HomeMy WebLinkAboutPermit File BLD-2023-0104 2310 35th Court 1 C} City of Anacortes Invoice/Permit#: BLD-2023-0104
904 6th Street
Applied date: 02/21/2023
P.O.Box 547 Issue date: 02/21/2023
_, Anacortes, WA 98221-0547
Expire date: 08/19/2024
(360) 293-1901
Job Address: 2310 35TH CT Permit Type: Single Family Interior Only Alteration Permit
ANACORTES WA98221-4721 Project:
APN: P112544
Remarks: Installing a 5'x 4'tall window in upper room that has no windows, creating a new bedroom.
Owner: WILLIAM &ALISION VANDE CASTLE Contractor: OWNER
Address: 2310 35TH CT Address:
ANACORTES WA98221-4721
Phone: (920)621-6178 Phone:
License#:
General Information: Fees:
Building Valuation 500 Building Permit Fee 23.50
Plan Review Fee 15.28
State Building Code Fee Resi 6.50
Total Calculated: 45.28
Deposits/Receipts: 0.00
Total Due: 45.28
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 ISSutu tsr
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Moiling Address: P.O. Box 547, Anocortes, WA 98221
Office location:904 6"Street, Anocortes WA 98871
Phone:(360)293-1901
RESIDENTIAL BUILDING PERMIT APPLICATION
THIS APPLICATION PACKET IS USED FOR THE FOLLOWING PROJECT TYPES:
Single-Family Residences (SFR), Duplexes, Additions & Remodels, Accessory Structures (i.e. garages,
i
corports), Accessory Dwelling Units, Manufactured Homes, Residential Decks & Retaining Walls, and
Docks& Pilings.
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICAT{ON
PROPERTY INFORMATION
PROJECT ADDRESS(STREET,SUITE#) ASSESSOR PARCEL NUMBER
2310 35th CT p112544
SUBDIVISION/LOT ri ZONING LOT AREA(SIZE) 7405 SQ. FT
Village Park lot#9 city
TYPE OF PROJECT
11 NEW LJADDMON LJ REPAIR X REMODEL CHANGE OF USE
SFR Duplex Deck/Porch
Accessory Dwelling Unit: Detached ❑Attached Retaining Wall
❑Manufactured Home ❑Accessory Structure
❑Shoreline Structure(dock,pilings,floats etc.) " Other: Adding window
"If application is for a shoreline structure,please complete the Shoreline Structure Checklist.
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? LJYES [✓J NO
f YES,provide the permitlapplication number:
PROJECT SUMMARY: PROJECT VALUATION
Adding a window to second story bedroom that was originally (Cost of Materials&Labor)
built with no window. Project Will increase bedroom count to 5. $500
PROPERTY OWNER INFORMATION
NAME PHONE
W;niarri i- ACSoh I/"1! CWlt 41Zo-621- GO$
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
2310 350- Cf. A u.Jei LTA 402LI willaaf.wd�usllc�y,c.(Can
CONTRACTOR INFORMATION
NAME' PHONE
CONTRACTOR'S BUSINESS LICENSES STATE LICENSE 0 EXPIRATION
'All Contractors&Subcontractors must have o valid City
of Anacortes business license prior to doing work in the URI It EXPIRATION
City.
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL ADDRESS
Palle 1 of 17
CONTACT PERSON-Select one person the city will contact for arrything related to this project:
PPl1CJ1NT ) PROPERTY OWNER CONTRACTOR _OTHER(LIST BELOW)
NAME FI'ierIJ o(- PHONE
Sk aoe_ Besin PC aPPI"( AA _ oM -3Il-g39L4
ADDRESS(STREET,CITY.STATE,ZIP) EMAIL ADDRESS
✓�
ADDRESS )110. .LOrrI
376 �13� o,n+ a . 5� rie . beStne
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
Nb Le.vd.er5
ADDRESS(STREET,aTY,STATE,ZIP) EMAIL ADDRESS
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 sNff review.
I understand that if I submit incomplete,inaccurate,and/or erroneous information it will take the
City longer to process my permits.
l� I understand and acknowledge that I could be responsible for providing as-built drawings(on paper
or electronically)as Part of the s cert' cote 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 payfor 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.
1 understand that if permits are reviewed concurrently such as design review,site plan,traffic
cancurrency.etc,any required revisions to one permit may affect the entire plan set and could add
costs and time to the prgect.
I hereby dedare that I am either the owner of the property listed an 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.
/�. 52 7 66;V_ 02/16/102.3
SIGNATURE DATE
(A)tillcArn J. l wje a,. fie
PFAKED NAME
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Res.Rulding Permit Applkatbn Submittal Checklist �1
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CITY OF ANA OR ES ,�,
PLANNING AND BUI DING DEPT:
APPROVED PLANS
�4 e� o� �oa 144 s�,
PERMIT#REVIEWED BLDFOR CODE C 2023 010 O PLI NCI
ADDRESS: 2310 35th Ct
APPROVED BY:
SUBJECT TO FIELD INSPECTION.APP OVED P S SHALL NOT
BE ALTERED WITHOUT AU FHORIZATfON.
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