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HomeMy WebLinkAboutPermit File BLD-2020-0039 1113 4th Street Y O . City of Anacortes Invoice/Permit#: BLD-2020-0039 904 6th Street Applied date: 01/28/2020 P.O.Box 547 Issue date: Anacortes, WA 98221-0547 (360) 293-1901 Expire date: 07/26/2021 Job Address: 1113 4TH ST Permit Type: Mechanical Permit ANACORTES WA 98221-1512 Project: APN: P55331 Remarks: Replace gas furnace like for like. Owner: STOLSIG ROY P III Contractor: BARRON HEATING &A C Address: 2442 NW MARKET ST Address: 5100 PACIFIC HWY UNIT 575 SEATTLE WA 98107-4137 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 Permits and Insp...-BLD-2020-0039-2020 020049-0004 Erin WiI... 02/06/2020 09:51AM 12532-BARRON HEATING&A C TiE1$1-F fi1D393M bltltl$GIIt iCtr7itAND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CN iS1I��Ii Uffil y:OR WORK I§ S,QjSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVF3 R D AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS O `�LT�t goAf�b DINANCES" GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GM/NOTING-MA PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P ._ 10 S OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. t .AlgllPr;‘OP SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPLICATION Mailing Address: P.O. Bost: 547, Anacortes, WA 98221 • s Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 293-1901 PLEASE REFER TO THE PLUMBING & MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REO UIREMENTS PROJECT ADDRESS (Street, Suite #): PARCEL(S) #: PROJECT VALUATION: 1113 4th Street P55331 $6,642 Subdivision/Lot#: RESIDENTIAL 21 COMMERCIAL ❑ APPLICANT: Phone: Barron Heating 360-676-1131 Address (Street, City, State, Zip): Email Address: 5100 Pacific Highway Suite 103, Ferndale, WA 98248 amandaa©barronheating.com PROPERTY OWNER: Phone: Margie Stolsig 206-817-1258 Address (Street, City, State,Zip): Email Address: 1113 4th Street, 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 amandaa@barronheating:com CONTRACTOR:* Phone: Barron Heating 360-676-1131 Address (Street, City, State, Zip): Email Address: 5100 Pacific Highway Suite 103, Ferndale, WA 98248 amandaa@barronheating.com Professional License #: Exp. Date: *All Contractors & subcontractors 1i:ust Iza;'e a valid City of BARROHA179D7 10/23/2020 Anacortes business license prior to doing work In the City. Business License #: Exp. Date: Contact the Civ's Finance Department at (360) 299-1968. 600-092-564 Is this work, associated with another project? Yes ❑ No ® If yes, specify: PROPOSED WORK: Instal! 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: Amanda Allison Owner ❑ Agent ® (specify): Barron Heating / Signature: / 44 ( -- - Date: 01/27/2020 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): [ - ''l�l`© 1 fl.�l.r.lu Rl'C o VVt\ll(CA C0),D�U1,FC <r it 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: