HomeMy WebLinkAboutPermit File 1216 12th Street City of Anacortes Permit#: BLD-2013-0353
904 6th Street Issue date: 08/22/2013
P.O.Box 547
Expire date: 02/18/2015
G Anacortes, WA 98221-0547
� (360) 293-1901
0014, .:
Job Address: 1216 12TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-2106 Project:
APN: P55426
Remarks: Replace furnace.
Owner: PRIMOZICH MARK W Contractor: BARRON HEATING&A C
Address: PO BOX 1981 Address: 5100 PACIFIC HWY
ANACORTES WA 98221-6981 FERNDALE WA 98248-8927
Phone: Phone: (800)328-7774
License#:
General Information: Fees:
#FORCED AIR FURNACE> 1,000 0 Mechanical Permit Fees 43.05
# Forced Air Furnace<=1,000 1 Total Calculated: 43.05
#of Gas Piping 1
Deposits/Receipts: 0.00
Total Due: 43.05
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OIbIF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED`.~I H
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALP
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OII
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 REGU N ONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. 47
IC
IGNATURE 0 NER OR THORIZED AGENT ISSUED B
is-q 47
MECHANICAL PERMIT APPLICATION
G $Q Building Department
ira P.O. Box 547 Anacortes, WA 98221
1000. Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: !2%l lam - -
CONTRACTOR
Name l On 4e6i.a ?K PROJECT DESCRIPTION
Address
�/ Pa� A New Work
{�J
Alteration
City/State/Zip rt".� I O` ®
Phone4/L' /61 • FFAX( / 7/ ''i.37l Permit Fee 23.50
State License# / //' ��� Exp `6/c..a7® Type of Equip. Fee Each No. Amount
City of Anacortes Business License# Air Cond.Unit 10.65
PROPERTY OWNER I Refrigeration Unit 10.65 1
Name ark, `-�'r/ D21� Forced Air System 14.80 /WO
Address /' - L.). L3 jX ^I 9 / �✓j / Floor Furnace 14.80
City/State/Zip f tri t..L�,.�/0,/!� ''�/ 4104 22 Wall Heater 14.80
Phone` _ 14e FAX Clothes Dryer 10.65
E-mail Address Ventilation Fan 7.25
APPLICANT y� l� Range Hood 10.65
Name ��n )4 1 Gas Fireplace 10.65
Address 1-0
Gas Water Heater 10.65
City/State/Zip re e, t-t /l Gas Piping 4.75 I '4„ 95
Phone [U-<P3/FAX .L oo'" J3�, •J/y/3 Other(Describe)
E-mail Address. - G /n .l cM th •/
CONTACT TOTAL FEES DUE 1300
Name Apptimit
Address
City/State/Zip
Phone FAX
E-mail Address
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATION IS CORRECT,AND
AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS
PER IT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CURRENT
W - ,ING ON STATE CONTRACT. AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE
IS•U:D T WHERE CONTRACTOR /SUBCONTRACTORS ARE WORKING OUT PROPER LICENSE.
A'PLICANT'S SI N T E DATE
Last Updated 11-29-05
Gsi 0$, City of Anacortes
Permit#: BLD-2003-8857
904 6th Street Issue date: 07/22/2003
ts P.O.Box 547 Expire date: 07/21/2004
Anacortes, WA 98221-0547
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Job Address: 1216 12TH ST
ANACORTES WA 98221
APN: P55426
Permit Type: Reroof Single Family Residence
Project:
Remarks: Tearing off and reroofing.
