HomeMy WebLinkAboutPermit File 2018 29th Place (2) it
4 _ City of Anacortes invoice/Permit#: BLD-2018-0716
. 904 6th Street Applied date: 11/20/2018
�""! �! P.O.Bcx 547 Issue date: 11/20/2018
/0; Anacortes, WA 98221-0547 Expire date: 05/18/2020
�=`a1 -w"_ (360) 293-1901
Job Address: 2018 29TH PL Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-3870 Project:
APN: P122599
Remarks: Addition of 300 sqft new deck in the back yard.
Owner: PRATT ROBERT Contractor: CLOVER BUILT
Address: 2018 29TH PL Address: 4104 RAVE
ANACORTES WA 98221-3870 ANACORTES WA 98221-3643
Phone: Phone: (360) 721-3587
License#: CLOVEB*823BP
General Information: Fees:
Use Zone R2 Building Permit Fee 265.25
Deck Square Footage 300 Plan Review Fee 172.41
Building Valuation 16000 State Building Code Fee Resi 6.50
Occupancy Group it-1 Total Calculated: 444.16
Deposits/Receipts: 0.00
Total Due: 444.16
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED W[ IIN 180 DAYS, OR'I1F
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WCK$K IS COMIIAENCCTJ.i=;I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL F`ROVIiiO11S
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOTQTI IE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHEIk,-STAT
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. a. '-o --
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU n. '4.D ... CO
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‘T X PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
T Q I@' liE TIN. ENTIAL BUILDING PERMIT APPLICATION
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ailingAddress:P.O. Box 547,Anacortes, WA 98221
�p�g [lice Location: 904 6th Street Anacortes WA 98821
NOY Phone: (360) 293-1901
CITY OF ANACOHTES
PLEASE IEFER TO THE RESIDENTIAL BUILDING PERMIT CHECKLIST BELOW FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): PARCEL(S)#:
20v$ 2* iAac.c_ Aracwiles 1,0 ? t t
Subdivision/Lot#: PROJECT VALUATION: $
, ' (0,Gbo
APPLICANT: Phone:
l x ev Cox (360) yll- 33-87
Address(Street,City,State,Zip): Email Address:
Way 7 Avg Awftcoitr .s t-NA 9%2 2-i beam eaX77 t) G z/J •Co«h
PROPERTY OWNER: Phone:
R ' 41 t bckr (34D) Sf • W70
Address(Street,City,State,Zip): Email Address:
2otg 9,-0+ ?law A-+aacurki t. 4IV ' 2L4 Rfftli it70Ar9L.Ci.w
CONTACT PERSON: Phone:
Zrieel a t 36o.72i-35*7
Address(Street,City, State,Zip): Evil ail Address:
/'v 1? h►v,C Aw l t✓A 9t2L/ €7S 776)Gil• a
LENDING AGENCY: Phone:
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* Phone:
akif,t. 2 VAT 360=7z1 -js-87
Address(Street,City,State,Zi ) E ail Address:
5fAy i2 ,9i z i-s i-b r)9t2Z/ ru►alt 776 boost I. .,
*All Contractors&Subcontractors must have a valid Cityof Professional License#: Exp.Date:
Anacortes business license prior to doing work in the City. Contact GOY "�V�3 21 1Z:31 '2.t)1�
the City's Finance Department at(360)299-1968.
Business License#: Exp.Date:
UaM R 40'4'203•ZLt 17;1 l' Zolit
PROPOSED WORK: /}1e.k a 4- y c_Iedk v.. •l - Ipatk, /44/4...
PROPOSED NEW SQUARE FOOTAGE:
Basement SQ': ❑ Finished Basement: ❑ Unfinished Basement
Pt Floor SQ': G /Carport SQ':
2nd Floor SQ': i Deck/ vered Porch/Patio SQ': .t-�
Fire Sprinkler: 0 Yes El No _: Area SQ': • ,
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 property owner to submit a permit
application to the City of Anacortes.
Print Name: ILD ear. -P& Wr?t- Owner 6d Agent ❑ (specify):
Signature: Pla.C`
. Date: IJeN, 1 ) 2ot 9
Page 1 of 5
I I 0 PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
RESIDENTIAL BUILDING PERMIT CHECKLIST
Mailing Address:P.O. Box 547, Anacortes, WA 98221
„.„-lcsov., Office Location: 904 6` Street, Anacortes WA 98821
Phone: (360) 293-1901
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:
CO ro o ®;
... SUBMITTAL REQUIREMENTS. ,till 4 -1° g va 5' -
p C. eo t� *
The number'indicates the number of 2 o - �' p . ..
= copies for submittal (if applicable); 4/ 8 C
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Residential Building Permit Application 1 1 1 1 \l-:,'
A Site Plan(Drawn to Scale & Surveyed—if 2 2 0 2 2
applicable)
4- Building Plans (Drawn to Scale) 2 2 2 2 2
Reduced Site Plan(11"X 17") 2 2 0 1 1
Reduced Floor Plan(11"X 17") 2 2 2 2 1
Structural Calculations (if applicable) 2 2 2 2 2
Energy Code Compliance(shown on plans) ✓ ✓ : ✓
Temporary Erosion& Sediment Control 2 2 2
Narrative(13 Elements of SWPPP)
Temporary Erosion and Sediment Control 2 2 2
Site Plan
Drainage Plan(How the site meets DOE's 2 2 2
Stormwater Manual)
Landscape Plan 2 2 2
Grading Plan/Cut/Fill 2 2 2
Critical Areas Report(if applicable) 1 1 1 1
Geotechnical Report(if applicable) 1 1 1 1
Plan Review Deposit(due upon submittal) 1 ✓ ✓ . ✓ ✓
Page 3 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 "Residential 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).
FOR STAFF USE ONLY—COMPLETENESS DETERMINATION:
IS THE APPLICATION COMPLEI`.E? (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
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PLANNING & BUILDING DEPT:
APPROVED PLANS- -
PERr;IT#: aL D - 20IF- 0/76
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APP_ROVED-BY:
SUBJECT TO FIELD INS°ECTION. APPROVED VEPLANS
SHALL NOT-BE ALTERLO Lr ITHOUT AUTHORIZATION. es7hRossot.
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PERMIT#:- DLD`�1120/X-,D/76 �'
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TALL NOT BE ALTERED WITHOUT AUTHORIZATION.
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