HomeMy WebLinkAboutPermit File BLD-2021-0892 1019 36th Street City of Anacortes
Invoice/Permit #: BLL 2021-0892
904 6th Street
Applied date: 10/2151202 i
P.O.Box 547 Issue date: 10/25/2021
Anacortes, WA 93221-0547
1691 Expire date: 04/23/2023
' M (360) 293-1901
011
Job Address: 1019 36TH ST Permit Type: Mechanical Permit
ANACORTES WA 9822 1-42 1 7 Project:
APN: P32085
Remarks: REPLACE GAS FURNACE FOR THE SAME.
Owner: NEIL B LOHR Contractor: BARRON HEATING & A C
Address: PO BOX 1145 Address: 5100 PACIFIC HWY
SEQUIM WA 98382-4319 FERNDALE WA 98248-9080
Phone: (360) 961-9285 Phone: (360) 676-1131
License #:
General Information: Fees:
# Forced Air Furnace <=100k 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
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 and examined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
Y p PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
l r PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547, Anacortes, WA 98221
co*) Office Location: 904 6th 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:
1019 36TH STREET P32085
Subdivision/Lot#: RESIDENTIAL 1I COMMERCIAL ❑
APPLICANT: Phone:
BARRON HEATING 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 PACIFIC HWY FERNDALE WA 98248 MISTYC@BARRONHEATING.COM
PROPERTY OWNER: Phone:
NEIL BRYAN LOHR 360-961-9285
Address(Street,City,State,Zip): Email Address:
PO BOX 1145 SQUIM WA 98382 N/A
CONTACT PERSON: Phone:
MISTY CHANDLER 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 PACIFIC HWY FERNDALE WA 98248 MISTYC@BARRONHEATING.COM
CONTRACTOR:* Phone:
BARRON HEATING 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 PACIFIC HWY FERNDALE WA 98248 MISTYC@BARRONHEATING.COM
*All Contractors& subcontractors must have a valid City of Professional License#: Exp.Date:
BARROHA179D7 10/23/2021
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 10/23/2021
Is this work,associated with another project? Yes ❑ No ® If yes, specify:
PROPOSED WORK: LIKE IN KIND FURNACE CHANGE OUT
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: MISTY CHANDLER Owner ❑ Agent g(specify): ADMIN
Signature: C/L,ia2id Date: /0/2-tS/2/
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: 1 Gas#: 1 Elec#: Other#: Location(s): 1
Wall Heater: Gas#: Elec#: Other:#: Location(s):
Gas Water Heater: #: Location(s):
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):
TOTAL MECHANICAL OUTLETS: 1
PLUMBING FIXTURES:
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 0 No 0
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES: