HomeMy WebLinkAboutPermit File BLD-2022-0949 3520 Malland Court City of Anacortes Invoice/Permit#: BLD-2022-0949
904 6th Street
P.O.Box 547 Applied date: 12/19/2022
Issue date: 12/19/2022
Anacortes, WA 98221-0547
Expire date: 06/16/2024
� ,_a (360) 293-1901
Job Address: 3520 MALLAND CT Permit Type: Mechanical Permit
ANACORTES WA98221-3691 Project:
APN: P118717
Remarks: Replace 40 gal gas water heater for the same. Owner: 773-236-1323.
Owner: KENNEDY KEVIN Contractor: OWNER
Address: 3520 MALLAND CT Address:
ANACORTES WA 98221-3691
Phone: Phone:
License#:
General Information: Fees:
#of Gas Water Heaters— 100k 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 in d this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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
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PLUMBING & MECHANICAL PERMIT APPLICATION
Please complete all applicable information and submit to buildingpermit9dtyotanacortes.org
PROPERTY INFORMATION
PROJECT ADDRESS ASSESSORS PARCEL NUMBER
3520 klaUand Ct P118717
PROJECT VALUATION
$600 N RESIDENTIAL COMMERCIAL
PROPERTY OWNER OWNER PHONE
Kevin Kennedy 773-236-1323
OWNER ADDRESS OWNER EMAIL
2103 29th PI, Anacortes, WA 98221 kkennedy22@gmail.com
APPLICANT INFORMATION
0 PROPERTY OWNER CONTRACTOR OTHER:
NAME P"OWE
Kevin Kennedy 773-236-1323
ADDRESS EMAIL
2103 29th PI kkennedy22@gmail.com
CONTRACTOR INFORMATION
NAME Nl t+ PHONE
CONTRACTOR'S BUSINESS LICENSES* STATE LICENSE# EXPIRATION
*All Contractors & Subcontractors must have a valid
City of Anacortes business license prior to doing work UBI LICENSE# EXPIRATION
in the City.
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL
PROJECT INFORMATION
DESCRIPTION OF PROPOSED WORK:
Replace 40 gallon gas water heater with new 40 gallon gas water heater.
L
HIS WORK ASSOCIATED WITH ANOTHER PROJECT? YES X NO
ES,provide the permit/application number.
Plumbing/Mechanical Permit Application
Updated December 2021 Page 1 of 3
MECHANICAL
APPLIANCE/EQUIPMENT INFORMATION(NEW AND RELOCATED)
EQUIPMENT TYPE Indicate the number of fixtures for each equipment type TOTAL
GAS ELECTRIC OTHER-Ptease specify COMME14T
Furnace
Wall Heater
Water Heater
Heat Pump
Air Conditioner/Handler
Radiant/Hydronic Heating
Exhaust fans
Range Hood
Fireplace
Clothes Dryer&Dud
Stove/Range/Oven
Refrigeration Unit
Gas Piping/Outlet(s)
BoilerBTUs:
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
and Sink Washing Machine
hower Electric Water Heater:Tank-less? Yes❑ No❑
Dishwasher Backflow Prevention Device
rinai Hose aib
Floor Drain/Floor Sink Drinking Fountain
Hydronic Heat in:❑Floor ❑Wall Grease Interceptor
Other-please specify:
TOTAL PLUMBING FIXTURES
Plum bing/Mechanical Permit Application
Updated December 2021 Page 2 of 3
PLUMBING & MECHANICAL PERMIT APPLICATION CHECKLIST
COMMERCIAL IRESIDENTIALI
3 m O
o SUBMITTAL REQUIREMENTS = 3 =
Z Z W Z W m
D D C y G) N
r r m
Plumbing&Mechanical Permit Application ✓ ✓ ✓ ✓
Mechanical Plans ✓
Structural Calculations ✓
State Non-Residential Energy Code Compliance Form ✓
Manufacturer's Specifications/Cut Sheets ✓ ✓ ✓
Plumbing Plans f
Listed&Tested Fire Stopping Assemblies ✓
Elevation View for Roof Mounted Equipment ✓ ✓
Existing Floor Plan ✓ ✓ ✓ ✓
New Floor Plan ✓ ✓ ✓ ✓
NOTE:
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.
ACKNOWLEDGEMENTS & SIGNATURE
By affixing my signature hereto,I certify that I am the owner,or am acting as the Owner's authorized
agent, an that the applicatio land documents contained with this submittal are complete and
a rate o best of myr kno dge and bilities.
12/18/2022
IGNATURE DATE
Plumbing/Mechanical Permit Application
Updated December 2021 Page 3 of 3