HomeMy WebLinkAboutPermit File BLD-2018-0695 4113 R Avenue (8)Gtio� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
4 4co Phone: (360) 299-1984
SUPPLEMENTAL RESUBMITTAL FORM
PLEASE USE THIS FORM TO SUBMIT REVISIONS / ADDITIONAL INFORMATION TO YOUR PERMIT APPLICATION
PERMIT/PROJECT NUMBER:
HAS THE PERMIT BEEN ISSUED?
BLDG-2018-0695
® YES ❑ NO
PROJECT ADDRESS:
PROJECT NAME:
4113 R Avenue
Martin Remodel
CONTACT PERSON INFORMATION
NAME:
COMPANY:
Brooks Middleton
Brooks Middleton, Architect
PHONE #:
EMAIL:
360 293 0106
brooks@brooksmiddletonarchitect.com
SUBMITTAL INFORMATION: Please provide revised drawings in PDF format. Maximum file size of 30 MB. Larger
files may be transmitted in multiple sections
WHICH DEPARTMENT IS THIS SUBMITTAL FOR? (check all that apply)
❑ Planning EI Building ❑ Fire ❑ Stormwater ❑ Public Works
All revisions have been either clouded or highlighted & wet stamped by an architect/
® YES ❑ NO
engineer, if applicable.
Is the plan revision or additional information, in response to a plan review letter?
If YES, provide a copy of the plan review letter with itemized responses to each item.
❑ YES ® NO
If NO, was the revision or additional information initiated by the applicant, landowner,
designer, or builder? Provide an explanation of the nature of the resubmittal below:
Are you submitting a full replacement?
® YES ❑ NO
If NO, which page(s) are being replaced?
TYPE OF PLAN, REPORT, OR CALCULATION WHERE REVISIONS/ADDITIONAL INFORMATION CAN BE FOUND
(check all that apply)
❑ Site Plan ❑ FAR Calculations ❑ Lot Coverage ❑ Wetland Report
❑ Landscape Plan 0 Building Plans Calculations ❑ Tree Preservation Plan
❑ Arborist Report ❑ Parking Plan ❑ Plumbing Plan ❑ Grading Plan
❑ Geotechnical Report ❑ SEPA Checklist ❑ Structural Plan ❑ Impervious Surface
❑ Civil Plan ❑ Storm Drainage Analysis ❑ Mechanical Plan Calculations
❑ Survey ❑ TESC Plan ❑ Other:
(Boundary/Topo)
Supplemental Resubmittal/Revision Form
Updated November 2021 Page 1 of 1