HomeMy WebLinkAboutPermit File BLD-2019-0217 2107 Creekside Circle Y
L 4 City of Anacortes Invoice/Permit#: BLD-2019-0217
904 6th Street
Applied date: 04/16/2019
P.O.Box 547 Issue date: 04/16/2019
Anacortes, WA 98221-0547
(360) 293-1901 Expire date: 10/12/2020
Job Address: 2107 CREEKSIDE CIR Permit Type: Mechanical Permit
ANACORTES WA 98221-2461 Project:
APN: P84013
Remarks: Install air conditioner to existing heating system.
Owner: DAVID WENNING Contractor: BARRON HEATING &A C
Address: 2107 CREEKSIDE CIR Address: 5100 PACIFIC HVVY
ANACORTES WA 98221-2461 FERNDALE WA 98248-9080
Phone: Phone: (800)328-7774
License#: BARROHA179D7
General Information: Fees:
#of Air Conditioning Units 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
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 ORDINANCES 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 THE PROVISI OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU
Permits and Insp... - BLD-2019-0217 - 2019
0'19160-0150 Carla Br... 04/29/2019 04:56PM
10788 - BARRON HEATING 8, A C
BLD-2019-0217 Mechanical Permit
Payment Amount: 34.15
Transaction Amount: 34.15
CHECK: 088404
11 APR 1 5 2019 ii
r.. . 1f OF ANACOF e
-" ``'' PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT
4,0,a.: PLUMBING & MECHANICAL PERMIT APPLICATION
*,1416:0047, Mailing Address:P.O.Box 547,Anacortes, WA 98221
- eo it 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:
2107 Creekside Circle P84013 $6,894
Subdivision/Lot#: RESIDENTIAL E COMMERCIAL ❑
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:
Dave Wenning 360-293-2258
Address(Street,City,State,Zip): Email Address:
2107 Creekside Circle,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.corn
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. 0:
BARFtOHA179D7 10/23/2022020
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 ® If yes,specify:
PROPOSED WORK: Install air conditioner to existing heating system
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: A anda Allison Owner ❑ Agent IN (specify): Barron Heating
Signature: ) z.. � ---- Date: 44/15/2019
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 #: 1 Other: #: Location(s): 1
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: Flee#: Other: #: Location(s):
Gas Piping/ Outlet(s): #: Location(s):
Boiler: Gas #: Elec #: BTUs: Location(s):
Other: #: Location(s):
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-,PLU BING 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 Cl
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/ Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor:
Other: Other: •
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