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BLD-2018-0687 - WINDOWS/DOORS/SIDING NEW OR REPLACED
�T © ._ City of Anacortes Invoice/Permit #: BLD-2018-0687 904 6th Street Applied date : 10/31 /2018 P . O . Box 547 T — Issue date : 1013112018 0 Anacortes, WA 98221 -0547 Expire date : 04I3012020 'GW (360) 293- 1901 Job Address: 1006 24TH ST Permit Type: Commercial Alteration/Repair Permit ANACORTES WA98221 -2540 Project: APN : P57220 Remarks : Replace wood framing around exterior door on the south side of the building and reusing the same metal door. Owner: FARM STORES NORTHWEST INC Contractor: OWNER Address : 1006 24TH ST Address: ANACORTES WA98221 -2540 Phone: (360) 299-8298 Phone: License #: General Information : Fees : Building Valuation 1500 State Building Code Fee Comm 25 .00 Plan Review Deposit 17.55 Building Permit Fee 54 .00 Plan Review Fee 17. 55 Total Calculated: - 114. 10 Deposits/Receipts: 0.00 Total Due: 114. 10 n -a T n MT .-- O -O m 9 'C V h> W 'S 9 1 m rt KI �J y coI C rr I -n O %z 00 c R rZ JR ci ( I G] 3 ,Q v _.i .+ rt 3 m 7S W " O f- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 Dk(61 da �1F CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMIvJ9%1] {j. lc-:'l HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PRO $10 OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OF N Thfi GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEF'j ST, .e Qk LOCAL LAW REGULATING NSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. •* x' 6 p Ez � N SIGNATURE OF OWNER ORAUTHORIZED AGENT ISSUED BY CITY OF ANACORTE PLANNING & BUILDING E EPT: ''p APPROVED PLANS � OCT 3 0 2018 PERMIT #: D � b - 201 fg 0697 ADDRESS: QO S CITY OF ANACORTES APPROVrD '6Y : �62 SUBJECT TO FIELD INSPECTfOM . APPROVED PLANS SHALL NOT BE ALTERED WITHOUT AUTHORIZATION, J FILE COPY qo q : � sckr, Ss _ T Y OMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT MULTI-FAMILY BUILDING PERMIT APPLICATION y, �y OCT ,� 0 20�8 i,lingAddress: P. O. Box 547, Anacortes, WA 98221 r l�ge0 ice Location: 904 6`h Street, Anacortes WA 98821 Phone: (360) 293-1901, Fax: (360) 293-1938 CITY QF ANACORTES PLEASE REFER TO THE COMMERCIAL & MIIL77-FAMILYBUILDING PERMITCHECKLISTFOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS L( treet, Suit #): PARCEL(S) #: © D rn T (n' Subdivision/Lot #: PROJECT VALUATION: $ es 0oa c �6a APPLICANT: � `Pehhone: pp k S� C" r&k C� � fF ,y- e� •- 7(s g ,3 - 7 � O Add (Street C , StateP�Zip) : Email Address: PROP. ERTY OWNE ?R Phone: 1 A ]dg� (Street, it�S�tate,'Zip): n (J A<o ( P A �9 ' , P Email Address: CONTACT PERSON: �IJJ Yr r� W 3 (. Q � Phone: \neccP- — \"n � er - '179 Address (Street, City, State, Zip) : Email Address: ( 00 � S� . LE SINryAGENCY: Phone: Addres (Street, City, State, Zip) : Email Address: CONTRACTOR: * C Phone: �Te b e, Q ec r-i r N e Address (Street, City, State, Zip) : Email Address *All Contractors & subcontractors must have a valid City of Anacortes Professional License # Exp. Date: business license prior to doing work in the City. Contact the City 's Business License #: Exp. Date: Finance Department at (360) 299-1968. PROPOSED WORK: `fie wcC LAO e (1 t tl r�1 tia c> r ouA P to PROPOSED OO Basement SQ' : 1 " Floor SQ' : 12"a Floor SQ' : 3`d Floor SQ' : 4" Floor SQ' : Garage SQ' : Other SQ': Retaining Wall: Yes ❑ No ❑ Fire Sprinkler: Yes ❑ No ❑ Occupancy Group(s) : Occupant Load(s) Type of Construction: I declare under penalty of perjury that the information I have provided on this form/application is true, correct, and complete, and that I am the property owner or duly authorized agent of the properly owner to submit a permit application to the City of Anacortes. Print Name: JCK.� � C 5 �e� Owner El Agent El (specify) : Signature: �tY` — Date: (' D -- � 3 ^( p Page 1 of 5 IMPERVIOUS SURFACE AREA A : Existing Impervious SQ : New Impervious SQ' : Total Disturbed Land/Soil SQ' : Total Proposed: Cut: Fill : New hard surfaces (pervious & impervious) Land converted from native vegetation to lawn or landscaping SQ' : Land converted from native vegetation to pasture SQ' : I Equipment Type: Appliance/Equipment Information (new and relocated) : Total #: Furnace: Gas #: Elec #: Other #; Wall Heater: Gas #: Flee #: Other: #: Location(s) : Gas Water Heater: #: Location(s): Heat Pump : Elec #: Other #: Air Conditioner /Handler: Elec #: Other; #: Location(s): Radiant /Hydronic Heating: Gas #: Flee #: Other: #: Location(s) : Exhaust Fans : Bath #: Laundry #: Kitchen #: Other #: Range Hood: #: Type 1 or 2 (Circle which one) Location(s) : Fireplace: Gas #: Flee #: Other: #: Location(s): Clothes Dryer & Duct: Gas #: Elec #: Other: #: Location(s) : Stove/Range/Oven: Gas #: Elec #: Other: #: Location(s): Refrigeration Unit: Elec #: Other: #: Location(s): Gas Piping/ Outlet(s): #: Location(s): Boiler: Gas #: Elee #: 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 dispenser): 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 ❑ No ❑ Dishwasher: Backflow Prevention Device : Urinal: Hose Bib: Floor Drain / Floor Sink: Drinking Fountain: Hydronic Heat in: Floor ❑ Wall ❑ Grease Interceptor: Other: Other: TOTAL PLUMBING FIXTURES : Page 2 of 5 `,,v Y a PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT i M COMMERCIAL & MULTI -FAMILY BUILDING PERMIT CHECKLIST k7 Mailing Address: P. O. Box 547, Anacortes, WA 98221 iWS,w Office Location: 904 0 Street, Anacortes WA 98821 c o� Phone: (360) 293-1901, Fax., (360) 293-1938 PRE-APPLICATION MEETING? ❑ YES ❑ NO IF YES, FILE # : Plans shall be of sufficient clarity to indicate the location, nature, and extent of the work proposed, and conform to the provisions of the adopted International Codes and City Ordinances. PERMIT TYPE : ° 0 a r ° SUBMITTAL REQUIREMENTS: The number indicates the number of dr copies for submittal ({f applicable). p K Commercial & Multi-Family Building Permit Application 1 1 1 1 1 Site Plan (Drawn to Scale 2 2 2 0 2 Cony of Boundary Survey 2 2 2 0 2 Building Plans (Drawn to Scale 2 2 2 2 2 Reduced Site Plan ( 11 " X 17" 2 2 2 0 2 Reduced Floor Plan II " X 17" 22 2 2 2 Structural Calculations (if applicable) 2 2 2 2 2 Energy Code NREC Compliance -including Calculations, 1 1 1 1 1 Lighting, & Commissioning Temporary Erosion & Sediment Control Narrative (13 2 2 2 0 0 Elements of SWPPP) Temporary Erosion and Sediment Control Site Plan 2 2 2 0 0 Drainage Plan (How the site meets DOE' s Stormwater 2 2 2 0 0 Manual) Landscape Plan 2 2 2 0 0 Parking Plan 2 2 2 0 0 GradingPlan/Cut/Fill 2 2 2 0 0 Critical Areas Report if applicable) 1 1 1 0 0 Geotechnical Report if applicable) 1 1 1 0 0 Traffic Impact Analysis if applicable) 1 1 1 0 1 Plan Review Deposit ✓ ✓ ✓ ✓ V Digital Copy of Plans on Flash/CD due at permit issuance)- ✓ ✓ ✓ ✓ Page 3 of 5 NOTES: 1 . Handouts and standard details may be found on the City' s Planning, Community, & Economic Development website or can be obtained at city hall during normal business hours. 2. Plans, calculation, & reports prepared by state licensed architects or professional engineers must be stamped and signed by the design professional. 3 . The drainage analysis /plan & TESC Plan shall comply with the 2012 Department of Ecology' s Stormwater Management Manual for Western Washington (as amended in December 2014). 4. Within 180-days of application submittal refunds are allowed up to maximum of 80% of plan review fee so long as no review has been performed by staff (Per IBC 109.6) . The applicant must initiate this refund request by submitting a signed letter to the Building Department, Page 4 of 5 STAFF DETERMINATION OF COMPLETENESS : Please note, that the subject building permit application will be reviewed by staff for completeness . All of the items above as listed in the "Commercial & Multi-Family Building Permit Checklist' need to be submitted at time of application submittal unless deemed unnecessary by staff. If staff deems the application incomplete, the applicant will be notified by mail and/or email as to what items and/or revisions are still needed. Additionally, if the application is deemed incomplete, the applicant will have 90-days to submit the requested information per AMC 19.20. 130(B)(2)(b). If the requested items and/or revisions are not provided by the deadline [90-days] , the application may be rejected by staff and returned to the applicant along with any unspent application fees per AMC 19 .20 . 130(C)(3 )(b) . —COMPLETENESSFOR STAF, F USE ONLY DETERMINATION: IS THE APPLICATION COMPLETE? (CIRCLE ONE) COMPLETE INCOMPLETE If deemed incomplete, what is the date it was deemed incomplete? If deemed incomplete, was it deemed as such at the counter, by letter, or email (Circle One)? If by letter or email, when was it mailed by USPS or emailed ? If deemed incomplete at the counter, when was this checklist with items circled given to the applicant? If deemed incomplete, what is the 90-day deadline for resubmittal of requested items and/or revisions? If deemed incomplete, who deemed it as such? (Please include the letter /email in the file detailing what additional items or revisions are still needed). If the application is deemed complete, what is the date it was deemed complete & who deemed it as such? Page 5 of 5