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Home My WebLink AboutPermit File BLD-2020-0200 3920 S Avenue (2)City of Anacortes 904 6th Street P.O.Box 547 Anacortes, WA 98221-0547 (360) 293-1901 Invoice/Permit # Applied date: Issue date: Expire date: BLD-202M200 04l2112020 10/18/2021 Job Address: 3920 S AVE Permit Type: Single Family Alteration/Repair Permit ANACORTES WA 98221-3647 Project: APN: P58853 Remarks: REPLACE EXISTING DECK, USING WOOD AND TREX DECKING. Owner: DEREK L BRITTON Contractor: Address: 3920 S AVE Address: ANACORTES WA 98221-3647 Phone: (425) 760-9117 Phone: General Information: Use Zone Deck Square Footage Building Valuation Occupancy Group Lot Area License It OWNER Fees: R-2A Building Permit Fee 378 Plan Review Fee 9000 State Building Code Fee Resi it-1 7405 Total Calculated: Deposits/Receipts: Total Due: 167.25 108.71 6.50 282.46 0.00 282.46 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. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY y PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPAf Fri U` Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 61h Street, Anacortes WA 98821 12020 �''q `sue Phone: (360) 293-1901 Ap 2 10 b 2�6 0 FORM BPmle, RESIDENTIAL BuILDING PERMIT APPLICATION Res. Building Permit Application Submittal Checklist Updated October 10, 2019 Page 5 of 18 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 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: AJ 0 L ( J V Dog `L.- 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 v 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 I could be responsible for providing as -built drawings (on paper �G 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. 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 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 Date Printed Name Res. Building Permit Application Submittal Checklist Updated October 10, 2019 Page 6 of 18 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 FORM BPm2e,AND •' • 1. PROPERTY WHERE WORK IS OCCURRING DDRESS: 75ZL� S• A U N 0 1 rU Ac oorL,rt S CAU /k PARCEL NUMBER(S) 2. DETAILED PROPOSED STRUCTURE INFORMATION Complete the following information as it relates to your project. Mark items that "N A" are not applicable with Structure height: AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD 1st Floor: 2"a Floor. 3`d Floor. Basement: Garage: Total deck: �7� '' ` r� f�ex 77�LIctvv w�� Si24°°c.i�•L Total porch. Other. Other. Other. 3. QUESTIONS ABOUT THE PROPOSED STRUCTURE Is a fire sprinkler system being installed? ❑ YES 0 Is a monitored fire alarm being installed? ❑ YES ETNO Are retaining wall(s) being built? ❑ YES EffeNO Are structural plans required? ❑ YES 5NO 4. PROJECT SITE INFORMATION A. Is work within the City's right-of-way proposed? If yes, you will be required to submit a right-of-way permit application. If you have already submitted a ROW permit, list the permit number here: ❑ YES 0]/NO Be Is the property located in a flood zone? If yes, list the flood zone designation: ❑ YES 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 0 NO Res. Building Permit Application Submittal Checklist Updated October 10, 2019 Page 7 of 18 `FV Y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT `':e�' '06 Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 4�w� Phone: (360) 293-1901 D. Are there critical areas or buffers on or abutting (within 300-feet of) the ❑ ENO YES 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 19A3.010.C. F. Is your project involving an accessory dwelling unit? ❑ YES i 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 V NO (about 1 log truck load) of timber be harvested? If so you may need to obtain a forest practices permit from DNR. oel H. Is this project subject to the SEPA process? If yes, you will be required to ❑ YES EYNO 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. l �� 0 Signature Date 7 K L Printed Name Res. Building Permit Application Submittal Checklist Updated October 10, 2019 C� bU� G �l �r�T `zI I .o O i � o N 5 C i ---------------- _I