HomeMy WebLinkAboutPermit File BLD-2022-0402 2305 16th StreetCity of Anacortes
Invoice/Permit #: BLD-2022-0402
904 6th Street
Applied date: 05/26/2022
P.O.Box 547
Issue date: 06/29/2022
_, Anacortes, WA 98221-0547
Expire date: 12/26/2023
(360) 293-1901
Job Address: 2305 16TH ST
Permit Type:
Single Family Alteration/Repair Permit
ANACORTES WA 98221
Project:
APN:
Remarks: Install a prefabricated outbuilding, 14' x 24'.
Owner: BRUCE & JOANNE WILLIAMS
Contractor:
MILLER BARNS LLC
Address: 2305 16TH ST
Address:
14259 BEAVER LAKE RD
ANACORTES WA 98221
MOUNT VERNON WA 98273
Phone: (360) 404-5155
Phone:
(509) 834-0034
License #:
General Information:
Fees:
Flood plain development N
Building Permit
Fee
251.25
Building Valuation 14178
Plan Review Fee
163.31
State Building
Code Fee Resi
6.50
Total Calculated:
421.06
Deposits/Receipts:
0.00
Total Due:
421.06
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.
A"(- �� �'-
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SIGNATURE OF OWNER OR AUTHORIZED AGENT
ISSUED BY
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�F o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
' Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
Residential Building Permit Application
Submittal Packet
New Single Family Residences (SFR) Duplexes Additions and Remodels (SFR & Duplex)
Accessory Dwelling Units Manufactured Homes Residential decks and retaining walls
FORm- BP-1: RESIDENTIAL BuILDING PERMIT APPLICATION
1. PROPERTY INFORMATION
Project Address (Street, Suite #): Assessor Parcel Number:
3 O s j ("'i
Subdivision/Lot#: Zoning Designation: Lot area (size):
T
sq. ft.
2. TYPE OF PROJECT
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
❑ New Duplex ❑ Attached to Primary Unit ❑ Interior remodel
m Detached from Primary Unit
❑ New Addition to SFR ❑ Garage, carport or accessory building ❑ Retaining wall
or duplex (new/repair)
,d Other:
S_�'o r��,� h �� 'ty ! x 2-Y 336
Project Summary:
Project Valuation: $�_/)
3. PROPERTY OWNER INFORMATION
Name: 0 Ku-e e '
Phone: 3 � U � Ll Q L�
Address (Street, City, State, Zip): a
2 3 0'' ll� ' i` 5° "� A 1Kcc Lc3 Y l 42S
Email Address:
J W L.
4. CONTRACTOR INFORMATION
Name:- A/ ✓ � �
Phone:
Contractor's Business Licenses
State License #:
City License #:
*All Contractors_& Subcontractors must have a valid City
Expiration Date:
Expiration Date:
of Anacortes business license prior to doing work in the
city.
Address (Street, City, State, Zip):
Email Address:
Page 1 of 19
Res. Building Permit Application Submittal Checklist
Updated April 20, 2021
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
C��
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street Anacortes WA 98821
Phone: (360) 293-1901
5. CONTACT PERSON
Select one person the city will contact for anything 19 Applicant
A pp Property Owner Contractor
related to this project:
Name: � ., < j1�G�
Phone:
Address (Street, City, State, Zip):
Address:
.3 `V [�
(Email
f
I' Y"� Lt%irLlGfcLY+t. fw i*� i �� GC
6. 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: ik o . � � ` k e r
Phone. -
Address (Street, City, State, Zip):
Email Address:
7. ACKNOWLEDGEMENTS & SIGNATURE
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
�j )✓
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.
k
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.
f
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
Res. Building Permit Application Submittal Checklist
Updated April 20, 2021
Page 2 of 19
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
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 knowledge and belief.
Signature
I` u-e- p,-C . Ltd, L '
Printed Name
1
Dat
Res. Building Permit Application Submittal Checklist
Updated April 20, 2021
Page 3 of 19
�v11, O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
ti Office Location: 904 6t" Street, Anacortes WA 98821
Phone: (360) 293-1901
FORM B P-2: STRUCTURE AND SITE INFORMATION
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS: U l�Ybu ��
PARCEL
RFR
2. DETAILE PROPOSED STRUCTURE INFORMATION
Complete the following information as it relates to your project. Mark items
,)
that are not applicable with
e Structure height:
AJO�Ct-
AREA
SQUARE FOOTAGE
OCCUPANCY GROUP
CONSTRUCTION TYPE
OCCUPANT LOAD
1st Floor:
Q, 2"d Floor:
3rd Floor:
Basement:
Garage:
Total deck:
Total porch:
Other:
Other:
Other:
3. QUESTIONS ABOUT THE PROPOSED STRUCTURE
Is a fire sprinkler system being installed?
