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HomeMy WebLinkAboutPermit File BLD-2022-0687 1419 10th Street 4 City of Anacortes Invoice/Permit#: BLD-2022-0687 G 904 6th Street Applied date: 08/29/2022 P.O.Box 547 KAA Anacortes, WA 98221-0547 Issue date: 08/29/2022 Expire date: 02/25/2024 (360) 293-1901 Job Address: 1419 10TH ST Permit Type: Single Family Interior Only Alteration Permit ANACORTES WA 98221-1923 Project: APN: P55732 Remarks: Replace 1 window and 1 entry door. No change to size or structure. Owner: JUDITH KAROLICK Contractor: THE HOME DEPOT Address: 1419 10TH ST Address: PO BOX 105451 ANACORTES WA 98221-1923 ATLANTA GA 30348 Phone: (505)470-1115 Phone: (360) 945-2787 License#: General Information: Fees: Building Valuation 10985 Building Permit Fee 195.25 Plan Review Fee 126.91 State Building Code Fee Resi 6.50 Total Calculated: 328.66 Deposits/Receipts: 0.00 Total Due: 328.66 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 ex a his application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY 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 1419 10TH ST P55732 SUBDIVISION/LOT# ZONING LOT AREA(SIZE) SQ. FT. TYPE OF PROJECT NEW ADDITION X REPAIR REMODEL CHANGE OF USE IX4SFR Duplex ❑Deck/Porch Accessory Dwelling Unit: ❑Detached ❑Attached ❑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? I YES ✓ NO f YES, provide the permit/application number: PROJECT SUMMARY: PROJECT VALUATION Remove and replace 1 window and 1 entry door. No (Cost of Materials & Labor) size/structural changes. $ 10985.09 PROPERTY OWNER INFORMATION NAME PHONE JUDITH KAROLICK 505-470-1115 ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS 1419 10TH ST, Anacortes WA 98221 CONTRACTOR INFORMATION NAME* PHONE Home Depot The 360-945-2787 CONTRACTOR'S BUSINESS LICENSES STATE LICENSE# EXPIRATION *All Contractors&Subcontractors must have a valid City HOMED**088RH 7/17/22 of Anacortes business license prior to doing work in the UBI# EXPIRATION City. 601262719 ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS PO Box 105451, Atlanta GA 30348 naida@nwpermit.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: EC APPLICANT []PROPERTY OWNER []CONTRACTOR ❑OTHER(LIST BELOW) NAME PHONE Northwest Permit Inc. 360-945-2787 ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS 1026 SW 151st St, Burien WA 98166 naida@nwpermit.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: NK I 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. NK I understand that if 1 submit incomplete, inaccurate, and/or erroneous information it will take the City longer to process my permits. NK 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. NK I 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. NK 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. N K 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. ltl)ae 0& Alm 8/29/2022 SIGNATURE DATE Naida Khan/Northwest Permit Inc. PRINTED NAME Res.Building Permit Application Submittal Checklist Updated December 2021 Page 2 of 17 - � -�-�• 14ctv6 19 I wC4, °t2Z w V MY`' ( ct ..................... oopv �..�� CTB HDE-Lynnwood 2902A Lincoln Way Lynnwood,WA 98087 Quote Name: 11169416 KAROLICK Quote Number: SQPEV1041022_1 Customer: HDE Created Date: 7/29/2022 Payment Terms: Modified Date: 7/29/2022 Sales Representative: Warren Steiner Mobile: PO Number: warren_c_steiner@homedepot.com Total Windows: 1 Weighted Average: U-Factor: .29,SHGC: .28,VT: .53 Total Doors: Total Sq Ft: 48.00 Comments: Total Perim Ft: 30 Est. Delivery: For warranty information please visit www.milgard.com/warranty/ Billing Information Shipping Information Name: HDE Name: HDE Address: 2455 Paces Ferry Road Address: 2455 Paces Ferry Road Atlanta,GA 30348-5581 Atlanta,GA 30348-5581 Phone: Phone: Fax: Fax: Email: Email: Line: 