HomeMy WebLinkAboutBLD-2019-0649 - MECHANICAL AND GAS WATER HEATERS, RESIDENTIAL • S'T _ - 1/ City of Anacortes Invoice/Permit#: BLD-2019-0649
904 6th Street
Applied date: 10/04/2019
P.O.Box 547 Issue date: 10/04/2019
Anacortes, WA 98221-0547
(360) 293-1901 Expire date: 04/01/2021
Job Address: 917 E AVE Permit Type: Mechanical Permit
ANACORTES WA 98221-1400 Project:
APN: P56121
Remarks: Install natural gas furnace for the same.
Owner: NANCY N CORNELL Contractor: BARRON HEATING &A C
Address: 917 E AVE Address: 5100 PACIFIC HWY
ANACORTES WA 98221-1400 FERNDALE WA 98248-9080
Phone: (206) 335-8342 Phone: (360)676-1131
License#:
General Information: Fees:
# Forced Air Furnace<=100k 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
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.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
Permits and Insp... - BLD-2019-0649 - 2019
019425-0067 Carla Br... 1 0/22/201 9 02:10PM
12532 - BARRON HEATING & A C
BLD-2019-0649 Mechanical Permit
Payment Amount: 38.30
Transaction Amount: 38.30
CHECK: 090318
PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
{VIP ? PLUMBING & MECHANICAL PERMIT APPLICATION
,8; Y R Mailing Address:P.O. Box 547, Anacortes, WA 98221
r " 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:
917E Avenue P56121 $7 975
Subdivision/Lot#:
RESIDENTIAL in COMMERCIAL 0
APPLICANT: Phone:
Barron Heating 360-676-1131
Address(Street,City, State,Zip): Email Address:
5100 Pacific Highway,#103, Ferndale,WA 98248 kaylissad@barronheating.com
PROPERTY OWNER: Phone:
Nancy Cornell 206-335-8342
Address(Street,City, State,Zip): Email Address:
917 E Avenue,Anacortes,WA 98221 N/A
CONTACT PERSON: Phone:
Barron Heating 360-676-1131
Address(Street,City, State,Zip): Email Address:
5100 Pacific Highway, #103, Ferndale,WA 98248 kaylissad@barronheating.com
CONTRACTOR:* Phone:
Barron Heating 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway,#103, Ferndale,WA 98248 kaylissad@barronheating.com
*All Contractors&subcontractors must have a valid Ci0 o Professional.License#: Exp.Date:
f BARROHA179D7 10/23/2020
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 03/31/2020
Is this work,associated with another project? Yes 0 No IXI If yes,specify:
PROPOSED WORK: Install natural gas furnace-like for like
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: Kaylissa Dunmore Owner 0 Agent 125(specify): Barron Heating
Signature: ?j Date: 09/30/2019
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: 1 Elec#: Other#: Location(s): w
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):
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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 0 Dishwasher: Backflow Prevention Device:Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall 0 _ Grease Interceptor:Other: Other:
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