HomeMy WebLinkAboutPermit File BLD-2019-0552 2018 29th Place — 0 City of Anacortes Invoice/Permit#: BLD-2019-0552
904 6th Street
Applied date: 08/21/2019
~~ P.O.Box 547
Issue date: 08/21/2019
t " 1 Anacortes, WA 98221-0547
Expire date: 02/16/2021
(360) 293-1901
Job Address: 2018 29TH PL Permit Type: Mechanical Permit
ANACORTES WA 98221-3870 Project:
APN: P122599
Remarks: Install natural gas fireplace and associated gas piping.
Owner: PRATT ROBERT Contractor: BARRON HEATING&A C
Address: 2018 29TH PL Address: 5100 PACIFIC HWY
ANACORTES WA 98221-3870 FERNDALE WA 98248-9080
Phone: Phone: (800)328-7774
License#:
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 38.90
#of Gas Piping 1 Total Calculated: 38.90
Deposits/Receipts: 0.00
Total Due: 38.90
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 PROVI IONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B
Permits and Insp... - BLD-2019-0552 - 2019
019346-0026 Carla Br... 08/29/2019 03:04PM
10788 - BARRON HEATING & A C
BLD-2019-0552 Mechanical Permit
Payment Amount: 38.90
Transaction Amount: 38,90
CHECK: 089704
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AUG 21 2019 BLD 2o19 o
G�'f y o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
3. PLUMBING & MECHANICAL PERMIT APPLICATION
;p9, �; Mailing Address:P.O. Box 547,Anacortes, WA 98221
4s-44
A Office Location: 904 6`h 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:
2018 29th Place P122599 $4,579
Subdivision/Lot#: RESIDENTIAL El 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:
Robert&Mona Pratt 360-399-8162
Address(Street,City,State,Zip): Email Address:
2018 29th Place,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#: 2020:
10
BARROHA179D7 10/23/2020
Anacortes business license prior to doing work in the Ciry. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. 600-092-564 03/31/2020
Is this work,associated with another project? Yes ❑ No RI If yes,specify:
PROPOSED WORK: Install natural gas fireplace and associated gas piping.
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 �/��o Owner ❑ Agent ® (specify): Barron Heating
Signature: `¢=116�L�� .5C�.11, Date: 08/21/2019
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 #: 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 #: 1 Elec #: Other: #: Location(s):Outside 1
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): #:. i Location(s): '1"; ou c oc•c ',,{'e.\-)`o.c 1
Boiler: Gas #: Elec #: BTUs: Location(s):
Other: #: Location(s):
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PLUMBING FIXTURES:
Fixture Type (new and relocated): Total #: 1 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 0
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain / Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor ❑ Wall 0 Grease Interceptor:
Other: Other:
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