1 Location: Living Quantity: 1 Tuscany V400,8120T, DV, No Fin (Block Frame), Ext White/Int White, U-Factor: .29,SHGC: .28,VT: .53 Argon Gas Filled Model=Double Vent Size=Net Frame: 104 7/8"x 65 1/2" Dimensions=Sash Width:One Quarter Handing=XOX Energy Package=Energy Star North-Central Glass=DV 1.1 Left Vent, DV 1.1 Right Vent:3/32"SunCoat(Low-E)over 3/32"Clear with Gray ♦ ♦ Foam Spacer, DV 1.1 Center Fixed: 1/8"SunCoat(Low-E)over 1/8"Clear with Gray Foam Spacer Glazing=Dual Glaze with Argon Hardware=SmartTouch Lock Other Options=Glass Breakage Warranty,Glazing Policy:This Window may ship open due to its e size. Please contact your Milgard Sales Representative for more information. Screen=Standard with Fiberglass Mesh Ratings=STC: No Rating,OITC: No Rating, PG: R20 Clear Opening=W 23 1/2"x H 62 1/2"Sq. Ft. 10.2, Egress:Yes Other Ratings=CPD: MIL-A-224-07447-00001 Viewed From Exterior Customer Approval: Quote Number: SQPEV1041022_1 Print Date:7/29/2022 Page 1 of 2 HIDE-Lynnwood kYjJ-7jLAA- CT B 2902A Lincoln Way Lynnwood,WA 98087 Submitted By: Accepted By: Date: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - For warranty information please visit www.milgard.com/warranty/ Please note that actual NFRC energy values may vary from those reported in CTB Quote Plus due to variations that may occur during the manufacturing process. In most cases variations will be minimal. Please contact your Milgard location with questions or concerns regarding this potential variation. Painted Vinyl Note: For stucco applications,please follow the Milgard Stucco Tape Guidelines https://www.milgard.com/sites/default/files/u/u57666/stucco taping guidelines 0920.pdf. Handing is viewed from outside looking in. ADDITIONAL INFORMATION: Quote Number: SQPEV1041022_1 Print Date:7/29/2022 Page 2 of 2 Tacoma Order Acknowledgement I t 253-582-9500 9213 51stAvenue SW Order No 2476284 o (PO Box 98828 Zip 98496) Order Date 08/15/2022 Tacoma,WA 98499 Customer HOMDEP03 Invoice Address Delivery Address Contact FIDE Lynwood Confirmations @ IK Home Depot-HIDE HIDE SE#545-Lynnwood Your PO 11160444 Vendor 40006318 Dept 030 Hansen Bros Shipping On 09/06/2022 PO Box 723020 2810 Lincoln Way Taken Sy Administrator Atlanta, GA, 31139-0020 Lynnwood,WA,98087 Sales Rep TAG-290 House Ship Via: Delivered III(IIIII IIIII IIIII IIIII IIIII IIII IIIII III II IIIII IIII III II(I)IIII Page 1 of 1 Special instructions Notes KAROLICK MP#1727292 11169444 KARLICK Line Product Code Description Oty/Footage i Per 1 1 Heather Hill Heather_Hill@homedepot.com 2 zz_SODrTTPFPHSSOec_ 6'0"x 6'8"-Custom Rough Opening Height 81 1/2"-Right 1 Ea Ea 12419 Hand Inswing-S2AX-Exterior FlnishKote Therma-Tru Double Prehung/Double Active-3/0 x 6/8 Smooth-Star Art 3-Lite Axis Black Nickel Scrolled Ltle Frame-Paint Exterior Sides of Doors Dragonfly-Paint Interior Sides of Doors Alpine-Paint Frame Both Sides Alpine-Paint Exterior Trim Alpine-Vintage Bronze Durango Knob/Contemporary Deadbolt-4 9/16"Composite Smooth Jamb-Composite Smooth Brickmould-1A Flat Stock Paintable Interior Trim 3 Durango Knob I Contemporary DB US11 P Dbl Set RH 1 4 SLCDUl1P ->COMBO-DURANGO ENTRY&DB 11P VINT BRZ 1 Ea Ea 5 SLDUM11P ->MATCHING DURANGO DUMMY VINT BRZ 11P 2 Ea Ea .. 6 SLPT115P ->BOLT FOR TWO-SIDED DUMMY TRIM 1 Ea Ea 7 Sidemark:, Note:StralghlPullltem 6 FECS43409 11/16"x 3-1/2"x 9'Prefinlshed White Finished Elegance 27 LF LF MDF E2E Board 319 I AM AN AGENT OF THE CUSTOMER OF OREPAC,WITH AUTHORITY TO EXECUTE THIS ORDER ON ITS BEHALF,AND I UNDERSTAND AND AGREE THAT THE ORDER WRITTEN ON ALL PAGES OF THIS ACKNOWLEDGEMENT IS ACCURATE AND THAT NO SPECIAL ORDERS OR ASSEMBLED UNITS MAY BE RETURNED WITHOUT OREPAC'S SPECIFIC WRITTEN APPROVAL. ACCEPTED BY: DATE: Subject to our terms and conditions or sale,unless agreed to In vnlGng.