the (� City longer to process my permits. G I understand and acknowledge that I could be responsible for providing as-built drawings(on paper U or electronically)as part of the project's certificate of occupancy process. 1 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. / 1 understand and acknowledge that financial securities could be required as part of the work 1 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. 1 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. 05/11/2022 SIGNATURE DATE Aaron Fonoimoana PRINTED NAME Res.Building Permit Application Submittal Checklist Updated December 2021 Page 2 of 17