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Home My WebLink AboutPermit File BLD-2022-0304 2006 Creekside Circle C City of Anacortes Invoice/Permit#: BLD-2022-0304 904 6th Street Applied date: 04/27/2022 P.O.Box 547 Issue date: 05/18/2022 -1W Anacortes, WA 98221-0547 Expire date: 11/14/2023 (360) 293-1901 00 Job Address: 2006 CREEKSIDE CIR Permit Type: Single Family Interior Only Alteration Permit ANACORTES WA 98221-2460 Project: APN: P84003 Remarks: Repair framing in garage, replacing insulation, sheetrock, heating system, and add an A/C unit. Damage was caused by an electrical fire. Owner: TIM PEDA Contractor: BELFOR USA GROUP INC Address: 2006 CREEKSIDE CIR Address: 4320 S 131ST PL ANACORTES WA 98221-2460 SEATTLE WA 98168 Phone: (206)305-3534 Phone: (206)348-9555 License#: General Information: Fees: Building Valuation 60000 Building Permit Fee 713.75 #of Air Conditioning Units 1 Plan Review Fee 463.94 # Forced Air Furnace—100k 1 State Building Code Fee Resi 6.50 Mechanical Permit Fees 48.95 Total Calculated: 1,233.14 Deposits/Receipts: 0.00 Total Due: 1,233.14 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 exa is application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY IT O 1 � PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT X 7I. � Mailing Address: P.O. Box 547,Anacortes, WA 98221 If CO 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 2006 Creekside Circle SUBDIVISION/LOT# ZONING LOT AREA(SIZE) SQ. FT. TYPE OF PROJECT NEW ADDITION X REPAIR REMODEL Lj CHANGE OF USE X SFR x Duplex Deck/Porch Lj Accessory Dwelling Unit: LjDetached L Attached U 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 ✓ NO f YES,provide the permit/application number: PROJECT SUMMARY: PROJECT VALUATION Remove sheetrock in the garage.replace damaged framing,replaced damaged wiring,remove insulation in the attic,replace (Cost of Materials&Labor) the heating system,add A/C unit.replace insulation,sheetrock the garage,paint interior $60,000.00 PROPERTY OWNER INFORMATION NAME PHONE Tim Peda 206-305-3534 ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS 2006 Creekside Circle CONTRACTOR INFORMATION Belfor Group USA PHONE 206-632-0800 CONTRACTOR'S BUSINESS LICENSES STATE LICENSE# EXPIRATION *All Contractors&Subcontractors must have a valid City BELFOUG99OBJ 12/20/2022 of Anacortes business license prior to doing work In the UBI# EXPIRATION city. 602 089 710 ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS 4320 S 131 st PI.suite 100 Seattle Wa 98168 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 Thom Long 206-348-9555 ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS 4320 S 131 st PI suite 100 thom.long@us.belfor.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 ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS ACKNOWLEDGEMENTS &SIGNATURE Read and initial each of the following statements prior to signing this application: TLI 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. TLI understand that if 1 submit incomplete, inaccurate, and/or erroneous information it will take the City longer to process my permits. TLI 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. TLI 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. TL 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. TL 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. 04/26/2022 SIGNATURE DATE Thom Long PRINTED NAME Res.Building Permit Application Submittal Checklist Updated December 2021 Page 2 of 17