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Home My WebLink AboutPermit File BLD-2019-0446 4903 Doon Way -CV Y C? City of Anacortes Invoice/Permit#: BLD-2019-0446 904 6th Street Applied date: 07/15/2019 --' 4~ '. P.O.Box 547 Issue date: 07/15/2019 ;o►', Anacortes, WA 98221-0547 Expire date: 01/10/2021 r, ,. - (360) 293-1901 Job Address: 4903 DOON WAY Permit Type: Plumbing Permit ANACORTES WA 98221-2905 Project: APN: P77618 Remarks: Install residential sprinkler system with 3 zones. Owner: VENNE VWLLIAM J ader.0r 2.G4t Contractor: Address: 4903 DOON WAY Address: ANACORTES WA 98221-2905 Phone: Phone: License#: General Information: Fees: #of Backflow Devices 1 Plumbing Permit Fee 34.00 #of Water Piping 1 Total Calculated: 34.00 Deposits/Receipts: 0.00 Total Due: 34.00 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 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. } ( Vieii, % __) ______:- SI URE OF OWNER OR AUTHORIZE. AGENT ISSUED BY N " Permits and Insp... - BLD-2019-0446 - 2019 019269-0027 Carla Br... 07/1 5/201 9 04:48PM 12467 - VENNE VVILLIAM J BLD-2019-0446 Plumbing Permit Payment Amount: 34.00 Transaction Amount: 34.00 CHECK: 9018 gEgNOWIRF JUL 15 2019 11 _.' 94 PLANNING, COMMUNITY, &ECONOMIC DEVELOPMETdT'D AP TE }, ;.,__ PLUMBING & MECHANICAL PERMIT APPLICATION Mailing Address:P.O. Box 547, Anacortes, WA 98221 c•PlieStjm7 -<1,coNL Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 293-1901 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMPT CHECKLIST FOR SUBMITTAL REQUIREMENTS PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION: if 9OS Dooty i/+y 2000 Subdivision/Lot#:,. 5 kYC,,,IC RESIDENTIAL X COMMERCIAL 0 APPLICANT: Phone: 4 ;//// :41H / K-C-'/v/Y �/ 36�® 7 d7 ZZ e' Address(Street,City,State,Zip): ` Email Address: q 0.3 D 0 0/y/ 4141' 1!PN/YY /?PS F? Co 'ir'45'T. /Ysi PROP RTY OWNER: Phone: cc,Z.,Ifytic- 5A /V9c'ofs reel' r) 3 60 ° Z r9• c47/ Address(Street,City,State,Zip): Email Address: V 90 ? Door- C.J4Y S V 2/4NNC SA/Ye g, /hil.t(d Co''1 CONTACT PERSON: �j- Phone: ij t'//i//;H R /l G iY^/� 3 60 7 d 8 ,Z Z f7 Address(Street,City,Sta e,Zip): Email Address: y903 2oo"' 6)AI CONTRACTOR:* Phone: Address(Street, City,State,Zip): 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. Is this work,associated with another project? Yes 0 No ❑ If yes,specify: PROPOSED WORK: /g CS%D C,Y%!/I G S ?/c'f 4 R'(e't 5 Y S 'ei i - 3 Z o/c S 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. I. Print Name: ✓n! / /A ""if /2 v\-EV T Owner Agent 0 (specify): 7� / 7 Signature: (/ - ki27.4 �t Date: 7 S 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 M:EC$ANICAL(JIIILETS 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 ❑ Dishwasher: Backflow Prevention Device: Urinal: Hose Bib: Floor Drain/Floor Sink: Drinking Fountain: Hydronic Heat in: Floor ❑ Wall ❑ Grease Interceptor: Other: Other: T6TALin,UMB114, F��aES1. C + i...A. JUL 15 2019 CITY OF ANAD MITE:'.: -t I' U� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING AND MECHANICAL PERMIT CHECKLIST ,' , . Mailing Address: P.O. Box 547, Anacortes, WA 98221 `ICov.-` Office Location: 904 6th Street,Anacortes WA 98821 Phone: (360) 293-1901 PROJECT ADDRESS: Plans shall be of sufficient clarity to indicate the location,nature,and extent of the work proposed, and conform to the provisions of the adopted International Codes and City Ordinances. PERMIT TYPE: .-- ' 5 4- ¢, . t , A 4 SUBMITTAL REQUIREMENTS: CD fD 7, `'►-'- g 0"- u c The number indicates the number of Et, Et, si O eg copies for submittal(if applicable). ... , rt *-. A QO A 7=Z IQ At Plumbing&Mechanical Permit Application 1 1 1 1 Mechanical Plans 1 0 0 0 Structural Calculations 1 0 0 0 State Non-Residential Energy Code Compliance Form 1 0 0 0 Manufacturer's Specifications/Cut Sheets 1 0 1 0 Elevation View for Roof Mounted Equipment 1 0 1 0 Plumbing Plans 0 0 1 0 Listed&Tested Fire Stopping Assemblies 0 0 1 0 Permit Fee I/ 3/ I 1/ Existing Floor Plan 2 2 2 2 New Floor Plan 2 2 2 2 NOTES: 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. 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