HomeMy WebLinkAboutBLD-2022-0689 - WINDOWS/DOORS/SIDING NEW OR REPLACED ~ ���w �����������
~= '`" Invoice/Permit#: BLD-2022'0689
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, Applied date: 08/31/2022
PC> Box547� � Issue date: 08/31/2022
Anaoortmm. VVA 98221'0547
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Expire date: 03/29/2024
' (380) 293-1901
'
Job Address: 804 4THST Permit Type: Commercial Alteration/Repair Permit
ANACORTES VVA98221 Project:
APN: P55028
Remarks: Replace siding and any rotting sheathing, replace a few windows, and maybe a door.
Owner: DAKOTA CREEK INDUSTRIES INC Contractor: OWNER
Address: PO BOX 218 Address:
ANACORTEG VVA08221'0218
Phone: Phone:
License
General Information: Fees:
Building Valuation 28900 Building Permit Fee 432]5
Plan Review Fee 280.90
State Building Code Fee Comm 25.00
Total Calculated: 738.05
Deposits/Receipts: 0.00
Total Due:� 738.05
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 o,federal law, orof any order, proclamation, guidance advice m 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 o, use of a structure where in violation of this Cudo, 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 o, revoke this ponnK if it is uetannmeU to be issued in enn, or on the basis of inoonect,
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 exajam d this application and know the same to
bo true and correct.
SIGNATURE or OWNER oR AUTHORIZED AGENT |aausD-Br--
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�'�Y G
- PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
C OV Office Location:904 61h Street, Anacortes WA 98821
Phone: (360)293-1901
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UILDING 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 BPA: RESIDENTIAL BUILDING PERMIT APPLICATION
PROPERTY INFORMATION
PROJECT ADDRESS STREET,SUITE#) ASSESSOR PARCEL NUMBER
�aLf � t Sf .
SUBDIVISION/LOT# ZONING LOT AREA(SIZE)
SQ. FT.
TYPE OF PROJECT
NEW ADDITION 2qREPAIR Lj REMODEL Lj CHANGE OF USE
SFR Duplex ❑Deck/Porch
Accessory Dwelling Unit: Detached ❑Attached ❑Retaining Wall
❑Manufactured Home ❑Accessory Structur
❑ Shoreline Structure(dock,pilings,floats etc.) * CROther: ,�( / i'l�P� aeeA�P�I
*If application is for a shoreline structure,please complete the Shoreline Structure Checklist.
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? YES X NO
f YES,provide the permit/application number:
PROJECT SUMMARY: Re In a v e -- A e p l!C e Si /"!q PROJECT VALUATION
R ep (Cost of Materials&Labor)
/kc e C�y rG ffeh S ea7��;Ny Rep Ili,c e
CcnySa�fl 00 ey
PROPERTY OWNER INFORMATION
NAME PHONE
pr, h 6t ee o 36 3 q T 7
ADDRESS(STREET,CITY,STATE,ZIP) f8P, EMAILADDRESS
P19, 0 0 X a I S /-1 � es w N�nc LC� RAfz fi e eeh . 0
CONTRACTOR INFORMATION
NAME* � � PHONE
CONTRACT �SBUSINESS LICENSES STATE LICENSE# EXPIRATION
*All Contractors&Subcontractors must have a valid City
of Anacortes business license prior to doing work in the LIBI# EXPIRATION
City.
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
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 MOTHER(LIST BELOW)
NAME PHONE
-A r d re tu J 17oo A 36 0 - 1 Rd, 9y6 a
ADD ESS(STREET,CITY,STATE,ZIP) f,*.Ik f EMAILADDRESS / 1
P.a. 90k 2 U AnGC6rT10.f � S/IDG h c e -a l 0 eels. COA
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:
r Q 1 understand that when a building permit application is taken in over the counter it does-not mean
l� 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.
I understand and acknowledge that 1 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.
1 understand and acknowledge that financial securities could be required as part of the work I am
completing and 1 agree to provide the items needed for the City to calculate these securities and to
provide the securities themselves.
r / 1 understand.that if permits are reviewed concurrently such as design review,site plan, traffic
concurrenty, etc., any required revisions to one permit may affect the entire plan set and could add
costs and time to the project.
1 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 kno ledge and belief.
SIGNATURE DATE
Aft.h.-p— !"2 50
PRINTED NAME
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 2 of 17