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HomeMy WebLinkAboutPermit File BLD-2019-0680 1614 10th Street City of Anacortes Invoice/Permit#: BLD-2019-0680 904 6th Street Applied date: 10/15/2019 *".,10116kelmr P.O.Box 547 Issue date: 10/15/2019 >•'' Anacortes, WA 98221-0547 Expire date: 04/12/2021 1-s (360) 293-1901 Job Address: 1614 10TH ST Permit Type: Plumbing Permit ANACORTES WA 98221-1928 Project: APN: P55936 Remarks: Replace existing domestic water piping. Replace small portion of damaged drainage piping. Replace existing sewer. Install a new sewer line from new bathroom to existing sewer. Instal tanklesss water heater. Install new gas piping distribution system. Owner: CHRISTINE THOMPSON Contractor: BAY POINT MECHANICAL INC Address: 1614 10TH ST Address: PO BOX 1998 ANACORTES WA 98221-1928 ANACORTES WA 98221-6998 Phone: (206)427-7292 Phone: (360) 815-0770 License#: General Information: Fees: #of Lavatories 1 Plumbing Permit Fee 48.00 #of Water Closets 1 Total Calculated: 48.00 #of Water Piping 1 Deposits/Receipts: 0.00 #of Gas Water Heaters<= 100k 1 #of Gas Piping 2 Total Due: 48.00 #of Showers 1 -n 1t:1 0 -n e4J LL. H — w Z1 - r rr r• I I hn 4! rt `.) ri _ C' Z• . 7E .' Q 7.. iiJ Al *4 V yE L:• ti _i T ►-t t Ci U 1 •i#+ - •. TI H III - _ +E 7 n I dk 'T ?E 7 S _ THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN.0180 DAY:5,03R, I . CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK ISI COMMENCED,.: r HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PRb\1K N , OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, *A, 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. 'Dco SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY .1 II I I I li I I P. I y 1 II i S I IA ��j 11 r • 4! I 4 I R R i y V 1 1 I S I I 1 4 i 4. I- v c, PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPLICATION VP 4 Mailing Address: P.O. Box 547, Anacortes, WA 98221 `� 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: 6y /40.90.o0 Subdivision/Lot#: RESIDENTIAL ' COMMERCIAL ❑ APPLICANT: + ZN C Phone: say ����� Ill ec t.foic& (9© , 7 3 y, 0-7 7 <3 Address(Stre ,City,State,Zip): r, Q Email Address: l/ l I D 4' Si-. �I/ta Gams, VIM , 'z V l le.�'1 C� pcn n,f pie c%c�N E c,�� Ccvti PROPERTY OWNER: Phone: C N s'l-i4e_ Mti'"?s vvl Address(Street,City,State,Zip): Email Address: CONTACT PERSON Phone: Address(Street,City,State,Zip): Email Address: CONTRACTOR:* , R Gteici AicPhone: 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. 13.y �ofp as a Is this work, associated with another project? Yes 0 No 0 If yes,specify: PROPOSED WORK: 1Z ace_ 4h€ e'c -hno do s�; ulat er r"pi►aG , re9(4Ce d 58r rJr�„ o 4 aV1,6,d tQtl/l i,�7 tr✓ICI 7 her7�aC�, Ins P Ls iv Settler-) i 6 vieKK/ ceWPa- i( -6aVIA 'I 2T11-Ifn.Y✓t-1\lo cIc�l �bn 1� e Pck:s —`6 lvro c,iify /14S' ,1( OUPi-Cw(116 C.f}y (MI lam) ►V, 4e.I( a toe w Jca 5 life' ig4beilfem. sys . 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: ale_ C Owner 0 Agent 4e(specify): (I i c 4 v. Qc 1'Signature: Date: , / 7`7 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: #: 1 Location(s): Garc.69— 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): #: Z Location(s): Ge,„5 e `� &. ss Boiler: Gas#: Elec#: BTUs: Location(s): Other: #: Location(s): TOTAL MECHANICAL OUTLETS: PLUMBING FIXTURES: Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#: Water Closet(Toilet): 1 Refrigerator water supply(for water/ice dispenser): Kitchen Sink: Pressure Reduction Valve/Pressure Regulator: Utility Sink: Water Service Line: Tub: Water Piping: Hand Sink: I Clothes Washer: Shower: 1 Electric Water Heater: Tank-less? Yes ❑ No ❑ Dishwasher: Backflow Prevention Device: Urinal: Hose Bib: Floor Drain/Floor Sink: Drinking Fountain: Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor: Other: Other: -1111.1111111111111111.101111111.1 ____ TOTAL PLUMBING FIXTURES: