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HomeMy WebLinkAboutPermit File BLD-2019-0153 1610 Latitude Circle S� � Ct _ Cityof Anacortes Invoice/Permit#: BLD-2019-0153 G 904 6th Street Applied date: 03/19/2019 P.O.Box 547 Issue date: 03/19/2019 t s` 0; Anacortes, WA 98221-0547 r`' ' ii ' (360) 293-1901 Expire date: 09/14/2020 ;::'.gam{y�■.�,�-::,r.: Job Address: 1610 LATITUDE CIR Permit Type: Plumbing Permit ANACORTES WA 98221 Project: APN: Remarks: Irrigation system Owner: LANDED GENTRY Contractor: SALAZAR'S ALL SEASONS LDSN LLC Address: 504 E FAIRHAVEN AVE Address: 1121 WEST DIVISION ST BURLINGTON WA 98233-1846 MOUNT VERNON WA 98273 Phone: (360) 755-9021 Phone: (360)661-1471 License#: SALAZAS91304 General Information: Fees: #of Backflow Devices 1 Plumbing Permit Fee 27.00 Total Calculated: 27.00 Deposits/Receipts: 0.00 Total Due: 27.00 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND OF+tDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TH RO SI�ONS®OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE.QP OWNER OR AUTHORIZED AGENT ISSUED' // PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPL tt Mailing Address: P.O. Box 547, Anacortes, WA Office Location: 904 6th Street, Anacortes WA 988 rINC Phone: (360) 293-1901 8 ZD1 9 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITT52 NEWFMNAMlimTES PROJECT ADD�SS(Street,Suite#)j : PARCEL(S)#: PROJECT VALUATION: Oa l0 C� ,-f'dr � Subdivision/Lot ve a ip RESIDENTIAL 12" COMMERCIAL ❑ N _ APP ICANT: / Phone: 4'4 i?ares '�/fe4.So,7 4/a��'eq/iir� c Gc C3(a0� , �� / 7 Address(Street, City, State,Zip): I (/ Email Address://A / ®G(h/la !Clxise9 � �n'f9tI ca4i PROPERTY)OWNER: Phone: Z.-0 Velf Address(Street,Ciity, ate,Zip): Email Address: CONTACT PERSON: Phone: r// n8 c4 7-errc Address(Street,City,State,Zip): Email Address: CONTRACTOR:* Phone: SR 1q Za c 4(( S'C S4yl /Q�I Scer,t CZ-C.- Address(Street, City,State,Zip): t/ Email Address: *All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date: Anacortes business license prior to doing work in the City. Business License#: Exp.Date: Contact the City's Finance Department at(360)299-1968. 11 G1f Z,/J-S cl g©`f Z z-O 2-o Is this work, associated with another project? Yes E No ❑ If yes,specify: PROPOSED WORK: rrc:, 4 q 4 s /S 7/E 'r) 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: {'/ha S ra Z a/ Owner D A ent 0 (specify): Signature: Date: 3 19/2 I MECHANICAL: Equipment Type: Appliance/Equipment Information(new and relocated): Total#: Furnace: Gas#: Elec#: Other#: Location(s): 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): #: Location(s): Boiler: Gas#: Elec#: BTUs: Location(s): Other: #: Location(s): TOTAL A4E ICAL OtritETS 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 ❑ ' No E Dishwasher: Backflow Prevention Device: , L Urinal: Hose Bib: Floor Drain/Floor Sink: Drinking Fountain: Hydronic Heat in: Floor ❑ Wall ❑ Grease Interceptor: Other: Other: e _ 1-OTAL�PLUMBING-FIXTURES tri.4k: ,74,\Istr).1c. C Finance Department 019143-0003 Carla B. 04/17/2019 09:42AM PERMITS AND INSPECTIONS SALAZAR'S ALL SEASONS LDSN LLC BLD-2019-0149 Plumbing Permit Irrigation system pending 2019 Item: BLD-2019-0149 Plumbing Permit Fee 27.00 Payment Id: 240228 SALAZAR'S ALL SEASONS LDSN LLC BLD-2019-0150 Plumbing Permit Irrigation system issued 2019 Item: BLD-2019-0150 Plumbing Permit Fee 27,00 Payment Id: 240229 SALAZAR'S ALL SEASONS LDSN LLC BLD-2019-0148 Plumbing Permit Irrigation system issued 2019 Item: BLD-2019-0148 Plumbing Permit Fee 27.00 Payment Id: 240230 SALAZAR'S ALL SEASONS LDSN LLC BLO-2019-0147 Plumbing Permit Irrigation system pending 2019 Item: BLD-2019-0147 Plumbing Permit Fee 27,00 Payment Id: 240231 SALAZAR'S ALL SEASONS LDSN LLC BLD-2019-0151 Plumbing Permit Irrigation system issued 2019 Item: BLD-2019-0151 Plumbing Permit Fee 27.00 Payment Id: 240232 SALAZAR'S ALL SEASONS LDSN LLC BLD-2019-0153 Plumbing Permit Irrigation system issued 2019 Item: BLD-2019-0153 Plumbing Permit Fee 27.00 Payment Id: 240233 SALAZAR'S ALL SEASONS LDSN LLC BLD-2019-0152 Plumbing Permit Irrigation system issued 2019 Item: BLD-2019-0152 Plumbing Permit Fee 27.00 Payment Id: 240234 189.00 Subtotal 189.00 Total 189.00 03FINANCE CREDIT CARD 189.00 Visa ************4790 Ref-261681648434 Auth=090290 4790 1 Change due 0.00 Paid by: DELFINO SALAZAR 11111111111111MIHIMMENI Signature: Thank you for your payment COPY DUPLICATE RECEIPT