HomeMy WebLinkAboutPermit File BLD-2019-0655 1802 37th Street 0 City of Anacortes Invoice/Permit#: BLD-2019-0655
904 6th Street
~""'1"' P.O.Box 547 Applied date: 10/07/2019
5-'' WA 98221-0547 Issue date: 10/07/2019
��,,��'Cf ; Anacortes, Expire date: 04/04/2021
,q iJ -' (360) 293-1901
Job Address: 1802 37TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-3379 Project:
APN: P58905
Remarks: Replace natural gas furnace for the same.
Owner: PECK FAMILY TRUST Contractor: BARRON HEATING &A C
Address: 1802 37TH ST Address: 5100 PACIFIC HWY
ANACORTES WA 98221-3379 FERNDALE WA 98248-9080
Phone: 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
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Permits and Insp... - BLD-2019-0655 - 2019
019425-0069 Carla Br... 1 0/22/201 9 02:14PM
12532 - BARRON HEATING & A C
BLD-2019-0655 Mechanical Permit
Payment Amount: 38.30
Transaction Amount: 38.30
CHECK: 090310
OCTO
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:�� ; r\z\PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
tvri 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:
1802 37th Street P58905 $4,506
Subdivision/Lot#: RESIDENTIAL ® 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:
Herb Peck 360-296-5596
Address(Street,City, State,Zip): Email Address:
1802 37th Street, 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 cityProfessional License#: Exp.Date:
o.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 IN 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: Kayiissa Dunmore Owner 0 Agent in (specify): Barron Heating
Signature: Date: 09/27/2019
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#:1 Elec#: Other#: Location(s): 1
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: Baclflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall 0 _ Grease Interceptor:
Other: Other: