PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 293-1901

Page 1 of 17 Res. Building Permit Application Submittal Checklist Updated April 20, 2021

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 INFORMATIONPROJECT ADDRESS (STREET, SUITE #) ASSESSOR PARCEL NUMBER

SUBDIVISION/LOT # ZONING LOT AREA (SIZE) _______________ SQ. FT.

TYPE OF PROJECT□ NEW □ ADDITION □ REPAIR □ 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: ________________________________

*If application is for a shoreline structure, please complete the Shoreline Structure Checklist. IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? □ YES □ NOIf YES, provide the permit/application number: __________________________________________

PROJECT SUMMARY: PROJECT VALUATION (Cost of Materials & Labor)

$______________________

PROPERTY OWNER INFORMATION NAME PHONE

ADDRESS (STREET, CITY, STATE, ZIP) EMAIL ADDRESS

CONTRACTOR INFORMATIONNAME* PHONE

CONTRACTOR’S BUSINESS LICENSES *All Contractors & Subcontractors must have a valid Cityof Anacortes business license prior to doing work in theCity.

STATE LICENSE # EXPIRATION

UBI # EXPIRATION

ADDRESS (STREET, CITY, STATE, ZIP) EMAIL ADDRESS

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CONTACT PERSON - Select one person the city will contact for anything related to this project: ☐ APPLICANT ☐ PROPERTY OWNER ☐ CONTRACTOR ☐ OTHER (LIST BELOW)

NAME PHONE

ADDRESS (STREET, CITY, STATE, ZIP) EMAIL ADDRESS

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

ADDRESS (STREET, CITY, 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 staff review.

I understand that if I submit incomplete, inaccurate, and/or erroneous information it will take the City longer to process my permits.

I 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.

I understand and acknowledge that Special Inspections could be required as part of my project, and if needed I will be required to pay for 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.

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 I 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.

________________________________________________ ____________________________ SIGNATURE DATE _________________________________________________ PRINTED NAME

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SUBMITTAL CHECKLIST

Applicant Checklist

Residential Building Permit Submittal Requirement Checklist

SFR, Accessory Structures or Duplex (including additions)

Accessory Dwelling U

nit (ADU

)

Remodel (internal only)

Manufactured Hom

e

Decks or Retaining Walls

Office U

se Only

Residential Building Permit Application Form (FORM BP-1 – attached) X X X X X

Structure & Site Information Form (FORM BP-2 – attached) X X X X X

Mechanical & Plumbing Fixtures Form (FORM BP-3 – attached) X X X

Architectural Plans (requirements listed on FORM BP-4 - attached) X X X X X

Stormwater Management Minimum Requirements Determination (FORM BP-5, attached) X X X X

Stormwater Site Plan X X X X

Site Plan & Landscape Plans - requirements listed on Form BP-6 X X X X X

Structural Plans & Calculations X X X X X

Energy Code Plans & Forms X X Manufacturer’s Specifications/Cut Sheets X Copy of recorded survey X X X X Critical Area Identification Form X X X X X Shoreline Structure Checklist, if applicable X X Technical Reports X X X X Other Required Permits, if applicable X X X X X ADU Affidavit of Owner Occupancy (signed) X

SUBMITTAL INFORMATION Please send applications in PDF format to buildingpermit@cityofanacortes.org Send applications in PDF format with a file and message size no greater than 30 MB. An email

with a link to a file share site (Dropbox, Google Drive, OneDrive, etc.) is acceptable. Paper copies may be requested after initial review.

FEES Once application is received, staff will reach out if a deposit is required. Otherwise, permit fees are paid prior to building permit issuance.

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REQUIRED SUBMITTAL INFORMATION Additional details on certain submittal items are provided below to ensure Applicants are fully aware what City staff will be looking for when an application is submitted to the City. FORMS AND PLANS • FORM BP-1: RESIDENTIAL BUILDING PERMIT APPLICATION FORM. Provides key information

about your project, including type of permit you are applying for, and property owner, contractor, and contact information.

• FORM BP-2: STRUCTURE AND SITE INFORMATION FORM. Provides key information about the proposed structure, including height, floor areas, fire protection proposed, and asks questions about site characteristics that are used to determine whether your project requires any other information or additional permit applications to be submitted.

• FORM BP-3: PLUMBING AND MECHANICAL INFORMATION. Form BP-3 provides space for you to fill in fixture information for plumbing and mechanical appliances and equipment that are included as part of your project.

• FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS. Form BP-4 contains a list of all the items required to be shown on Architectural Plans.

• FORM BP-5: STORMWATER MANAGEMENT DETERMINATION FORM. Most development within the City of Anacortes that involves disruption of soils, or construction of buildings, streets, parking lots, etc. requires a Stormwater review. Stormwater review requirements are based on either the amount of soil to be disturbed (grading, vegetation removal), or the amount of hard surface that is created or replaced on a site (building footprint, concrete, asphalt or gravel parking, sidewalk, etc.). Form BP-5 assists you in determining the level of stormwater review (applicable Minimum Requirements) required for your project.

• STORMWATER SITE PLAN. The Stormwater Site Plan is the comprehensive report containing all of the technical information and analysis necessary for regulatory agencies to evaluate your project for compliance with stormwater requirements. The level of stormwater review and contents of the Stormwater Site Plan will vary with the type and size of the project, and individual site characteristics. Use Form BP-5 to determine the level of stormwater review and then complete the applicable Stormwater Minimum Requirements Form on the Public Works - Engineering Department Forms website and provide required submittal items/plans.

• FORM BP-6: SITE PLANS & LANDSCAPE PLANS. Form BP-6 contains a list of all the items required to be shown on Site and Landscape Plans.

• STRUCTURAL PLANS: Plans prepared and stamped by a State of Washington licensed professional structural engineer drawn at a scale approved by the Building Official clearly indicating the information required by the “Permits” section of the currently adopted International Building Code and Chapter 19.27 RCW (State Building Code Act, Statewide amendments), and City submittal forms including: structural members labeled as to size and spacing as well as bracing, blocking, bridging, special connectors, and anchor bolts; cross-section details, as needed, to show typical foundation, floor, wall, ceiling and roof construction; insulation of walls, floors and roof/ceiling; and details of stairs, fireplaces and special construction, if any.

• STRUCTURAL CALCULATIONS: An analysis of loads, materials, etc., prepared and stamped by a State of Washington licensed professional structural engineer.

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• ENERGY CODE FORMS: The standard Washington State Energy Office form requesting the information required under Chapter 51-11 WAC detailing building components used to comply with the State Residential or Nonresidential Energy Code, as applicable.

• MANUFACTURER’S SPECIFICATIONS/CUT SHEETS: A document that summarized the performance and other technical characteristics of a product, machine, component, material, or subsystem (e.g., a power supply) in sufficient detail that allows the City to determine the product will be incompliance with applicable codes.

• COPY OF RECORDED SURVEY. A survey of your property is needed so that conformance with minimum setback requirements and other development standards can been confirmed and verified on site by the inspectors. Property markers must be visible on your property. If they are not at the time an inspection is requested, you may need to have a new survey completed.

• CRITICAL AREA IDENTIFICATION FORM. Use this from to determine and/or identify if critical areas or critical area buffers are located on or within 300 ft. of the development area. If critical areas are determined to be present, a Critical Area Permit may be required.

• SHORELINE STRUCTURE CHECKLIST. This checklist is required to supplement the building permit application if the proposed structure or development is waterward or within 200 ft. from the shoreline. This checklist will also assist in determining what other approvals or permits may be required for the proposed work.

OTHER SUBMITTALS DETERMINED ON A CASE-BY-CASE BASIS TECHNICAL REPORTS Following is a list of technical reports that will be required to be submitted to the City when certain circumstances exist on or near a site an Applicant is planning on making improvements to. The general triggers for each of the listed technical reports I provided below:

A. CRITICAL AREAS REPORTS: In general, Critical Area reports are required when wetlands and/or streams are located on or near a site. Critical area mitigation plans may also be required, depending on the project proposal. See Anacortes Municipal Code Ch. 19.70 for additional information.

B. GEOTECHNICAL REPORT: In general, Geotechnical Reports are required when work is proposed on or near slopes in excess of 15% and/or known landslide hazard areas. See Anacortes Municipal Code Ch. 19.70 for additional information.

OTHER PERMITS DETERMINED ON A CASE-BY-CASE BASIS OTHER FORMS Following is a list of other permits that could be required in certain circumstances. The general triggers for each of the listed permits is provided below.