Applicant: PRIMOZICH MARK W Owner: PRIMOZICH MARK W
Address: 1216 12TH ST Address: 1216 12TH ST
ANACORTES,WA 98221 ANACORTES WA 98221
Phone: Phone:
Contractor:
Addressr:
Phone:
License#:
General Information: Fees:
Building Valuation 6500 State Building Code Fee 4.50
Building Permit Fee 62.50
*4*#
Total Calculated: 67.00
u-r-uuuu I B l4 [ MD 1 Deposits/Receipts: 0.00
Accounting Date: Tue, Jul 22, 200
Date/Time: Tue, Jul 22, 2003 8:35 ,. Total Due: 67.00
100/PERMIT FEES
f#:1216 12TH STREET
Fee Amount; $F
Receipt Total _ I
*r*****x***********4*******44***t4*4
Payment Data:
t# :1
Payer: JASON THOMPSON ROOFING
Method: CK
Ref#: 1516
)unt r $67.1
Receipt Summary
*************************44*******014
otal tendered $87
?,ceipt Total = $67.01
THIS APPLIC R THE PROVISIONS OF THE UNIFORM BUILDING CODE, AND SHALL
EXPIRE BY L lenge Due JOT OBTAINED WITHIN 180 DAYS OF THIS APPLICATION. BY AFFIXING
MY SIGNATURE I Htr«„, .._ )F THE PROPERTY FOR WHICH THIS APPLICATION IS ISSUED OR AN
AUTHORIZED AGENT OF THE OWNER.ALL PROVISIUNS yr LIAvvo ruND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT, INCLUDING CALLS FOR INSPECTIONS.
ti� fll'.f\PA}Q rJ Y
A— ' ant Signature ' '\ Issued by
onr_F 1 nc 1
MECHANICAL PERMIT
CITY OF ANACORTES
P.O. BOX 547 PERMIT NO.: MEC2002-00011
ANACORTES,WA 98221 APPLIED: 2/7/02
(360)293-1901 ISSUED: 2/7/02
EXPIRES: 2/7/03
SITE ADDRESS: 1218 12TH STREET
ASSESSOR'S PARCEL NO.: 3772-079-014-0008
TYPE OF WORK: NEW
TYPE OF USE: RES
PROJECT DESCRIPTION: Extend existing gas piping and wall heater.
OWNER CONTRACTOR
MARK PRIMOZICH
1218 12TH STREET
ANACORTES,WA 98221
Primary Phone: Primary Phone:
Phone 1: 293-3419 Phone 1:
License#:
Equipment Fees
Equipment Type Quantity Type By Date Receipt Amount
Furnace>=100k btu 1 PRMT MRD 2/7/02 $52.35
Unit Heaters 1
Total: $52.35
NOTES:
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply
with all ordinances and state and federal laws regulating activities covered by this permit.
k �Issued By: A plicant or�wner's Signature
24 Hour Notice Required For All Inspections
CONDITIONS OF APPROVAL:
0
'es,:, e CITY OF ANACORTES
BLDG,O1 ._ PLUMBING ❑ MECHANICAL ❑
PERMIT N ` 7319
Telephone 293-1901 ---'
Anacortee,WA Date cp-7 L- 49
PERMISSION?HEREBY GRANTED TO:
OWNER / t CIL1&17 9 Zia%7Y /&.i l
STREET / & '" f �.••"!f.Z�' `r
ADDRESS
Location here work is to be done
CONTRACTOR 2e,Osc5 / ."fit!%/G S 1%)1iA('>
TO ERECT ❑ /_ INSTALL & OR REPAIR Elj
IN THE FOLLOWING MANNER: 1//Nfr• '4/1//Njr ok.J 9&'S'/ &'—
PERMIT EXPIRES ONE YEARRFFROM DATE ISSUED
PLANS FOR CONSTRUCTION WER WERE 0 UBMITTED
WORK TO BE DONE BY OWNER 0 CONTRACTOR<
I !
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE - *OF APPROXI ATE EK VALUE Foyer FEES
State Building Code Surcharge / -
State Energy Study Surcharge i
Building if; 000 *CP C?
Plumbing and W.S.
Mechanical
Plan Check Fee
I �
TOTAL 7 1/ uc a i.' 9/ CYS-
LEGAL DESCRIPTION 3 7 od� - 01Cf—cj' 7 —
CITY INSPECTOR
1
Address /z/l /2-`—'� <
Legal Description jars j-3 9' (Cf OLtic 79 /el�
Assessors Account %o. 6377 a-6'79 — t,/'( —ooa2
Permit No. Date Description Date Finaled
/193 5---21-73 /ea°r
1376 3 -/(- 74( eem40e/ woe 444174e
257&' -- ( &sr4tc 6J/R&DorJ5
7317 C7_/I -057 get/eficts