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HomeMy WebLinkAboutPermit File BLD-2019-0771 1605 Tartan Place Y City of Anacortes Invoice/Permit#: BLD-2019-0771 904 6th Street Applied date: 11/25/2019 P.O.Box 547 Issue date: 11/25/2019 ` T1j Anacortes, WA 98221-0547 , Expire date: 05/23/2021 { (360) 293-1901 Job Address: 1605 TARTAN PL Permit Type: Mechanical Permit ANACORTES WA 98221-3127 Project: APN: P59849 Remarks: Replace gas furnace for the same. Owner: JAMES & MARILYN SOLLERS Contractor: ALPINE HEATING AND COOLING Address: 1605 TARTAN PL Address: PO BOX 853 ANACORTES WA 98221-3127 BURLINGTON WA 98233-0620 Phone: (360) 558-9239 Phone: (360) 755-5146 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 BECOME NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR RK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY TH I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDI NCES VERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PE IT DOE NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGU ING CO STR ION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF-OWNER OR AUTHORIZED AGENT ISSUED BY Permits and Insp... - BLD-2019-0771 - 2019 019476-0078 Carla Br... 11/25/2019 10:48AM 1 1068 - ALPINE HEATING AND COOLING BLD-2019-0771 Mechanical Permit Payment Amount: 38,30 Transaction Amount: 38.30 CHECK: 012172 -0 71 ( L - uo77 / Ili; NOV252019 AID( gLLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT I l Gr ANA�"©� JMBING & MECHANICAL PERMIT APPLICATION t 7/1'11 4' Mailing Address: P.O. Box 547, Anacortes, WA 98221 Nl oR, 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: /CO s —tl ,2-t-, N 7 f p5-95 ti c/ Subdivision/Lot#: RESIDENTIAL, COMMERCIAL ❑ APPLICANT: 7Phone: 410 r -� I (cvA,. 76P-7 - S% v"6 Addresi(Street,City,Stat9,Zi ): / Email Address• 5,,, Le.qt--4-- ec,c-f--,. PROPERTY OWNER: Phone: �,_,/ Address(Street,City,State,Zip): Email Address: /G 0 -t-rpt-a--4 CONTACT PERSON: / ` Phone: Aitt,e, L y N 36p- STY -- c/o).- Address(Street,Ci , State,Zip): Email Address: /des 1-fr/31-74 CONTRACTOR:* ,. Phone: rf,' t ,,,e /4�1 C / • 6 7C-1-5% Y6 Address( et,City, State, ip): Email Address: *All Contractors&subcontractors must have a valid City of Ay Professional License#: Exp.Dat Anacortes business license prior to doing work in the City. nes 1-�G - p 1� y �-fl Contact the City's Finance Department at(360)299-1968. B�{smess License#: Exp. ate: Is this work,associated with another project? Yes ❑ NIXTfyes,specify: PROPOSED WORK: ger/ ;..,_ I declare under penalty of perjury t the information I have provided on this fowl/application is true,correct,and complete,and that I am the prop owner or duly authorized agent of the property owner to submit a permit application to the City f Ana rtes Print Name: /io ��`'" / Owner ❑ Agent ❑ (specify): Signature: Date: MECHANICAL: Equipment Type: Appliance/Equipment Information(new and relocated): Total#: Furnace: Gas#: 2 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 MECHANICAL OUTLETS: 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 0 No 0 Dishwasher: Backflow Prevention Device: Urinal: Hose Bib: Floor Drain/Floor Sink: Drinking Fountain: Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor: Other: Other: TOTAL PLUMBING FIXTURES: PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT Law PLUMBING AND MECHANICAL PERMIT CHECKLIST 'tlit.t4f7 Mailing Address:P.O. Box 547, Anacortes, WA 98221 4CoR,-• 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: stz o c O n n CD =I 1 SUBMITTAL •REQUIREMENTS: p n The number indicates the number of 5 P b 0 copies for submittal(f applicable). E -. E. Cr a cm - IQ Plumbing&Mechanical Penult 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 1/ '/ 1 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. If installing a backflow prevention device,it will need to pass test results of which will need to be submitted to the city for review.