HomeMy WebLinkAboutPermit File BLD-2023-0123 3602 F Avenue �' C) City of Anacortes Invoice/Permit M BLD-2023-0123
904 6th Street
P.O.Box 547 Applied date: 03/02/2023
Issue date: 03/02/2023
WA 98221-0547
Anacortes, Expire date: 08/28/2024
(360) 293-1901
Job Address: 3602 F AVE Permit Type: Single Family Interior Only Alteration Permit
ANACORTES WA 9822 1-471 4 Project:
APN: P108742
Remarks: Replace all windows in house, not garage. Windows need to have a U-Factor of.30 or better. No change to window
sizes.
Owner: SUSAN C WHITE Contractor: ISLAND SASH& DOOR
Address: 3602 FAVE Address: 1302 COMMERCIALAVE
ANACORTES WA 98221-4714 ANACORTES WA 98221-2140
Phone: (206)379-1918 Phone: (360)293-5886
License M
General Information: Fees:
Building Valuation 15484 Building Permit Fee 265.25
Plan Review Fee 172.41
State Building Code Fee Resi 6.50
Total Calculated: 444.16
Deposits/Receipts: 0.00
Total Due: 444.16
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 ex i d this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISS Y
FORMBP-1:
13UILDING
+ i ■
11- PROPERTY (N FO R IVATF ON
kit Add (Street„Sruibn�4): r A_ Pargal Munger
bd sio1/11-W Zani ft Msignatlgn- Lut 75ka)+ + Sq_ft,2-. TYPE DF PROJECT
0 New 5FR ❑ New AtCCI-ssory V wnellin4g Un t: Q Il)er-k,{ th [nm/mpai j
❑ New Duplex U Artxloo-d to Primacy OWE 4 I rl��ri�r r�rrrc+de�
,--I DeWrhed from Primary Unit
0 New Add itiorl to SFR l: Giawe, ca spurt or accessory building [J Rai n in&wall
or dulp4ax
r�l Other:
5 }
Pr0j
fj Sk�FFjjbrr.
Psojc-ct valuat r S it 5,A
3_ PROPERTY OWNER INFGRMATION
AddFess
RSUerk QV,$Ute,21P]' -- — krreiI Add Few.! r �}
PL- !
INFORMATION
rwarire_` ]:SLand Baste & Door Inc- ( ,) 3r-5
coroactee-ssrmkrass Lk*MM 5we ucense it602337123 (Ity Lxense it 7123
-of Ar30C0rWFbUSM&U ZW4WprW Gib dDLw waek to irm Exp+iratiQn r)L;"P:113, Fxpormion Date:113112022
Address(5Sreei,CIty.Stake,Zip]: ET"RAddrew-
1302 0ornmerdW Ave accourrUng@ isla ndsasftand1d00f LCM
Aromirt . WA 9B221
5. GUNTAUT PEK5UN
Select o�e o .nwrt the city will cantor#far anything
rCla:Cd ke[hi3 pr¢J�[k- ❑ Applicant ❑ Properly owner lCommiloctGr
Name: ���2n f r plwne;
Adder;4 Street,I AV.State,Ziip}: Email Address:
' ■ I�G.Lei+!' } f� �� �� 1 i F
6. LENDER I NFORTI ON
R1CW 15.2?.4J5 requires'he City to cWain infurmatkm with rRprdtokndi rm It[hrr;;1re no R1d#rS imiahredvdithVow fflJs#•
wri[r."rob lenders'Gn Lhe Name Urze bakrw-
Mame: , Phon
Add Fesa Street,City.ate,Zip)r Email Addrass_
7. ACKNOWLEDGEMENTS & SIGNATURE
Dead and Enitial each of the following staternenrts prior t;n signi!ng this application:
�.{ I understand that whim a bu i Idi ng permi L u pplication is to ken in over the courfter it does not rnean
',- the application has been dizerned technically comp6Mfi and sufficient for staff reuiew.
I Understand that if I submit i ncam plete,inaccurate,a n d}or erroneous information Ft will Moe the
City longer to process my parmits.
r= I understand and acknowledge that I cauW be re nsihlk-for prawfd ing a.�-bu iFt drawing's{on pAp42r
='} or cicctronicalty] as part of the pro*(Zs caertif caw of oowwrKv pmrve 55.
` I Understand and acknowledge#ha L spatial I nspo tiorls emid be required as part of my project, a nd
if nieaded I wil I bL-req u irnd to pay for th@ omt of tErF�sa irispetLinns,
} r undema nd a nd acknowledge that firkartir,ial sewritie.,cm1d be regtiked aS part of the work I a rn
complet ngr a red I agree to provide the items needed tor the City to calculate theme seeurities and to
provi d e the 5ecu rilfes thermelves.
u ndersta nd that if permits arc reviewed concurrently su ch as design review, 5Ete pla n, tmffic
cancu rrcncr,etc., any req u ire ` revisions to one permit may affiert the entire plan 5L-t a rEd cguld
add costs and time tD#hoc project,
hberehyr declare that I arrr i2itMr the owner of the properx+,r listed on this application or the owner of
this property has auihoriaed mLb-to bt#heir rtpre-sentative to act for them. I also ded@ re under
penaftyr of perjury under t#a lags of the Skate of wash MgWn that all of the Statements and a nswers
contained berei n, and the inforrnation submitted with this appliMion form is in all respects,true,
correct, a nd complete to the hest of knowledge and belief.
5igrlatur� ate
Printed Name