HomeMy WebLinkAboutPermit File BLD-2019-0274 1401 15th Street 0` City of Anacortes Invoice/Permit#: BLD-2019-0274
904 6th Street
Applied date: 04/26/2019
P.O.Box 547
<j Issue date: 04/26/2019
Anacortes, WA 98221-0547
' � Expire date: 10/22/2020
\.. , ' �, t (360) 293 1901
Job Address: 1401 15TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-2214 Project:
APN: P55758
Remarks: Install natural gas 50 gallon water heater like for like
Owner: CINDI VANCE Contractor: BARRON HEATING&A C
Address: 1401 15TH ST Address: 5100 PACIFIC HWY
ANACORTES WA 98221-2214 FERNDALE WA 98248-9080
Phone: (360)333-0144 Phone: (800)328-7774
License#: BARROHA179D7
General Information: Fees:
#of Gas Water Heaters 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVI 0 S OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
Permits and Insp... = BLD-2019-0274 - 2019
019172-0008 Carla Br... 05/07/2019 10:41AM
10788 - BARRON HEATING &A C
BLD-2019-0274 Mechanical Permit
Payment Amount: 34.15
Transaction Amount: 34.15
CHECK: 088449
[ D \!/ 1T ,
APR2 5 2019
CITY OF ANACORTES
PLANNING,G, COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT
I fir" :':: PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O.Box 547,Anacortes, WA 98221
lcvr= Office Location:904-Oh-Street,Anacortes WA-98821 - ..... -
Phone: (360)293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION:
1401 15th Street P55758 $1,995
SubdivisionlLot#: RESIDENTIAL El COMMERCIAL ❑
APPLICANT: Phone:
Barron Heating 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway Suite 103,Ferndale,WA 98248 amandaa@barronheating.com
PROPERTY OWNER: Phone:
Cindi Vance 360-333-0144
Address(Street,City,State,Zip): Email Address:
1401 '15th Street,Anacortes,WA 98221 N/A
CONTACT PERSON: Phone:
Barron Heating 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway Suite 103,Ferndale,WA 98248 amandaa@barronheating.com
CONTRACTOR:* Phone:
Barron Heating 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway Suite 103,Ferndale,WA 98248 amandaa@barronheating.com
*All Contractors&subcontractors must have a valid City of Professional License#: Exp. 0:
BARROI-1A179D7 10/23/2022020
Anacortes business license prior to doing work in the City. Business License# Exp.Date:
Contact the City's Finance Department at(360)299-1968. 600-092-564
Is this work,associated with another project? Yes ❑ No IR If yes,specify:
PROPOSED WORK: Install natural gas 50 gallon water heater-like for like
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: Amanda Allison
Owner 0 Agent IXI(specify): Barron Heating
Signature: S ��,� -�'L� Date: 04/23/2019
- _ - - MEHANICAL: _
Equipment Type: Appliance/Equipment Information (new and relocated): Total #:
Furnace: Gas #: Elec#: Other#: Location(s):
Wall Heater: Gas #: Elec #: Other: #: Location(s):
Gas Water Heater: #: 1 Location(s): Laundry Room
Heat Pump: Elec#: Other#: Location(s):
Air Conditioner/Handler: Elec #: Other: #: Location(s):
Radiant/Hydronic Heating: Gas #: Elec #: Other: #: Location(s):
Exhaust Fans; Bath#: Laundry#: Kitchen#: Other #:
Range Hood: #: Type 1 or 2 (Circle which one) Location(s):
Fireplace: Gas #: Elec #: 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 #: Elec #: BTUs: Location(s):
Other: #: Location(s):
t.._ l-tom Or; r..�.T� • _ _
_ tile! _
_ t\
rF ■
t-- .:-<•.-�-::���'�u .mac' .._¢..�.q: �+T.,- - - PLUMBING
__.. -
t--'�!. ..-.,._=..cam.-.. ...
PLUMBING FIXTURI� S:
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 El No 0
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain / Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor:
Other: rzi
Other:
=�... �i=� -;+ice->._,..,_J,,,(�•-�ti
- ;Kv::!_ _%. - .<'r,,., yam - ��- .ey-•t •...�.ki:—. c...,->,•.r.-i._,. _
�C ice- -_:�4 _ - :Y'•-•-;- �::�:..
TY �C-.-
_ _ `titer+�
mow .
- - .f-;max:.. - .,. -, .. "i,�';�c:'?d��.:+�.r-:•,�.5.''7"r;.--. -. ..
Wit:,. r:��1 .- t.� �',.. _....._ __ ........er..Y:?•^.-�_-.... - .. ._.