A. FILL AND GRADE PERMIT: Grading (importing, exporting, and/or moving material on a site) of more than 50 cubic yards and/or if grading modifies the existing flow of stormwater or groundwater.

B. RIGHT-OF-WAY PERMIT: A right-of-way permit is required anytime the public right-of-way is disturbed or obstructed in any way by private development or the general public.

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FORM BP-2: STRUCTURE AND SITE INFORMATION PROPERTY WHERE WORK IS OCCURRING ADDRESS PARCEL NUMBER(S)

DETAILED PROPOSED STRUCTURE INFORMATION Complete the following information as it relates to your project. Mark items that are not applicable with “N/A”.

STRUCTURE HEIGHT

AREA SQUARE FOOTAGE OCCUPANCY GROUP CONSTRUCTION TYPE OCCUPANT LOAD

1ST FLOOR:

2ND FLOOR:

3RD FLOOR:

BASEMENT:

GARAGE:

TOTAL DECK:

TOTAL PORCH:

OTHER:

OTHER:

OTHER:

QUESTIONS ABOUT THE PROPOSED STRUCTURE Is a fire sprinkler system being installed? ☐ YES ☐ NO

Is a monitored fire alarm being installed? ☐ YES ☐ NO

Are retaining wall(s) being built? ☐ YES ☐ NO

Are structural plans required? ☐ YES ☐ NO

PROJECT SITE INFORMATIONA. Is work within the City’s right-of-way proposed?

If YES, you will be required to submit a right-of-way permit application.

If you have already submitted a ROW permit, list the permit number here:

☐ YES ☐ NO

__________________ B. Is the lot less than 5,000 sq. ft. in area?

If YES, your site and building will need to comply with the standards in AMC19.43.010.C.

☐ YES ☐ NO

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C. Is your project involving an accessory dwelling unit?If YES, your site and building will need to comply with the standards in AMC19.47.030.

☐ YES ☐ NO

D. Will more than 2-acres be cleared and/or more than 5,000 board feet(about 1 log truck load) of timber be harvested?If YES, you may need to obtain a forest practice permit from DNR.

☐ YES ☐ NO

E. Is this project subject to the SEPA process?If YES, you will be required to submit a SEPA checklist.

If you have already completed the SEPA process, list the permit number:

☐ YES ☐ NO

__________________

REQUIRED SIGNATURE I hereby declare that I 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.

________________________________________________ _____________________________ SIGNATURE DATE

_________________________________________________ PRINTED NAME

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FORM BP-3: PLUMBING & MECHANICAL INFORMATIONMECHANICAL

EQUIPMENT TYPE APPLIANCE/EQUIPMENT INFORMATION (NEW AND RELOCATED)

Indicate the number of fixtures for each equipment type TOTAL GAS ELECTRIC OTHER - Please specify COMMENT

Furnace

Wall Heater

Water Heater

Heat Pump

Air Conditioner /Handler

Radiant /Hydronic Heating

Exhaust Fans

Range Hood

Fireplace

Clothes Dryer & Duct

Stove/Range/Oven

Refrigeration Unit

Gas Piping/ Outlet(s)

Boiler BTUs:

Other

TOTAL MECHANICAL OUTLETS PLUMBING FIXTURES FIXTURE TYPE (NEW AND RELOCATED) TOTAL FIXTURE TYPE (NEW AND RELOCATED) TOTAL Toilets Refrigerator water supply Kitchen Sink Pressure Reduction Valve/ Regulator Utility Sink Water Service Line Tub Water Piping Hand Sink Washing Machine

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 - please specify:

TOTAL PLUMBING FIXTURES

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FORM BP-4: ARCHITECTURAL PLAN REQUIREMENTS GENERAL INFORMATION This form is intended to assist applicants in creating complete, code compliant architectural plans. Please check the plans you wish to submit to make sure they contain each of the listed items. To the right of the Requirements column is space for you to list the sheet number of the plan set where the listed information is shown.

• Minimum Plan Size: 11” x 17” and drawn in an architectural scale.• Architectural plans for structures 4,000 square feet or larger are required to be prepared and

stamped by an architect licensed in the State of Washington.• Structural plans must be stamped by a structural engineer licensed in the state of Washington.

REQUIREMENTS FOR ALL ARCHITECTURAL PLANS

COMPLETE? REQUIREMENTS PAGE #

Cover (or 1st page) must include: Site address Parcel number Lot number (if applicable) Lot size Lot coverage % impervious surface coverage

Floor plans with existing (if applicable) and proposed building layout with square footages and with the use of each room/area labeled. Window and door sizes labeled and window ventilation area. Commercial, Multi-Family, and Mixed-Use Structures must also include door and window schedules. Plumbing, duct, and electrical layout. Penetration protection must be shown.

Opening headers, size, and material. Cross section details, showing typical foundation, floor, wall, ceiling and roof construction and insulation.

Structural members labeled as to size and spacing as well as bracing, blocking, bridging, special connectors, and anchor bolts.

Details documenting energy code compliance. Exterior building elevations demonstrating compliance with applicable structure type design standards (small lot, duplex, or ADU) and maximum building height

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Building height (see AMC 19.42.120 for measurement methods, exceptions and modifications).

• Show a line representing, and label the elevations of, the existing natural topography at the foundation at the front of the building.

• For corner lots and lots that slope downhill from the property line at the front of the building: Show a labeled line representing the elevations at the center of all exterior walls of the building.

• For ADUs only, include elevations demonstrating compliance with the height/setback plane (see AMC 19.47.030(C)(6)).

Special details as needed (i.e., stairs, fireplaces, special construction).

Insulation and insulation values of walls, slab, floors, and roof/ceiling.

Existing and proposed grades with slope of lot shown.

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FORM BP-5: STORMWATER MANAGEMENT MINIMUM REQUIREMENTS DETERMINATION

GENERAL INFORMATION

Most development within the City of Anacortes that involves disruption of soils, or construction of buildings, streets, parking lots, etc. requires a Stormwater review. Stormwater review requirements are based on either the amount of soil to be disturbed (grading, vegetation removal), or the amount of hard surface that is created or replaced on a site (building footprint, concrete, asphalt or gravel parking, sidewalk, etc.)

This form is largely targeted for small projects and single family residences. For larger projects and more information please refer to the Anacortes Municipal Code (Chapter 19.76 Stormwater Management) and the latest Washington State Department of Ecology Stormwater Management Manual for Western Washington (Ecology Manual).

HARD SURFACE AREA CALCULATION

Please calculate your project’s hard surface amount; guidance is provided on the next page of this document. Use your project’s total hard surface calculation to follow the flow chart(s) in this packet and determine the level of stormwater management required for you project.

When determining your permit level or if stormwater thresholds are met or exceeded the entire project must be considered. A project is that portion of a property, properties, or right of way subject to land disturbing activities, new hard surfaces and replaced hard surfaces. The hard surface on your property will determine the storm water utility fees and the stormwater general facility charge. All new or replaced hard surfaces should be accounted for. Below are excerpts from the Anacortes Municipal Code and Ecology Manual that may assist you in preparing this information.

“Hard surface area” means an impervious surface, a permeable pavement, or a vegetated roof.

“Impervious surface” means a non-vegetated surface area which either prevents or retards the entry of water into the soil mantle as under natural conditions prior to development. A non-vegetated surface area which causes water to run off the surface in greater quantities or at an increased rate of flow from the flow present under natural conditions prior to development.

“Replaced impervious surface” means, for structures, the removal and replacement of impervious surfaces down to the foundation. For other impervious surfaces, the removal down to bare soil or base course and replacement.

LAND DISTURBANCE

DESCRIPTION TOTAL (SQ. FT.)

Total Area of Land Disturbing Activity

Total Area Converted from Vegetation to Lawn or Landscaped Area

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HARD SURFACE AREA CALCULATION

DESCRIPTION Existing (SF)

Removed (SF)

Proposed Replaced

(SF)

Proposed New

(SF)

Non Pollution Generating Hard Surface Area (Sidewalks, paths, patios, etc.)

Pollution Generating Hard Surface Area (Driveways, parking areas, etc.)

TOTAL HARD SURFACE

Site Size

Existing Impervious Surface Coverage % (sq. ft. hard surface / site size) ______%

MINIMUM REQUIREMENTS CALCULATIONS Use the information in the above table to navigate the flow chart(s) on the next few pages to determine the applicable stormwater management minimum requirements for your project.

Then complete the applicable Stormwater Minimum Requirements Form on the Public Works - Engineering Department Forms website and provide required submittal items/plans.