❑ YES NO
Is a monitored fire alarm being Installed?
g �I `l 1' �'
❑ YES I NO
Are retaining wall(s) being built?
❑ YES I7 NO
Are structural plans required? d
❑ YES I NO
4. PROJECT SITE INFORMATION
to submit a right-of-way permit application.
A. Is work within the City's right-of-way proposed? If yes, you will be re=here:
If you have already submitted a ROW permit, list the permit number
El
B. Is the property located in a flood zone?
If yes, list the flood zone designation:
❑ YES l NO
C. Are there slopes in excess of 15% on or abutting the site? If yes, a
geotechnical report will likely need to be submitted.
❑ YES NO
Res. Building Permit Application Submittal Checklist
Updated April 20, 2021
Page 8 of 19
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
D. Are there critical areas or buffers on or abutting (within 300-feet of) the
❑ YES NO
project site? If yes, a critical areas report will likely need to be submitted.
E. Is the lot less than 5,000 sq. ft. in area?
❑ YES NO
If yes, your site and building will need to comply with the standards in AMC
19.43. 010. C.
F. Is your project involving an accessory dwelling unit?
❑ YES NO
If yes, your site and building will need to comply with the standards in AMC
19.47.
G. Will more than 2-acres be cleared and/or more than 5,000 board feet
❑ YES NO
(about 1 log truck load) of timber be harvested? If so you may need to
obtain a forest practices permit from DNR.
H. Is this project subject to the SEPA process? If yes, you will be required to
❑ YES T NO
submit a SEPA checklist.
If you have already completed the SEPA process, list the permit number
here:
5. , REQUIRED SIGNATURE
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 knowledge and belief.
3n
Signature Date
16 V-u
Printed Name
Res. Building Permit Application Submittal Checklist
Updated April 20, 2021
Page 9 of 19
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
.. Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
`w Phone: (360) 293-1901
MECHANICAL No
Equipment Type: Appliance/Equipment Information (new and relocated): Total #:
Furnace: Gas #: Elec #: BTU. Other #:
Wall Heater: Gas #: Elec #: Other: #: Location(s):
Gas Water #: Location(s):
Heat Pump:
Elec #:
Other #: Capacity:
Air Conditioning:
Elec#:
Other#: Capacity:
Radiant /Hydronic
Gas #:
Elec #: Other: #: Location(s):
Exhaust Fans:
Bath #:
Laundry #: Other:
Range Hood:
#:
Location(s):
Fireplace-
Gas#:
Elec#: Other: #: Location(s):
Clothes Dryer & Duct:
Gas #:
Elec #: Other: #: Location(s):
Stove/Range/Oven:
Gas #:
Elec #: Other: #:. Location(s):
Gas Piping/ Outlet(s):
#:
Location(s):
Boiler
Gas #:
Elec#: BTUs: Location(s):
Other:
#:
Location(s):
TOTAL MECHANICAL OUTLETS:
PLUMBING �l t+_v� �o-� cc 5 r�-� r�c�.� S yt e c
Fixture Type (new and
relocated):
Total #:
Fixture Type (new and relocated):
Total #:
Water Closet (Toilet):
Refrigerator water supply (for water/ice
Kitchen Sink:
Pressure Reduction Valve/Pressure Regulator:
Utility Sink:
Water Service Line:
Tub:
Water Piping:
Hand Sink:
Clothes Washer:
Shower:
Electric Water Heater: Tank -less? Yes ❑
Dishwasher:
Backflow Prevention Assembly:
Hose Bib:
Other:
TOTAL PLUMBING FIXTURES:
Res. Building Permit Application Submittal Checklist
Updated April 20, 2021
Page 10 of 19
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MILLEBL904DO
JoAnne, Bruce Williams
2305 16th st
Anacortes 98221
Miller Barns
1522 Riverside Drive Suite 2 509-834-0034 Sep 2, 2021
Mount Vernon, WA 98273 www.mbarns.com
alien@mbarns.com
SIZE STYLE
1424 Gable
DESCRIPTION
14x24 gable
Double door
24x36 window
Transom
Premium Package
Draw plans for City
Stain 2 color
Gutters ??
Window.
iwilli4906@aol.com Quote
360 404 5155
206 841 3997
QUANTITY
1
1
2
2
1
1
1
Transoms
PRICE
$10080.00
$200.00
$175.00
$120.00
$1512.00
$100.00
$550.00
Door. Window
DESCRIPTION
shop notes:
Roof Color... Wall Color.......
PLACEMENT
TOTALS
BASE PRICE
$10080.00
OPTIONS
$2952.00
SUBTOTAL
$13032.00
TAX RATE
8.8%
SALES TAX
$1146.82
Down payment
Balance
$14178.82
Type to
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