HomeMy WebLinkAboutPermit File BLD-2023-0215 5522 Sugarloaf Street U''�� City of Anacortes Invoice/Permit#: BLD-2023-0215
G 904 6th Street
Applied date: 04/12/2023
`! ROB
ox 547
Issue date: 04/12/2023
Anacortes, WA 98221-0547
Expire date: 10/08/2024
(360) 293-1901
Job Address: 5522 SUGARLOAF ST Permit Type: Single Family Interior Only Alteration Permit
ANACORTES WA 98221-2962 Project:
APN: P59032
Remarks: Replace 17 windows, like for like.
Owner: DELILAH PAINTER Contractor: THE HOME DEPOT
Address: 5522 SUGARLOAF ST Address: PO BOX 105451
ANACORTES WA 98221-2962 ATLANTA GA 30348
Phone: (208)431-6602 Phone: (360) 945-2787
License#:
General Information: Fees:
Building Valuation 30891 Building Permit Fee 452.35
Plan Review Fee 294.03
State Building Code Fee Resi 6.50
Total Calculated: 752.88
Deposits/Receipts: 0.00
Total Due: 752.88
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 an2exa ' is application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISS
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
c�oR Office Location: 904 61h Street, Anacortes WA 98821
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,
carports), Accessory Dwelling Units, Manufactured Homes, Residential Decks & Retaining Walls, and
Docks& Pilings.
FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION
PROPERTY INFORMATION
PROJECT ADDRESS(STREET,SUITE#) ASSESSOR PARCEL NUMBER
5522 SUGARLOAF ST P59032
SUBDIVISION/LOT# ZONING LOT AREA(SIZE)
SQ. FT.
TYPE OF PROJECT
NEW ADDITION X REPAIR REMODEL CHANGE OF USE
IX4SFR Duplex ❑Deck/Porch
Accessory Dwelling Unit: ❑Detached ❑Attached ❑Retaining Wall
❑ Manufactured Home ❑Accessory Structure
❑ Shoreline Structure(dock, pilings,floats etc.) * ❑Other:
*If application is for a shoreline structure, please complete the Shoreline Structure Checklist.
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? I YES HNO
f YES, provide the permit/application number:
PROJECT SUMMARY: PROJECT VALUATION
Replace 17 windows like for like (Cost of Materials & Labor)
$30891.08
PROPERTY OWNER INFORMATION
NAME PHONE
DELILAH PAINTER 208-431-6602
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
5522 SUGARLOAF ST Anacortes 9822,
CONTRACTOR INFORMATION
NAME* PHONE
Home Depot 3609452787
CONTRACTOR'S BUSINESS LICENSES STATE LICENSE# EXPIRATION
*All Contractors&Subcontractors must have a valid City HOMED**088RH 7/17/24
of Anacortes business license prior to doing work in the UBI# EXPIRATION
City.
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
2455 Paces Ferry Rd SE, Atlanta GA 3C hd@nwpermit.com
Page 1 of 17
Res.Building Permit Application Submittal Checklist
Updated April 20,2021
CONTACT PERSON -Select one person the city will contact for anything related to this project:
EC APPLICANT ❑PROPERTY OWNER ❑CONTRACTOR ❑OTHER(LIST BELOW)
NAME PHONE
Dyanna Sconzo 3609452787
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
1026 SW 151 st St Burien WA 98166 hd@nwpermit.com
LENDER INFORMATION
RCW 19.27.095 requires the City to obtain information with regard to lenders. If there are no lender
involved with your project, write "no lenders"on the Name Line below.
NAME PHONE
ADDRESS(STREET,CITY,STATE,ZIP) EMAILADDRESS
ACKNOWLEDGEMENTS & SIGNATURE
Read and initial each of the following statements prior to signing this application:
DS 1 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.
DSI understand that if 1 submit incomplete, inaccurate, and/or erroneous information it will take the
City longer to process my permits.
DSI 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.
DS 1 understand and acknowledge that Special Inspections could be required as part of my project, and
if needed 1 will be required to pay for the cost of these inspections.
DS 1 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.
DS 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.
I hereby declare that 1 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.
4/12/23
SIGNATURE DATE
Dyanna Sconzo
PRINTED NAME
Res.Building Permit Application Submittal Checklist
Updated December 2021
Page 2 of 17
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