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HomeMy WebLinkAboutPermit File BLD-2021-0279 4510 San Juan Avenue (4)�T r� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.D. Box 547, Anacortes, WA 98221 _ Office Location: 904 6t6 Street, Anacortes WA 98821 ,L Phone: (360) 293-1901 C0 Residential Building Permit Application Submittal Packet New Single Family Residences (SFR) Duplexes Additions and Remodels (SFR & Duplex) Accessory Dwelling Units Manufactured Homes Residential decks and retaining walls =. a l91 1. PROPERTY INFORMATION Project Address (Street, Suite #): Assessor Parcel Number: 451n ff Ae S) 771 Subdivision/Lot #: Zoning Designation: Lot area (size): sq. ft. x. TYPE OF PROJECT ❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair) ❑ New Duplex ❑ Attached to Primary Unit ❑ Interior remodel n Detached from Primary Unit Er -'New Addition to SFR ❑ Garage, carport or accessory building ❑ Retaining wall or duplex (new/repair) ❑ 44 (� Other: 1} g s 1✓ �l`F1�i� ITGY7 VYE L Project Summary: Project Valuation: 3. PROPERTY OWNER _INFORMATION ,.1 NamADbe IC"1" i �`�.I' GI n Phone: I "� Address (Street, City, State, Zip): AYVLD r+eS Email Address: 4510 5a-n .J vG Ir 1 aitq h ► a Mal I . co 4. CONTRACTOR INFORMATION Flame:*/O e f_ Phone:3 /2C7 7 ZD• lf1 Contractor's Business Licenses State License #: City License #: *All Contractors & Subcontractors must have a valid City Expiration Date: Expiration Date: of Anacortes business license prior to doing work in the City. Address (Street, City, State, Zip): Email Address: Page 1 of 19 Res. Building Permit Application Submittal Checklist Updated March 12, 2021 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 61h Street, Anacortes WA 98821 Phone: (360) 293-1901 S. CONTACT PERSON Select one person the city will contact for anything El Applicant ❑Property Owner El Contractor related to this project: Name: R© SO P 1 Phone: -_:� (Do 7 ry 6 I 1 Address (Street, City, State, Zip): 4 �l S � u-Gx �Ve Email Address: �' (c� c.�� h v1�O urla i • Ca A hc-co �r UA 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: (fin D i Phone:Sbc ❑ f71� g Q S [J Address (Street, City, State, Zip): � 0 I U M m exr C� aL( A k- Email Address: Way 6anK0�4,o oa-ck,c, it�L � a �zz.1 .5 n ua C- 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 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. Q� I understand and acknowledge that I could be responsible for providing as -built drawings (on paper �l or electronically) as part of the project's certificate of occupancy process. 2Q. 1 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. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Cott'] Page 2 of 19 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 70 Phone: (360) 293-1901 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. 1 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 4060'61Z�- Printed Name Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Date Page 3 of 19 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.Q. Box 547, Anacortes, WA 98221 Office Location: 904 6rf' Street, Anacortes WA 98821 ��(7pPhone: (360) 293-1901 SUBMITTAL CHECKUST x a) o� n Residential Building Permit L i" a o � — i o Submittal Requirement Checklist L aL � ro L G �' a U °oho �' u L11 ,� L V1 a o D= 'n = G ro = W u c M C v Q y see pages 2-3 of this handout for information about each 3 u - W ap C E ,� r U OC Q submittal item listed below. Z S- m Q O = si Residential Building Permit Application Form X X X X X (FORM BP-1—attached) Structure & Site Informs ion Form X X X X X (FORM BP-2 - attached) Mechanical & Plumbing Fixtures Form X X X (FORM BP-3--attached) Architectural Plans X X X X X {requirements listed on FORME -4 - attaac�hed) Stormwater Management Minimum Requirements Determination X X X X (FORM 13P-5, attached) Stormwater Site Plan X X X X Site Plan & Landscape Plans X X X X X (requirements listed on Form 13P-6) Structural Plans & Calculations X X X X X Energy Code Plans & Forms X X Manufacturer's Specifications/Cut Sheets X Copy of recorded survey X X X X Technical Reports X X X X Other Required Permits X X X X X ADU Affidavit of Owner Occupancy (signed) X Submittal Information Fees Send applications in PDF format with a file and message Once we receive your application, we will size no greater than 30 MB. Please review our Electronic contact you about payment of the Submittal Guidelines for more information. An email required deposit, if any. with a link to a file share site (Dropbox, Google Drive, OneDrive, etc.) is acceptable. Permit fees are paid prior to building permit issuance. Email: buildingpermitl@cityofanacortes.oEg Incomplete applications will not be processed. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 4 of 19 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Moiling Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 611 Street, Anacortes WA 98821 .4 A Phone: (360) 293-1901 Additional details on certain submittal items is provided below to ensure Applicants are fully aware what City staff will be looking for when an application is submitted to the City. FORMS AND PLANS • FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION FORM. Provides key information about your project, including type of permit you are applying for, and property owner, contractor, and contact information. • FORM BP-2: STRUCTURE AND SITE INFORMATION FORM. Provides key information about the proposed structure, including height, floor areas, fire protection proposed, and asks questions about site characteristics that are used to determine whether your project requires any other information or additional permit applications to be submitted. • FORM BP-3: PLUMBING AND MECHANICAL INFORMATION. Form 8P-3 provides space for you to fill in fixture information for plumbing and mechanical appliances and equipment that are included as part of your project. • FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS. Form BP-4 contains a list of all the items required to be shown on Architectural Plans. FORM BP-5: STORMWATER MANAGEMENT DETERMINATION FORM. Most development within the City of Anacortes that involves disruption of soils, or construction of buildings, streets, parking lots, etc. requires a Stormwater review. Stormwater review requirements are based on either the amount of soil to be disturbed (grading, vegetation removal), or the amount of hard surface that is created or replaced on a site (building footprint, concrete, asphalt or gravel parking, sidewalk, etc.). Form BP-S assists you in determining the level of stormwater review (applicable Minimum Requirements) required for your project. • STORMWATER SITE PLAN. The Stormwater Site Plan is the comprehensive report containing all of the technical information and analysis necessary for regulatory agencies to evaluate your project for compliance with stormwater requirements. The level of stormwater review and contents of the Stormwater Site Plan will vary with the type and size of the project, and individual site characteristics. Use Form BP-5 to determine the level of stormwater review and then complete the applicable stormwater Minimum Requirements Form on the Public Works - Engineering Department Forms website and provide required submittal items/plans. • FORM BP-6: SITE PLANS & LANDSCAPE PLANS. Form BP-6 contains a list of all the items required to be shown on Site and Landscape Plans. STRUCTURAL PLANS: Plans prepared and stamped by a State of Washington licensed professional structural engineer drawn at a scale approved by the Building Official clearly indicating the information required by the "Permits" section of the currently adopted International Building Code and Chapter 19.27 RCW (State Building Code Act, Statewide amendments), and City submittal forms including: structural members labeled as to size and spacing as well as bracing, blocking, bridging, special connectors, and anchor bolts; cross-section details, as needed, to show typical foundation, floor, wall, ceiling and roof construction; insulation of walls, floors and roof/ceiling; and details of stairs, fireplaces and special construction, if any. Res. Building Permit Application Submittal Checklist Updated March 17, 2021 Page 5 of 19 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box547, Anacortes, WA 98221 Office Location: 904 61 Street, Anacortes WA 98821 Phone: (360) 293-1901 • STRUCTURAL CALCULATIONS: An analysis of loads, materials, etc., prepared and stamped by a State of Washington licensed professional structural engineer. • ENERGY CODE FORMS: The standard Washington State Energy Office form requesting the information required under Chapter 51-11 WAC detailing building components used to comply with the State Residential or Nonresidential Energy Code, as applicable. • MANUFACTURER'S SPECIFICATIONS/CUT SHEETS: A document that summarized the performance and other technical characteristics of a product, machine, component, material, or subsystem (e.g., a power supply) in sufficient detail that allows the City to determine the product will be incompliance with applicable codes. • COPY OF RECORDED SURVEY. A survey of your property is needed so that conformance with minimum setback requirements and other development standards can been confirmed and verified on site by the inspectors. Property markers must be visible on your property. If they are not at the time an inspection is requested, you may need to have a new survey completed. OTHER SUBMITTALS DETERMINED ON A CASE -BY -CASE BASIS TE _HNICAL REPORTS Following is a list of technical reports that will be required to be submitted to the City when certain circumstances exist on or near a site an Applicant is planning on making improvements to. The general triggers for each of the listed technical reports i provided below: A. CRITICAL AREAS REPORTS: In general, Critical Area reports are required when wetlands and/or streams are located on or near a site. Critical area mitigation plans may also be required, depending on the project proposal. See Anacortes Municipal Code Ch. 17.70 for additional information. B. GEOTECHNICAL REPORT: In general, Geotechnical Reports are required when work is proposed on or near slopes in excess of 15% and/or known landslide hazard areas. See Anacortes Municipal Code Ch. 17.70 for additional information. OTHER PERMITS DETERMINED ON A CASE -BY -CASE BASIS OTHER tIDRNi`7 Following is a list of other permits that could be required in certain circumstances. The general triggers for each of the listed permits is provided below. A. FILL AND GRADE PERMIT: Grading (importing, exporting, and/or moving material on a site) of more than 50 cubic yards and/or if grading modifies the existing flow of stormwater or groundwater. B. RIGHT-OF-WAY PERMIT: A right-of-way permit is required anytime the public right-of-way is disturbed or obstructed in any way by private development or the general public. Res, Building Permit Application Submittal Checklist Updated March 12, 2021 Page 6 of 19 ♦"v y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT �'' Mailing Address: P.O. Box 547, Anocortes, WA 98221 Office Location: 904 61h Street, Anacortes WA 98821 L,lcosx F Phone: (360) 293-1901 Page lefl blank intentionally. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 7 of 19 rc y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT C� Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6tn Street, Anacortes WA 98821 ti`" Phone: (360) 293-1901 •'M BP-2: STRUCTURE AND SITE INFORMATION 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: 4� 6f v r+e s PARCEL 2. DETAILED PROPOSED STRUCTURE INFORMATION Complete the following information as it relates to your project. Mark items that are not applicable with I! ,, Structure height: AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD 11t Floor: 2"1 Floor: V Floor: Basement: Garage: Total deck: Total porch: Other: Other: Other: 3. QUESTIONS ABOUT THE PROPOSED STRUCTURE Is a fire sprinkler system being installed? ❑ YES NO Is a monitored fire alarm being installed? ❑ YES NO Are retaining wall(s) being built? Q`0 }� �( S4 YES ❑ NO Are structural plans required? ETYEs ❑ NO 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: �,/ El YES IJ NO B. 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. ,—, ElEg� YES NO Res. Building Permit Application: Submittal Checklist Updated March 12, 2021 Page 8 of 19 ti rJ PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 _ Office Location: 904 6th Street, Anacortes WA 98821 �� , t Phone: (360) 293-1901 t D. Are there critical areas or buffers on or abutting (within 300-feet of) the ❑ YES NO 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 19.43.010.C. F. Is your project involving an accessory dwelling unit? ❑ YES NO If yes, your site and building will need to comply with the standards in AMC 19.47. C. Will more than 2-acres be cleared and/or more than 5,000 board feet ❑ YES EdNO (about 1 log truck load) of timber be harvested? If so you may need to obtain a forest practices permit from DNR. H. Is this project subject to the SEPA process? If yes, you will be required to ❑ YES 2f NO 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. ` q—1 —'V a� - Z' Signature V Date �06ger E. G' N�4 9s0 Printed Name Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 9 of 19 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 _ Office Location: 904 61" Street, Anacortes WA 98821 t%"AW Phone: (360) 293-1901 ! V MECHANICAL Equipment Type: Appliance/Equipment Information (new and relocated): Total #: Furnace: Gas #: Elec #: BTU: Other #: Wall Heater: Gas #: Elec #: Other: #: Location(s): Gas Water #: Location(s): Heat Pump: Elec #: Other #: Capacity: Air Conditioning: Elec #: Other #: Capacity: Radiant /Hydronic Gas #: Elec #: Other: #: Location(s): Exhaust Fans: Bath #: Laundry #: Other: Range Hood: #: Location(s): Fireplace: Gas #: Elec #: Other: ##: Location(s): Clothes Dryer & Duct: Gas #: Elec #: Other: #: Location(s): Stove/Range/Oven: Gas #: Elec #: Other: #: Location(s): Gas Piping/ Outlet(s): #: Location(s): Boiler Gas #: Elec #: BTUs: Location(s): Other: #: Location(s): TOTAL MECHANICAL OUTLETS: PLUMBING Fixture Type (new and relocated): Total #: Fixture Type (new and relocated): Total #: Water Closet (Toilet): Refrigerator water supply (for water/ice Kitchen Sink: Pressure Reduction Valve/Pressure Regulator: Utility Sink: Water Service Line: Tula: Water Piping: Hand Sink: Clothes Washer: Shower: Electric Water Heater: Tank -less? Yes ❑ Dishwasher: Backflow Prevention Assembly: Hose Bib: 71Other: TOTAL PLUMBING FIXTURES: Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 10 of 19 �t rJ PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 _ Office Location: 904 61h Street, Anocortes WA 98821 14 o Phone: (360) 293-1901 1. PROPERTY WHERE WORK IS OCCURRING ADDRESS: 1 5 O A V E. V1CL�U PARCEL NUMBER(5) { 7 71 Z. GENERAL INFORMATION This form is intended to assist applicants in creating complete, code compliant architectural plans. Please check the plans you wish to submit to make sure they contain each of the listed items. To the right of the Requirements column is space for you to list the sheet number of the plan set where the listed information is shown. • Minimum Plan Size: 11" x 17" and drawn in an architectural scale. • Architectural plans for structures 4,000 square feet or larger are required to be prepared and stamped by an architect licensed in the State of Washington. • Structural plans must be stamped by a structural engineer licensed in the state of Washington. 3. REQUIREMENTS FOR ALL ARCHITECTURAL PLANS COMPLETE REQUIREMENTS PAGE # ON ? YOUR PLANS Cover (or 11t page) must include: • Site address • Parcel number Lot number (if applicable) Lot size �Vy• • Lot coverage • % impervious surface coverage Floor plans with existing (if applicable) and proposed building layout with square footages and with the use of each room/area labeled. Window and door sizes labeled and window ventilation area. Commercial, Multi -Family, and Mixed -Use Structures must also include door and window schedules. Plumbing, duct, and electrical layout. Penetration protection must be shown. Opening headers, size, and material. Cross section details, showing typical foundation, floor, wall, ceiling and roof construction and insulation. Structural members labeled as to size and spacing as well as bracing, blocking, bridging, special connectors, and anchor bolts. Details documenting energy code compliance. Exterior building elevations demonstrating compliance with applicable structure type design standards (small lot, duplex, or ADU) and maximum building height Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 11 of 19 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 _ Office Location: 904 61 Street, Anacortes WA 98821 Phone: (360) 293-1901 C. O �i Building height (see AMC 19.42.120 for measurement methods, exceptions and modifications). • Label the building height at the highest point of the structure from the average of the natural topography at the foundation at the front of the building. • Label the average elevation of the natural topography at the front of the building. • Label the elevation at the center of all exterior walls of the proposed building. • For ADUs only, include elevations demonstrating compliance with the height/setback plane (see AMC 19.47.030(C)(6)). Special details as needed (Le., stairs, fireplaces, special construction). J insulation and insulation values of walls, slab, floors, and roof/ceiling. Existing and proposed grades with slope of lot shown. Res. Building Permit Application Submittal Checklist Updated March 12, 2021 Page 12of19