HomeMy WebLinkAboutPermit File BLD-2020-0063 4303 Whidbey Court Y Q City of Anacortes Invoice/Permit#: BLD-2020-0063
904 6th Street
Applied date: 02/06/2020
�~ P.O.Box 547 Issue date: 02/06/2020
ti- . ; s Anacortes, WA 98221-0547 Expire date: 08/04/2021
, r. (360) 293-1901
Job Address: 4303 WHIDBEY CT Permit Type: Mechanical Permit
ANACORTES WA 98221-1106 Project:
APN: P82590
Remarks: REPLACE GAS FURNACE FOR THE SAME.
Owner: RICHARD& DAYNA FOCHT Contractor: FOSS HEATING AND COOLING
Address: 4303 WHIDBEY CT Address: 333 E BLACKBURN RD
ANACORTES WA 98221-1106 MOUNT VERNON WA 98273-9006
Phone: (907) 321-4660 Phone: (360) 336-1517
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
Permits and Insp...- BLD-2020-0063-2020
020049-0003 Erin Wil... 02/06/2020 09:43AM
6033- FOSS HEATING
B
HEpATTIN�GnAND COOLING
YFR S2 MIT6OM Pail AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
1601htf14tf2N OR WORK • USPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
-f}E t(c TcThyy:THAT I HA'e.i;EAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
rGRA'KJN�G OF AOPERMIT DOES NOTRNING THIS TYPE PRESUME TO GIVE F AUTHORITY UT ORITYORK ILL BE TO VIOLATEPORD WITHCANCEL THETHERVISIONSSPECIFIED
OF ANY OTHOR NT, THE
ER STOATE OR
LOCAL LAW REGULATING CONSTRc I N OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF GVN RAIr 111ORIZED AGENT ISSU
>t,D - 6/ 6 - Oo�
k, PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
I ``` Mailing Address:P.O. Box 547,Anacortes, WA 98221
+„ ;fi a.^rce Location: 904 0Street;Anacortes WA 98821
Phone: (360) 293-1901, Fax: (360)293-1938
J.L FEB0sPLEASETiig&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): L Parcel(s)#: �, Z5 TO
' 03 C,i�:d9�� ,
Subdivision/Lot#: ( 3.7 Residential AZr Commercial
APPLICANT �S� � ` Phone: Fax:
s'1,,,,, coo ,,t 3G0 3136 t5t7
Address(Street,City,State,Zip): ✓ E-Mail Address:
1-3 3 156ck 6.)rn Opt 4-.ve rko-e, t4/4 q 2-73 ova c r fa c5' -e:.eA . C-,)
PROPERTY OWNER: �} • k. _, t Phone: Fax:
I t[J✓....,r G.0 L �' C01 32-( I"CG 0
Address(Street,City_State,Zip): E-Mail Address:
Cam. 2i11r`t:c 4-
CONTACT PERSON: J Phone: Fax:
Address(Street,City,State,Zip): E-Mail Address:
CONTRACTOR: G�- f_ Phone: Fax:
Address(Street,City,State,Zip): E-Mail Address
Contractor's License l Exp. Date:
All Contractors&subcontractors must have a valid City of Po-rfj /', a 4 ((_
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. CIO t. 6_t — .7_414
2-6
Is this work, associated with another project? Yes 0 No If yes,specify:
PROPOSED WORK:
try(t. c .... (-4'4,S TW t tot.Ge.. tA--eft t t t .
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: 4_ L�vsrc-acr1c.� Owner 0 Agent Az(specify): ( 0G uS.e..
Signature: )2s' ' "" '
Date: Z -5 2-
a 2-G
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#LElec# :Other: # BTUs:<1O0k_>100k_Location(s)
Wall Heater: Gas# Elec# Other: # BTUs:<loOk>100k_Location(s)
Air Handler: Gas# Elec#_Other: # .BTUs:<100k>l00k Locations)
Water Heater: Gas# Elec Other: # BTUs:<lOOk>100k Location(s)
AC Unit/Boiler/
Heat Pump 1 Roof Gas —# Elec#_Other; # BTUs: <1 OOk, 100k-500k, 500k-
Top Unit(Circle 1Mil HP: <3, 3-1.5,_15-30 Location(s)
selected):
Hydronic Heating: Gas#Elec#_hi-Floor_WalI Radiant Boiler BTUs: Location
Exhaust Fans Bath# Kitchen#,_Laundry# Other: #
(single duct):
Fireplace/Insert: Gas#^Elec#_Other: # Location(s)
Stove/Range/Oven: Gas#_Elec# Other:_# Location(s)
Range Hood: # Location(s)
Refrigeration Unit: Gas#_Elec# Other:_# Location(s)
Outdoor BBQ: Gas#_Elec# Other.:_# Location(s)
Clothes Dryer&Duct: Gas# Elec#_Other:_# Location(s)
Gas Piping: # Location(s)
Other: # Location(s)
Location(s)
TOTAL OUTLETS:
PLUMBING FIXTURES:
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Pressure Reduction Valve/Pressure Regulator:
Urinal: Backflow Prevention Device:
Sink(kitchen;laundry, lavatory,hand,bar,slop, Water Service Line:
eye wash,etc.):
Tub/Shower: Drinking Fountain:
Dishwasher: Clothes Washer:
Hose Bib: Hydronic Heat in: Floor ❑ Wall D
Water Heater Tankless? Yes 0 No ❑ Grease Interceptor:
Floor Drain/Floor Sink: Water Piping:
Refrigerator water supply(for water/ice Other:
dispenser):
TOTAL OUTLETS: TOTAL OUTLETS: