HomeMy WebLinkAboutPermit File BLD-2021-1013 2216 35th Court cs
'"- � 0 �� City of Anacortes
Invoice/Permit #: BLD-2021-1013
904 6th Street
Applied date: 12/17/2021
P.O.Box 547 Issue date: 12/17/2021
'
Anacortes, WA 98221-0547
-t<1 1531 Expire date: 06/15/2023
ecA (360) 293-1901
Job Address: 2216 35TH CT Permit Type: Mechanical Permit
ANACORTES WA 98221-4718 Project:
APN: P112540
Remarks: REPLACE HEAT PUMP FOR THE SAME.
Owner: CHRIS & EMILY WOLF Contractor: ANDGAR CORPORATION
Address: 2216 35TH CT Address: PO BOX 2708
ANACORTES WA 98221-4718 FERNDALE WA 98248
Phone: (360) 503-3249 Phone: (360) 366-9900
License #:
General Information: Fees:
# of Heat Pumps <= 3 Hp 1 Mechanical Permit Fees 38.20
Total Calculated: 38.20
Deposits/Receipts: 0.00
Total Due: 38.20
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 exa *Pied this application and know the same to
be true and correct.
r.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
1 — � PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547, Anacortes, WA 98221
1- Office Location: 904 6th Street, Anacortes WA 98821
`QCO Phone: (360) 293-1901, Fax: (360)293-1938
buildingpermit@cityofanacortes.org
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): Parcel(s)#:
2216 35th Ct Anacortes,WA 98221 P112540
Subdivision/Lot#: Residential ❑ Commercial ❑
APPLICANT: Phone: Fax:
ANDGAR MECHANICAL LLC 360-366-9900 360-366-5800
Address(Street, City, State,Zip): E-Mail Address:
PO Box 2708 Ferndale, WA 98248 corporate@andgar.com
PROPERTY OWNER: Phone: Fax:
Emily Wolf 360-503-3249
Address(Street, City,State,Zip): E-Mail Address:
2216 35th Ct Anacortes, WA 98221 goodbroccoli@gmail.com
CONTACT PERSON: Phone: Fax:
Marla Raske 1360-366-9900 360-366-5800
Address(Street, City,State,Zip): PO Box 2708 E-Mail Address:
6920 Salashan Pkwy, A-102 Ferndale, WA 98248 corporate@andgar.com
CONTRACTOR:* Phone: Fax:
Andgar Corporation 360-366-9900 360-366-5800
Address(Street, City,State,Zip): E-Mail Address
6920 Salashan Pkwy A-102 Ferndale, WA 98248 corporate@andgar.com
Contractor's License# Exp. Date:
*All Contractors& subcontractors must have a valid City of ANDGAML825N3 07/31/2022
Anacortes business license prior to doing work in the City. Business License#: Exp. Date:
Contact the City's Finance Department at(360)299-1968. I 6001001921 05/31/2022
Is this work, associated with another project? Yes ❑ No I If yes, specify:
PROPOSED WORK:
SINGLE FAMILY RESIDENTIAL - REPLACE HP LIKE IN KIND
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: Marla J Raske Owner ❑ Agent ® (specify): Contractor
Signature: I'4cu-la"J RA4k& Date: 12/17/2021
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#_Elec#_Other: # BTUs:<100k_>100k_Location(s)
Wall Heater: Gas#_Elec#_Other: # BTUs:<100k>100k_Location(s)
Air Handler: Gas#_Elec#_Other: # BTUs:<100k>100k_Location(s)
Water Heater: Gas# Elec# Other: # BTUs: <100k>100k Location(s)
AC Unit/Boiler/
Heat Pump/ Roof Gas#_Elec#_Other: # BTUs: <100k, 100k-500k, 500k- 1
Top Unit(Circle 1Mil HP: <3, 3-15,_15-30 Location(s)
selected):
Hydronic Heating: Gas#_Elec#_In-Floor_Wall Radiant Boiler BTUs: Location
Exhaust Fans Bath# Kitchen# Laundry#_Other: #
(single duct):
Fireplace/Insert: Gas#_Elec#_Other: # Location(s)
Stove/Range/Oven: Gas#_Elec#_Other:_# Location(s)
Range Hood: # Location(s)
Refrigeration Unit: Gas#_Elec#_Other:_# Location(s)
Outdoor BBQ: Gas#_Elec# Other: # Location(s)
Clothes Dryer&Duct: Gas#_Elec#_Other:_# Location(s)
Gas Piping: # Location(s)
Other: # Location(s)
Location(s)
TOTAL OUTLETS: 4
PLUMBING FIXTURES:
Fixture Type (new and relocated): Total #: Fixture Type (new and relocated): Total#:
Water Closet(Toilet): Pressure Reduction Valve/Pressure Regulator:
Urinal: Backflow Prevention Device:
Sink(kitchen, laundry, lavatory,hand,bar, slop,
eye wash, etc.): Water Service Line:
Tub/Shower: Drinking Fountain:
Dishwasher: Clothes Washer:
Hose Bib: Hydronic Heat in: Floor ❑ Wall ❑
Water Heater Tankless? Yes ❑ No ❑ Grease Interceptor:
Floor Drain/Floor Sink: Water Piping:
Refrigerator water supply(for water/ice Other:
dispenser):
TOTAL OUTLETS: TOTAL OUTLETS: