HomeMy WebLinkAboutPermit File 1301 26th Street (2) 1 .
C" City of Anacortes Invoice/Permit#: BLD-2018-0522
904 6th Street
Applied date: 08/21/2018
P.O.Box 547
Issue date: 08/21/2018
Anacortes, WA 98221-0547
Expire date: 02/17/2020
=. (360) 293-1901
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Job Address: 1301 26TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3807 Project:
APN: P60554
Remarks: Replace 50 year-old T-1-11 Siding that is failing, reinsulate wall cavity with R-13 and repair structural deterioration as
needed.
Owner: TRACY BLACK Contractor: OWNER
Address: 1301 26TH ST Address:
ANACORTES WA 98221-3807
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 350 Building Permit Fee 23.50
State Building Code Fee Resi 6.50
Total Calculated: 30.00
Deposits/Receipts: 30.00
Total Due: 0.00
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
�' e4RESIDENTIAL BUILDING PERMIT APPLICATION
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901, Fax: (360) 293-1938
PLEASE REFER TO THE RESIDENTIAL BUILDING PERMIT CHECKLIST BELOW FOR SUBMITTAL REQUIREMENTS
PROJECT A DRESS(Street Suite#): PARCEL(S)#:
73o� (96 � .S7
Subdivision/Lot#: PROJECT VALUATION: $ 3_5_0
APPLIC Phone:
,8 � 3 6 o ??375"-7
Addr ss0 titytat s E Mahn ddress: e( zW
„tegf_57,te.7--
PROP TY OWNER: Pllelne:
_ - X
Address(Street, ty,State,Zip): E-Mail Address:
CONTAC PERSON: Phone:
Address(Stree City,State,Zip): E-Mail Address:
LEND G AGEN Phone:
Address(S t,City,State,Zip): E-Mail Address:
7RACTOR:* Phone:
Addre (Street,City,State,Zip): E-Mail Address:
Professional License#: Exp.Date:
*All Contractors&Subcontractors must have a valid City of Anacortes
business license prior to doing work in the City. Contact the City's Business License#: Exp.Date:
Finance Department at(360)299-1968.
PROPOSED W � �A— fd &i,/,e`t
4f(10,416.V--- - - 94-ss ..1-#4)sce wok ,�,� w
z . i -e /1-5 6 e .."-
PROPOSED NEW SQUARE FOOTAGE:
Basement SQ': ❑ Finished Basement: ❑ Unfinished Basement
1"Floor SQ': Garage/Carport SQ':
2nd Floor SQ': Deck/Covered Porch/Patio SQ':
Fire Sprinkler: ❑ Yes ❑ No Lot Area SQ':
I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and
complete, and that I am the property owner or duly authorized agent of the property owner to submit a permit
application to the City of Anacortes.
Print Name: , 1 Owner Agent ❑ (specify):
Signature: Date: AUOAR.126-
Page1of3
PLANNING, COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT
RESIDENTIAL BUILDING PERMIT CHECKLIST
, , Mailing Address:P.O. Box 547, Anacortes, WA 98221
`'' Office Location: 904 6'h Street,Anacortes WA 98821
Phone: (360) 293-1901, Fax: (360) 293-1938
Plans shall be of sufficient clarity to indicate the location,nature, and extent of the work proposed,and
conform to the provisions of the adopted International Codes and City Ordinances.
PERMIT TYPE:
7:f C) C)
SUBMITTAL REQUIREMENTS: eD ® ® a. m z.
The number indicates the number of n I 0 `1 �' °' ric
copies for submittal (if applicable). '° o eD
et) e c
5 ® C
� . -
Residential Building Permit Application 1 1 1 1 1
Site Plan(Drawn to Scale&Surveyed—if 2 2 0 2 2
applicable)
Building Plans (Drawn to Scale) 2 2 2 2 2
Reduced Site Plan(11" X 17") 2 2 0 1 1
Reduced Floor Plan(11"X 17") 2 2 2 2 l
Structural Calculations (if applicable) 2 2 2 2 2
Energy Code Compliance(shown on plans) ✓ ✓ ✓
Drainage Plan/Small Parcel Stormwater 2 2 2
Plan
Landscape Plan 2 2 2
Grading Plan/Cut/Fill 2 2 2
Critical Areas Report(if applicable) 1 1 1 1
Geotechnical Report(if applicable) 1 1 1 1
Plan Review Deposit(due upon submittal) ✓
1. Handouts and Standard Details may be found on the City's website at www.cityofanacortes.org or can
be obtained at City Hall during normal business hours.
2. Plans/calculation/reports prepared by state licensed architects or professional engineers must be stamped
and signed by the design professional.
Page 3 of 3
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) -Y Cityof Anacortes
Invoice/Permit#: BLD-2018-0522
G 904 6th Street Applied date: 08/21/2018
P.O.Box 547 Issue date: 08/21/2018
0; Anacortes, WA 98221-0547
(360) 293-1901 Expire date: 02/17/2020
Job Address: 1301 26TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3807 Project:
APN: P60554
Remarks: Replace 50 year-old T-1-11 Siding that is failing, reinsulate wall cavity with R-13 and repair structural deterioration as
needed.
Owner: TRACY BLACK Contractor: OWNER
Address: 1301 26TH ST Address:
ANACORTES WA 98221-3807
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 350 Building Permit Fee 23.50
State Building Code Fee Resi 6.50
Total Calculated: 30.00
Deposits/Receipts: 0.00
Total Due: 30.00
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITFf]N 180 DAYS, OT IP
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMACED:, 11)
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PFVISIbh1,
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR RIOT,ij '
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER ISTATE I
LOCAL LAW RE ULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ri CO r•.�
t i
CA IA
SIGNATU1 6F OWNER AUTHORIZED AGENT Y
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