HomeMy WebLinkAboutPermit File BLD-2019-0720 4207 Cherry Lane X City of Anacortes Invoice/Permit#: BLD-2019-0720
904 6th Street
Applied date: 11/05/2019
P.O.Box 547
. • 0, Anacortes, WA 98221-0547 Issue date: 11/05/2019
-1111� � Expire date: 05/03/2021
11 ,CV-• (360) 293-1901
Job Address: 4207 CHERRY LN Permit Type: Mechanical Permit
ANACORTES WA 98221-4418 Project:
APN: P124040
Remarks: Install an heat pump water heater.
Owner: HARRIET ROOKS Contractor: BARRON HEATING &A C
Address: 4207 CHERRY LN Address: 5100 PACIFIC HWY
ANACORTES WA 98221-4418 FERNDALE WA 98248-9080
Phone: (916)402-1640 Phone: (360)676-1131
License#:
General Information: Fees:
#of Gas Water Heaters<= 100k 1 Mechanical Permit Fees 38.20
Total Calculated: 38.20
Deposits/Receipts: 0.00
Total Due: 38.20
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� P .a(ISIONS 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-2019-0720 - 2019
019508-0001 Carla Br... 1 2/1 6/201 9 09:OOAM
12532 - BARRON HEATING & A C
BLD-2019-0720 Mechanical Permit
Payment Amount: 38.20
Transaction Amount: 38.20
CHECK: 090950
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CITY OF ANACQTT8
• PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
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` PLUMBING & MECHANICAL PERMIT APPLICATION
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s Mailing Address: P.0. Box 547, Anacortes, WA 98221
„ Office Location: 904 61h 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:
4207 Cherry Lane P124040 $8,228
Subdivision/Lot#: RESIDENTIAL PA COMMERCIAL ❑
APPLICANT: Phone:
Barron Heating 360-676-1131
Address(Street,City, State,Zip): Email Address:
5100 Pacific Highway Suite 103, Ferndale,WA 98248 kaylissad@barronheating.com
PROPERTY OWNER: Phone:
Heidi Rooks 916-402-1640
Address(Street,City,State,Zip): Email Address:
4207 Cherry Lane,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 kaylissad@barronheating.com
CONTRACTOR:* Phone:
Barron Heating 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway Suite 103, Ferndale,WA 98248 kaylissad@barronheating.com
*All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date:
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 ❑ No IR If yes,specify:
PROPOSED WORK: Install heat pump water heater
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 ❑ Agent 19 (specify): Barron Heating
Signature: Date: 11/05/2019
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: #: 1 Location(s): 1
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 ❑ _ Grease Interceptor:
Other: Other: