HomeMy WebLinkAboutPermit File BLD-2021-0308 4708 Queen Ann Way (5)lT Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
4 Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
r0
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
O. •RESIDENTIAL PERMITAPPLICATION
1. PROPERTY INFORMATION
Project Address (Street, Suite ft
Assessor Parcel Number:
4708 Queen Ann Way
P59268
Subdivision/Lot#:
Zoning Designation:
Lot area (size):
9,583 Sq. ft.
Skyline no. 4, lot 53
Res. Incorporated Area
2. TYPE OF PROJECT
❑ New SFR ❑ New Accessory Dwelling Unit: ❑ Deck/porch (new/repair)
❑ New Duplex ❑ Attached to Primary Unit Interior remodel
F-i Detached from Primary Unit
❑ New Addition to SFR ❑ Garage, carport or accessory building ❑ Retaining wall
or duplex (new/repair)
❑ Other:
Project Summary:
Residential remodel including new siding and windows, kitchen/bath remodel.
Project Valuation: $ $260,000
3. PROPERTY OWNER INFORMATION
Name:
Phone:
Gregg Nebel, Analissa Verrill
360-271-6248
Address (Street, City, State, Zip):
Email Address:
4708 Queen Ann Way, Anacortes, 98221
gregg.nebel@gmail.com, foresthauz@gmail.com
4. CONTRACTOR INFORMATION
Name:*
Bigfoot Builders, LLC
Phone:
office: 360-298-1708 (Cameron direct: 360-298-4334 )
Contractor's Business Licenses
State License #:
City License #:
'All Contractors & Subcontractors must have a valid City
603528521
603528521
Expiration Date:
Expiration Date:
of Anacortes business license prior to doing work in the
City.
July 31, 2021
July 31, 2021
Address (Street, City, State, Zip):
Email Address:
5882 Bow St.
cameron@bigfootbuilders.com
Bow, WA 98232
Page 1 of 19
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
1� x f7 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
5. CONTACT PERSON
Select one person the city will contact for anything ❑ Applicant ❑ Property Owner ❑ Contractor
related to this project:
r-i ether (list helnw
Name:
Phone:
Cameron Sides
360-298-4334
Address (Street, City, State, Zip):
Email Address:
5882 Bow St.
cameron@bigfootbuilders.com
Bow, WA 98232
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:
Phone:
n/a
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
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
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.
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
Page 2 of 19
1� o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Tc tr'�w�
Phone: (360) 293-1901
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
Printed Name
Date
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
Page 3 of 19
1v y 0 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�� Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
4w� Phone: (360) 293-1901
SUBMITTAL
CHECKLIST
Residential Building Permit
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Submittal Requirement Checklist
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submittal item listed below.
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Residential Building Permit Application Form
X
X
X
X
X
(FORM BP-1 —attached)
Structure & Site Information 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 FORM BP-4 - attached)
Stormwater Management Minimum Requirements
Determination
X
X
X
X
(FORM BP-5, attached)
Stormwater Site Plan
X
X
X
X
Site Plan & Landscape Plans
X
X
X
X
X
(requirements listed on Form BP-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: buildingpermit@cityofanacortes.orq
Incomplete applications will not be processed.
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
Page 4 of 19
1v y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�� Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
w� 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 BP-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-5 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 12, 2021
Page 5 of 19
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
4w� 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
TECHNICAL 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 FORMS
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
Y o 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
Page left blank intentionally.
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
Page 7 of 19
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
�� Lo
Phone: (360) 293-1901
O. •STRUCTURE 1 SITE INFORMATION
1. PROPERTY WHERE WORK IS OCCURRING-
DDRESS:
4708 Queen Ann Way, Anacortes, 98221
PARCEL
P59268
2. DETAILED PROPOSED STRUCTURE INFORMATION
Complete the following information as it relates to your project. Mark items that are not applicable with
Structure height:
AREA
SQUARE FOOTAGE
OCCUPANCY GROUP
CONSTRUCTION TYPE
OCCUPANT LOAD
1It Floor:
1,482 sq ft
2nd Floor:
3rd Floor:
Basement:
896 sq ft
Garage:
500 sq ft
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?
❑ YES ❑ NO
Are structural plans required?
❑ YES ❑ 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:
❑ YES ❑ 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.
❑ YES ❑ NO
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
Page 8 of 19
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
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 V 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.
G. Will more than 2-acres be cleared and/or more than 5,000 board feet
❑ YES EZ NO
(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 EZ 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.
Signature Date
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
Phone. (360) 293-1901
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:
Tub:
Water Piping:
Hand Sink:
Clothes Washer:
Shower:
Electric Water Heater: Tank -less? Yes ❑
Dishwasher:
Backflow Prevention Assembly:
Hose Bib:
Other:
TOTAL PLUMBING FIXTURES:
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
Page 10 of 19
Y o 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
77
FORM BP-4: ARC#ECTURAL PL-AN REQUIREMENTS
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS:
4708 Queen Ann Way, Anacortes, 98221
PARCEL
NUMBER(S)
P59268
2. 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 1st page) must include:
• Site address
• Parcel number
• Lot number (if applicable)
• Lot size
• 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
1� f7
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�G�f���
Mailing Address: P.O. Box 547, Anacortes, WA 98221
�4w�
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
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 (i.e., stairs, fireplaces, special construction).
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 12 of 19
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 BP-5: STORMWATER MANAGEMENT MINIMUM
REQUIREMENTs DETERMINATION
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS:
4708 Queen Ann Way, Anacortes, 98221
PARCEL NUMBER(S)
P59268
2. GENERAL INFORMATION
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.)
This form is largely targeted for small projects and single family residences. For larger projects and more
information please refer to the Anacortes Municipal Code (Chapter 19.76 Stormwater Management) and the
latest Washington State Department of Ecology Stormwater Management Manual for Western Washington
(Ecology Manual).
3. HARD SURFACE AREA CALCULATION
Please calculate your project's hard surface amount; guidance is provided on the next page of this document. Use
your project's total hard surface calculation to follow the flow chart(s) in this packet and determine the level of
stormwater management required for you project.
When determining your permit level or if stormwater thresholds are met or exceeded the entire project must be
considered. A project is that portion of a property, properties, or right of way subject to land disturbing activities,
new hard surfaces and replaced hard surfaces. The hard surface on your property will determine the storm water
utility fees and the stormwater general facility charge. All new or replaced hard surfaces should be accounted for.
Below are excerpts from the Anacortes Municipal Code and Ecology Manual that may assist you in preparing this
information.
"Hard surface area" means an impervious surface, a permeable pavement, or a vegetated roof.
"Impervious surface" means a non -vegetated surface area which either prevents or retards the entry of water into
the soil mantle as under natural conditions prior to development. A non -vegetated surface area which causes
water to run off the surface in greater quantities or at an increased rate of flow from the flow present under
natural conditions prior to development.
"Replaced impervious surface" means, for structures, the removal and replacement of impervious surfaces down to
the foundation. For other impervious surfaces, the removal down to bare soil or base course and replacement.
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
Page 13 of 19
1� o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
w� Phone: (360) 293-1901
Land disturbance
Hard surface area calculation
Use the information in the above table to navigate the flow chart(s) on the next page and
determine the applicable stormwater management minimum requirements for your
project. Then complete the applicable Stormwater Minimum Requirements Form on the
Public Works - Engineering Department Forms website and provide required submittal
items/plans.
U
RePage 14
f19
Description
Total
Existing Removed Proposed Proposed
Description (SF) (SF) Replaced New
(SF) (SF)
Non Pollution Generating Hard
Surface Area
(Sidewalks, paths, patios, etc.)
Pollution Generating Hard Surface
Area
(Driveways, parking areas, etc.)
Total Hard Surface
Site Size
Existing impervious surface
coverage
(sq. ft. hard surface /site size)
Check applicable box Minimum Requirements Determination
El Minimum Requirements #1 -9.
� Minimum Requirements #1 -5.
. Building Per�jApplication Submi tal Checklist
dated March 12-2021 Minimum Requirement #2.
Check applicable box Minimum Requirements Determination
El Minimum Requirements #1 -9.
� Minimum Requirements #1 -5.
. Building Per�jApplication Submi tal Checklist
dated March 12-2021 Minimum Requirement #2.
1� o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
i Phone: (360) 293-1901
FLOWCHART FOR DETERMINING REQUIREMENTS FOR NEW DEVELOPMENT
Start Here
Does the site have 35%
or more of existing
impervious coverage?
No
Does the project result in
5,000 square feet, or
greater, of new plus
replaced hard surface
area?
Yes See Redevelopment Minimum
Requirements and Flow Chart
(Figure 1-2.4.2).
Does the project convert Y4
acres or more of vegetation to
lawn or landscaped areas, or
NO convert 2.5 acres or more of
native vegetation to pasture?
No
Yes
Yes
Does the project result in 2,000
IF
square feet, or greater, of new plus
All Minimum Requirements
replaced hard surface area?
apply to the new and replaced
hard surfaces and converted
Yes
NO
vegetation areas.
Does the project have land
Minimum Requirements #1
disturbing activities of 7,000
through #5 apply to the new
Yes
square feet or greater?
and replaced hard surfaces
and the land disturbed.
NO
Minimum Requirement #2
applies.
Figure 1-2.4.1
Flow Chart for Determining Requirements for
New Development
DEPARTMENT OF Revised June2015
ECOLOGYF Please see http.1Avwvv.ecy. wa.govIcopyright.html for copyright notice including permissions,
State of Washington limitation of liability, and disclaimer. 11
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
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NY o 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
FLOWCHART FORD ETERM IN ING REQUIREMENTS FOR REDEVELOPMENT
Does the project result in 2,000 square feet, or more, of new plus replaced hard surface area?
OR
Does the land disturbing activity total 7,000 square feet or greater?
Yes lNo
Minimum Requirements #1 through #5
apply to the new and replaced hard Minimum Requirement #2 applies.
surfaces and the land disturbed.
Next Question
Does the project add 5,000 square feet or more of new hard surfaces?
OR
Convert %4 acres or more of vegetation to lawn or landscaped areas?
OR
Convert 2.5 acres or more of native vegetation to pasture?
Yes
No
All Minimum Requirements apply Next Question Is this
to the new hard surfaces and the related
converted vegetation areas.
a road
project? NO
Yes
Does the project add 5,000 square feet or more of new hard surfaces?
Yes
NO
Is the total of new plus replaced hard surfaces
Do the new hard
5,000 square feet or more,
surfaces add 50% or NO No additional NO
more to the existing requirements.
hard surfaces within
AND
does the value of the proposed improvements
- including interior improvements - exceed
the project limits?
50% of the assessed value (or replacement
value) of the existing site improvements?
Yes
All Minimum Requirements apply to the new and replaced
hard surfaces and converted vegetation areas.
Yes
Figure 1-2.4.2
Flow Chart for Determining Requirements for
Redevelopment
DEPARTMENT OF
Revised June2015
ECOLOGY
Please see http://Www.ecy.wa.govlcopyright.html for copyright notice including permissions,
State of Washington
limitation of liability, and disclaimer.
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
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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
1' :' PLAN REQUIREMENTS
1. PROPERTY WHERE WORK IS OCCURRING
ADDRESS:
4708 Queen Ann Way, Anacortes, 98221
PARCEL
NUMBER(S)
P59268
2. GENERAL INFORMATION
This form is intended to assist applicants in creating complete, code compliant site 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 engineering or architectural scale.
3. INFORMATION REQUIRED ON ALL SITE PLANS
COMPLETE?
REQUIREMENTS
PAGE # ON
YOUR PLANS
Cover sheet must contain all of the following:
• Vicinity Map
• Name of the project
• Name, address, and telephone number of owner and agent(s)
• Name, address, and telephone number of Applicant (if different from
the owner)
• Zoning designation of the site
• Area, in square feet and acreage, of the project site
• Reference to the Building Code used
• Proposed use
• Occupancy group
• Construction type
• Square footage and height of each individual building
• Percent lot coverage
• Percent impervious surfaces
Scale and North Arrow
Property features:
Location, identification, and dimensions of all property lines and
easements. All easements shown on the title report, Record of
Survey, or plat must be dimensioned and shown.
Location and dimensions of existing critical areas (wetlands, streams,
steep slopes) and their associated buffers.
Location of Ordinary High Water Mark and shoreline jurisdiction limits
(if adjacent to a shoreline).
Existing and proposed contours and site elevations (i.e. finished
grades) at 5-foot minimum increments. The horizontal and vertical
control datum must be clearly shown.
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
Page 17 of 19
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
Structures:
Location, identification, dimensions and size of all existing and
proposed buildings and other structures.
Location of existing and proposed retaining walls, rockeries, and
Location, identification, and dimensions of all setbacks.
Show proposed projections into required setbacks, including
dimensions (see AMC 19.44.140)
Utilities & Easements:
Location and dimensions of existing and proposed stormwater,
sanitary sewer, potable water, and fiber lines/facilities. All wells and
septic systems located on or near the project site must also be
identified.
Location of all existing and proposed fire hydrants within 300 feet of
the boundary of the project site.
Location and dimensions of existing and proposed freestanding
lighting fixtures, utility junction boxes, public utility transformers.
Stormwater
Proposed Temporary Erosion and Sediment Control Measures, if not
located on other plans.
Proposed permanent stormwater management BMPs.
Access, Circulation & Parking
Location, identification, and dimensions of all existing and proposed
on -site and adjacent streets and alleys, including the location and
dimensions of all existing and proposed curbs, gutters, sidewalks,
median islands and street trees.
Show existing and proposed vehicular access to the site, including the
size and location of driveways and curb cuts.
Show existing and proposed parking spaces, including surface material
and dimensions of spaces.
Open Space (ADUs, Small Lots, and Duplexes)
Show calculations, location, dimensions and provided square footage
of required open space area per AMC 19.43.010.C, E, or AMC 19.47,
as applicable.
Landscaping
Show the location and design of landscape areas to be preserved and
planted, and a plant list to include the location, number, size and type
of plant material by botanical and common name.
Location of irrigation system if a permanent or temporary system is
pro osed.
Show the location of existing trees to be retained in conformance
with AMC 16.50, and tree protection measures to be implemented,
when applicable.
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
Page 18 of 19
vv y O
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
��
Mailing Address: P.O. Box 547, Anacortes, WA 98221
��w�
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
Provide a maintenance plan for any infiltration -based stormwater
best management practices (BMPs) built as part of the landscaping
design, including the specifications and maintenance procedures of
any soil amendments.
Show new trees to be planted and tree unit credit calculations, in
conformance with AMC 16.50 Tree preservation, when applicable
The following table, with project specific information filled in, must be placed
on the site plan:
Required Landscaping
For Example
Calculations
Site Area
7,500 sq. ft.
% of site area to be landscaped (per
20% - R2A zone
AMC Tables 19.42.020-.030)
1,500 sq. ft. required
1,850 sq. ft. provided
Compliance with AMC Ch. 16.50
Tree unit credits required:
Tree Preservation.
8 tree units required
Tree unit credits retained:
• 2 trees 6" dbh = 4 tree unit
credits retained
Tree unit credits provided:
2 new deciduous trees (min. 2"
caliper @ 6" above ground)
• 2 new evergreen trees (8' in
height)
Number of required street trees
1 per 30' of frontage
60 lineal feet of frontage = 3 street
trees
Res. Building Permit Application Submittal Checklist
Updated March 12, 2021
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