HomeMy WebLinkAboutPermit File BLD-2022-0815 1907 22nd StreetCity of Anacortes
904 6_th Street
`"`�■!+' P.O.Box 547
Anacortes, WA 98221-0547
(360) 293-1901
00R
Job Address: 1907 22ND ST
ANACORTES WA 98221-2413
APN: P57586
Invoice/Permit #: BLD-2022-0815
Applied date: 10/17/2022
Issue date: 10/17/2022
Expire date: 04/14/2024
Permit Type: Mechanical Permit
Project:
Remarks: Replace existing forced -air furnace wtih like kind rated at 70-80k BTU.
Owner: OEHLMAN REV LVG TRUST Contractor: OWNER
Address: 1907 22ND ST Address:
ANACORTES WA 98221-2413
Phone: Phone:
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 commerrde_d wv n 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 d examined this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT CISSU
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Y C1 PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
` Office Location: 904 6th Street, Anacortes WA 98821
Co Phone: 360 293-1901
PLUMBING & MECHANICAL PERMIT APPLICATION
Please complete all applicable information and submit to buildingpermit@cityofanacortes.or
PROPERTY INFORMATION
PROJECT ADDRESS
ASSESSORS PARCEL NUMBER
1907-22nd Street, Anacortes, WA 98221
P57586
PROJECT VALUATION
$2500 (estimate)
❑X RESIDENTIAL COMMERCIAL
PROPERTY OWNER
OWNER PHONE
Oehlman Revocable Living Trust
562-303-2306
OWNER ADDRESS
OWNER EMAIL
2918 Sandwood St., Lakewood, CA 90712
rdlatham48@gmail.com
APPLICANT INFORMATION
PROPERTY OWNER CONTRACTOR OTHER:
NAME
PHONE
Kathryn L. Latham - Trustee
562-303-2306
ADDRESS
EMAIL
2918 Sandwood St., Lakewood, CA 90712
rdlatham48@gmail.com
CONTRACTOR INFORMATION
NAME
PHONE
N/A
CONTRACTOR'S BUSINESS LICENSES*
STATE LICENSE #
EXPIRATION
*All Contractors & Subcontractors must have a valid
UBI LICENSE #
EXPIRATION
City of Anacortes business license prior to doing work
in the City.
ADDRESS (STREET, CITY, STATE, ZIP)
EMAIL
PROJECT' -INFORMATION
DESCRIPTION OF PROPOSED WORK:
Replace existing Forced -Air Natural Gas fired furnance with like -kind appliance rated at
70-80k BTU.
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? YES X NO
If YES, provide the permit/application number:
Plumbing/Mechanical Permit Application
Updated December 2021 Page 1 of 3
MECHANICAL
-
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
X
replacement
1
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 ''
1
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: DFloor Wall
Grease Interceptor
Other - please specify:
TOTAL PLUMBING FIXTURES
0
Plumbing/Mechanical Permit Application
Updated December 2021 Page 2 of 3
PLUMBING & MECHANICAL PERMIT APPLICATION CHECKLIST
SUBMITTAL REQUIREMENTS
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Plumbing & Mechanical Permit Application
✓
✓
✓
✓
Mechanical Plans
Structural Calculations
State Non -Residential Energy Code Compliance Form
Manufacturer's Specifications /Cut Sheets
✓
✓
✓
Plumbing Plans
Listed & Tested Fire Stopping Assemblies ✓
Elevation View for Roof Mounted Equipment ✓ ✓
Existing Floor Plan ✓ ✓ ✓ ✓
New Floor Plan ✓ ✓ ✓ ✓
1. Handouts and standard details may be found on the City's Planning, Community, & Economic
Development website or can be obtained at city hall during normal business hours.
2. Plans, calculation, & reports prepared by state licensed architects or professional engineers must
be stamped and signed by the design professional.
3. If installing a backflow prevention device, it will need to pass test results of which will need to be
submitted to the city for review.
By affixing my signature hereto, I certify that I am the owner, or am acting as the Owner's authorized
agent, and that the application and documents contained with this submittal are complete and
accurate to the best of my knowledge and abilities.
October 17, 2022
SIGNATURE DATE
Plumbing/Mechanical Permit Application
Updated December 2021 Page 3 of 3