HomeMy WebLinkAboutAPP-1988-Mechanical - MECHANICAL AND GAS WATER HEATERS, COMMERCIAL FOR INSPECPIOidS CALL ( CITY OF ANACORTES 0 P.O. BOX 547
293-5173 �/ BUILDING DEPAR N'T 904-6th STREET
24 HRS. NOTICE REQUESTED PERMIT APPLICATION XuZCORIIES, VM 98221
dame (or Name of BUSinneSS) . t APPLICANT Ca-PLETE THIS PUSH WITHIN HEAVY LUES FOR W W
MUCHTHIS PEMTrT WILL Be APPLICABLE.
!Sailing Address , r PiAPEIIc
1 -
City Telephone N�mbei NO. of Fixture or Item
6i� Water Closet (Toilet) S
W Bathtub
Name
IV AIavatvry (Wash Basin)
Shower
Address
Kitchen Sink a Disp.
sty tArnber Dishwasher
Laundry Tray
city Clothes Washer
Water Heater
Address ,.. Ur'
30 �. Fountain
cif, . Tel��eLlphone.�yNurnbei Floor - Sink or drain
ftlLnteroeptor
State License Na ber
Treyting Equip.
torlesidential DecLich Plumbing Commercial �ing Mechanical System
Non-Co n ercial Spa/Pool Add
New Alter Sign Repair
PER4rT S
T yD�scn'T.ltion of Property (Show Below or Attach Four (bpies) TUTAL FEE S
lot � /0�(.lD{/J B F
Block of / lID3RHICAL MT. CAS OIL LPG E[EC.
�a p
I FEE
Air mKl. Units - H.P. Fa. S
igeration Units - H.E. ea.
Boilers - H.P. Fa.
Nature of Work lGas Fire A.C. Units - Tonnage Fa.
FHeaters -
y System - B.T.U. M Fa.
Heaters - B.T.U. M
Proposed Use eaters - B.T.U. M
ative Coolers
NOTICE s Dryers
This permit Femme null and void if work or construction authorized isation Fan
rot �rnced within 180 days, or if construction or work is suspender Hood _ Canl.
or abandon for a period of 180 days at airy time after work is oom-
meroed. I hereby certify that I have read and examined.this applica- andling Unit C.F.M.
tion and ]mow the score to be true and correct. All provisions of lawseratorand ordvnances governing this type of work will be applied with
whether specified herein or not, the granting o£ a penmit does rot pre- ipingsome to give authority to Violate or cancel the provisionns of any othestate or local law regulating construction or the perfonm of con-
struction. Heaters - ,a
Signature of Owner or Authorized Agent (Date
NOM: PER= IMUT CNE YEAR (Except nsxm.r CM AND !LIVING PER4M ' PEMrT /(�
which shall be completed in sixty days.)
TMAL. FEE $
Side Yard Setback Street Setback Haar Yard Setback APPTNIMTE
Lt. Rt. gym VAU E PM-= Fg.S
Use lot Area Vacant Site Issuing
Yes Fb Buildup GGGiii .
Type of Cbnst. 0oct4xincy Group . of Dwelling Units Gas Piping
Size of Bldg. Sg.Ft. co• O • load Plumbing c W.S.
3rd Sewer Conn. usp.
8ld Garage Fire Sprinklers Ra7'd. Mechanical
hat Yes No
Basement Fire Plaoe/Insert Mood Stove Plan Check Fee
Deck By: state Energy
i Code Sumforge
su!•AL,
For Inspections Call CITY OF ANACORTES n P. 0. Box 547
1
293-5173 BUILDING DEPARTMENT 904-6th Street
24 Hrs. Notice Requested PERMIT APPLICATIQN Anacortes, TVA 98221
tlmne of APPLICANT C241U 8 THIS POM Wrung HEAVY LIMES kg wow
HOCH THIS PERHLT WILL BE APPLICABLE.
Mai
�1 ling Address PL@BING 1
y :r NO. of Fixture or Item
ti City TelephoneNumbPi
Water Closet (lbllet)
C O 2 7 F S Bathtub
Nano Lavatory (wash Basin)
Shower
Address Kitchen Sink 6 Disp.
City Telephone Number Dishwasher
Laundry Tray
Nan:e Clothes Washer
1 t water Heater
urinal
pep Address
Drinking Fountain
city Teleptore Number Floor - Sink or Drain
z�3 U 2 / Slop Sink
state License Water
Piping & Treating
�iH�" /7 �•C - waste Interceptor
Residential Demolish Plumbing Vacuum Breakers
Coamescial Moving M--hanical Lawn Sprinkler System
Non-Camrrci.1 Spa/Pool Add
NW Alter Sign Repair
PER-Or $
Legal Description of Property (Show Below or Attach Fora Copies) TOM FEE $
Lot Block of. MECHANICAL NAT. CAS OIL LPG ELEC.
Type of Mglupmot FEE
Air Ccnd. Units - H.P. Ea. S
Refrigeration Units - H.E. ea.
Boilers - H.P. Ea.
e Gas Fire A.C. Units - Tonnage Ea.t9FJaC- E"41Oely Air Systems _
FbrCed
D {!�� Gravity Systems - B.T.U. M Ea.
(
�p�L>Ii i/an) �Ef/NdLE�.' P(" Wall Heaters - B.T.O. M
ProposeUse / C4'J.dR v-- t Ce�M?= - Unit Heaters - B.T.O. M
( __ Evaporative Coolers
NOTICE Qothes Dryers
This permit becares null and void if work or construction authorized is Ventilation Fan
not mrtmmd within 180 days, or if construction or work is suspended Range Hood - C3nl.
or abandoned for a period of 180 days at any time after work is ooM-
necoed. I hereby certify that I have read and examined this applica- Air Handling Unit C.F.M.
tion to be true and mrrect. All provisions of laws
and kmw the sage Incinerator
and ordinanees governing this type of work will be oa:QLied with
whether specified herein or not, the granting of a penmit does not Pre- Gas Piping
sme to give authority ate or cancel. the provisions of any otter Tanks
state r " construction or performanCe of ear
s Roam Heaters - Wood Stoves
S1 furs o Auuthorl Agent koanal
NOTE: PM;j,= LIMIT CNE YEAR (Except DEMLITIONS AND MWING PQAIITS PElanT -
which shall be completed in sixty days.)
TOTAL FEE $
Side Yard Setback Street Setback Rear Yard Setback APPRMCD =
Vpu� PERMIT REFS
Lt. Rt.
lot Area Vacant Site Issuing
_Yes No Building ` �S
Type of Cont. 00CUIXInCY GrOUP No. of Dwelling Units Gas Piping
4?
Sim of Bldg. Sq.Ft. 3arport max. Doc. Load Plumbing 6 W.S. t) I
7sd Serer Conn. Insp.
2nd Garage Fir e Sprinklers Raq'd. Mechanical U
let _Yea No
Basement Fire Place/Insert Rood Stove Plan Check Fee //-L-
f
Deck 7 Checked By: State
s Ode Sur e
S
TOIN,
BUIL®IWPERMIT
APPLICATION TRACKING
PROJECT NAME
PLAN CHECK 5,6 71 AeV Z &L/7,9 L
NUMBER SITE ADDRESS SUITE NO.
INSTRUCTIONS TO STAFF -
• Contacts with applicants or requests for information should be summarized in writing by staff so that
any time the status of the project may be ascertained.
• Plan corrections shall be completed and approved prior to sending on to the next department.
• Any conditions or requirements for the permit shall be noted on the plans or summarized concisely
In the form of a foFinal letter or memo, which will be attached to the permit.
• Please fill out your section of the tracking chart completely. Where information requested is not
applicable, so note by using"WA".
BUILDING SQUARE FOOTAGE/OCCUPANCY INFORMATION
(to be filled out by Plan Checker)
>
, >
: SWARE OCC. SQUARE OCC. SQUARE OCC. SQUARE OC(.. 9QlIARE OCC. TOTAL TOTAL
FEET LOAD FEET LOAD FEET LOAD FEET LOAD 3QUAREFEET 000,LOAD
>z
DEPARTMENTAL REVIEW
"X" In box Indicates which departments need to review the project.
OBUILDING
,n.>'.n.;;...�$`? :'
4.:��>A,.:.dh,- CONSULTMITi Dat0.
e Sent- -�- DateAWmved- ----
initial -3/z��z�
initial review I yZ ROUTED
FIRE FIRE PROTECTION: S rinklere Datedors N/A
FIRE DEPT.LETTER DATED: _ INSPECTOR:
INIT: —
O PLANNING RING: 3 BARMND USE CONDITIONS? Yes No
REFERENCE FILE S.: ----- —
KINM
MINIMUM SETBACKS: N- /o '
PUBLIC UTILITY PERMITS REQUIRED? Yea Nm
_� —
WORKSPUBLIC WORKS LETTER DATED: — ---�
0 OTHER
INIT:
BUILDING - TYPE OF s
final review INIT..
REVIEW COMPLETED
ERMIT NO. CONTACTED
ATE READY DATE NOTIFIED BY:
_ loll.
ERMIT EXPIRES 2nd NOTIFICATION '—^ BY:
Init.
OUNT OWING RD NOTIFICATION BY:
InR.