HomeMy WebLinkAboutPermit File 2308 E Avenue (2) Y _C3 City of Anacortes Invoice/Permit#: BLD-2019-0038
904 6th Street
Applied date: 01/23/2019
P.O.Box 547 Issue date: 01/23/2019
Anacortes, WA 98221-0547
Cq/ Expire date: 07/21/2020
(360) 293-1901
Job Address: 2308 E AVE Permit Type: Mechanical Permit
ANACORTES WA 98221-2406 Project:
APN: P57566
Remarks: Move existing gas furnace to a new location and install gas piping to furnace.
Owner: GABRIELLE GLIM Contractor: BARRON HEATING &A C
Address: 2308 E AVE Address: 5100 PACIFIC HWY
ANACORTES WA 98221-2406 FERNDALE WA 98248-9080
Phone: (360) 941-4713 Phone: (800) 328-7774
License#: BARROHA179D7
General Information: Fees:
# Forced Air Furnace<=100k 1 Mechanical Permit Fees 43.05
#of Gas Piping 1 Total Calculated: 43.05
Deposits/Receipts: 0.00
Total Due: 43.05
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DA FS;==Oii I
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMME#`1r3ED; ,t4
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PRpy-I1SIt
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR:(`JOT, .tHE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER TATEOR,
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �' •.,' ',a
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY -.0 {'
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.1T Y O PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
,B9 , Mailing Address:P.O. Box 547,Anacortes, WA 98221
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:
2308 E Avenue P57566 $2700.00
Subdivision/Lot#: RESIDENTIAL IN COMMERCIAL 0
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:
Gabrielle Glim 360-941-4713
Address(Street,City,State,Zip): Email Address:
2308 E Avenue,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.Date:
BARROHA179D7 10/23/2020
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 0 No M If yes,specify:
PROPOSED WORK: Move existing furnace to a new location&install gas piping to furnace
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 EK (specify): Barron Heating
Signature: Date: 01/14/2019
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: 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): #: 1 Location(s): 1
Boiler: Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s):
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TOTAL MECHANICAL OUTLETS: 2
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 ❑
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall 0 Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES: