HomeMy WebLinkAboutPermit File BLD-2022-0647 3800 Copper PondCity of Anacortes
904 6th Street
P.O. Box 547
Anacortes, WA 98221-0547
Job Address: 3800 COPPER POND
ANACORTES WA 98221-1162
Invoice/Permit #: BLD-2022-0647
Applied date:
08/16/2022
Issue date:
08/1612022
Expire date:
02/12/2024
Permit Type: Reroof Single Family Residence
Project:
APN: P108203
Remarks: Reroof with 28 squares of asphalt shingles.
Owner: DONNA & CHRIS DIXON & WELLS
Contractor: HIGH PERFORMANCE HOMES INC
Address: 3800 COPPER POND
Address: 4200 SE COLUMBIA WAY
C
ANACORTES WA 98221-1162
VANCOUVER WA 98661
Phone: (360) 333-0350
Phone: (360) 635-5297
License #: HIGHPPH876DN
General Information:
Fees:
Occupancy Group it-1
Building Permit Fee
223.25
Building Valuation 12838
State Building Code Fee Resi
6.50
Total Calculated:
229.75
Deposits/Receipts:
0.00
Total Due:
229.75
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 withia._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 this,�application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSTJI�.Y� �f
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PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
711 Office Location: 904 61h Street, Anacortes WA 98821
Phone: (360) 293-1901
RE -ROOF PERMIT APPLICATION
Please complete all applicable information and submit to buildingpermit@cityofanacortes.org
PROPERTY INFORMATION
PROJECT ADDRESS
ASSESSOR PARCEL NUMBER
3800 Copper Pond, Anacortes, WA 98221
® RESIDENTIAL COMMERCIAL
PROPERTY OWNER
OWNER PHONE
Donna Dixon
3603330350
OWNER ADDRESS
OWNER EMAIL
3800 Copper Pond, Anacortes, WA 98221
raiderwoman12@hotmail.com
APPLICANT INFORMATION
PROPERTY OWNER
LAPPLICANT
ONTRACTOR X
THER:
NAME
PHONE
Duffy Brody
3603355055
ADDRESS
EMAIL
54200 SE Columbia Way C,Vancouver WA 98661
duffy@hphemail.com
CONTRACTOR INFORMATION
NAME*
PHONE
High Performance Homes
3603355055
CONTRACTOR'S BUSINESS LICENSES
STATE LICENSE #
EXPIRATION
*All Contractors & Subcontractors must have a valid
HIGHPPH876DN
4/8/23
City of Anacortes business license prior to doing work
UBI LICENSE #
EXPIRATION
in the City.
196673
4/8/23
ADDRESS (STREET, CITY, STATE, ZIP)
EMAIL
4200 SE Columbia Way C, Vancouver, WA 98661
duffy@hphemail.com
DESCRIPTION OF PROPOSED WORK:
PROJECT VALUATION
Reroofing 28 squares with asphalt shingles.
(Cost of Materials & Labor)
$12,838.00
TYPE OF ROOFING:
CLASS OF ROOFING:
SQ. FT. OF ROOF:
Asphalt
CAA ❑❑ B ❑❑ C
2774
NUMBER OF LAYERS:
NUMBER OF SQUARES:
1
28
OCCUPANCY GROUP:
Ld Office Ld Church Ld School Retail Ld Restaurant
INSTALLING OR REPLACING SHEATHING? ❑ YES C NO
PROJECT TIMELINE:
Anticipated Start Date
Anticipated Finish Date
4 days
N/a
N/a
Sign Permit Application
Updated December 2021 Page 1 of 2
SUBMITTAL REQUIREMENTS
✓ OR N/A
OFFICE USE
Re -Roof Permit Application
Site Plan*
Pedestrian Safety Plan*
Installation Specifications and U.L. Listed Roof Assembly*
Building Inspection Prior to Work -When Deemed Necessary*
*Required for Commercial Re -Roof projects only
NOTE: A Final Inspection and Approval, performed and issued by a City of Anocortes Building Inspector, is
required once re -roof is complete. The applicant is responsible for providing a method of safely accessing
roof for inspection. Please call (360) 293-1901 to schedule an inspection.
ACKNOWLEDGEMENTS & SIGNATURE
By affixing my signature hereto, I certify that I am the owner, or am acting as the Owner's authorized
agent, and that the application and documents contained with this submittal are complete and
accurate to the best of my knowledge and abilities.
SIGNATURE DATE
Sign Permit Application
Updated December 2021 Page 2 of 2
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STATE OF WASHINGTON
BUSINESS LICENSING SERVICE
Thank you for filing online
Our processing time generally takes up to 10 business days. Some endorsements may take more time for state or city
approval. You will receive your business license with approved endorsements in the mail. An updated business license
will be mailed to you when additional endorsements are approved.
Confirmation Number: 0-028-184-583
Payment Method: ACH Debit/E-Check
Business Entity Information
Filing Date and Time: 08/15/2022 08:37:47 AM
Entity Type: Corporation
Name of Entity: HIGH PERFORMANCE HOMES INC.
AccountlD: 603231615-001-0001
Firm Name: HIGH PERFORMANCE HOMES
Endorsement(s) Applied For Begin End
Anacortes General Business - 08/15/2022 08/31/2023
Non -Resident
Fee Type
BLS Processing Fee
Count
1
Begin End Count
08/15/2022 1
Fee
$40.00
$40.00
Fee
$0.00
$0.00
Grand Total: $40.00
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