☐ Minimum Requirements #1-9 ☐ Minimum Requirements #1-5 ☐ Minimum Requirement #2

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FLOW CHART FOR DETERMINING REQUIREMENTS FOR NEW DEVELOPMENT

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FLOW CHART FOR DETERMINING REQUIREMENTS FOR REDEVELOPMENT

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FORM BP-6: SITE PLAN REQUIREMENTS GENERAL INFORMATION This form is intended to assist applicants in creating complete, code compliant site plans. Please check the plans you wish to submit to make sure they contain each of the listed items. To the right of the Requirements column is space for you to list the sheet number of the plan set where the listed information is shown.

• Minimum Plan Size: 11” x 17” and drawn in an engineering or architectural scale.

INFORMATION REQUIRED ON ALL SITE PLANS

COMPLETE? REQUIREMENTS PAGE # ON PLANS

COVER SHEET:

Vicinity Map Name of the project Name, address, and telephone number of owner and agent(s) Name, address, and telephone number of Applicant (if different from the

owner) Zoning designation of the site Area, in square feet and acreage, of the project site Reference to the Building Code used Proposed use Occupancy group Construction type Square footage and height of each individual building Percent lot coverage Percent impervious surfaces

Scale and North Arrow Property features

Location, identification, and dimensions of all property lines and easements. All easements shown on the title report, Record of Survey, or plat must be dimensioned and shown.

Location and dimensions of existing critical areas (wetlands, streams, steep slopes) and their associated buffers.

Location of Ordinary High Water Mark and shoreline jurisdiction limits (if adjacent to a shoreline).

Existing and proposed contours and site elevations (i.e. finished grades) at 5-foot minimum increments. The horizontal and vertical control datum must be clearly shown.

Structures

Location, identification, dimensions and size of all existing and proposed buildings and other structures.

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Location of existing and proposed retaining walls, rockeries, and fences. Location, identification, and dimensions of all setbacks.

Show proposed projections into required setbacks, including dimensions (see AMC 19.44.140)

Utilities & Easements

Location and dimensions of existing and proposed stormwater, sanitary sewer, potable water, and fiber lines/facilities. All wells and septic systems located on or near the project site must also be identified.

Location of all existing and proposed fire hydrants within 300 feet of the boundary of the project site.

Location and dimensions of existing and proposed freestanding lighting fixtures, utility junction boxes, public utility transformers.

Stormwater

Proposed Temporary Erosion and Sediment Control Measures, if not located on other plans.

Proposed permanent stormwater management BMPs. Access, Circulation & Parking

Location, identification, and dimensions of all existing and proposed on-site and adjacent streets and alleys, including the location and dimensions of all existing and proposed curbs, gutters, sidewalks, median islands, and street trees.

Show existing and proposed vehicular access to the site, including the size and location of driveways and curb cuts.

Show existing and proposed parking spaces, including surface material and dimensions of spaces.

Open Space (ADUs, Small Lots, and Duplexes)

Show calculations, location, dimensions and provided square footage of required open space area per AMC 19.43.010.C, E, or AMC 19.47, as applicable.

Landscaping

Show the location and design of landscape areas to be preserved and planted, and a plant list to include the location, number, size and type of plant material by botanical and common name.

Location of irrigation system if a permanent or temporary system is proposed.

Show the location of existing trees to be retained in conformance with AMC 16.50, and tree protection measures to be implemented, when applicable.

Provide a maintenance plan for any infiltration-based stormwater best management practices (BMPs) built as part of the landscaping design, including the specifications and maintenance procedures of any soil amendments.

Show new trees to be planted and tree unit credit calculations, in conformance with AMC 16.50 Tree preservation, when applicable

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A table similar to the following with project specific information provided, must be placed on the site plan:

Required Landscaping Calculations

For Example

Site Area 7,500 sq. ft. % of site area to be landscaped (per AMC Tables 19.42.020-.030)

20% - R2A zone 1,500 sq. ft. required 1,850 sq. ft. provided

Compliance with AMC Ch. 16.50 Tree Preservation.

Tree unit credits required: • 8 tree units requiredTree unit credits retained:• 2 trees 6” dbh = 4 tree unit

credits retainedTree unit credits provided: • 2 new deciduous trees (min. 2”

caliper @ 6” above ground)• 2 new evergreen trees (8’ in

height)Number of required street trees 1 per 30’ of frontage

60 lineal feet of frontage = 3 street trees