HomeMy WebLinkAboutPermit File BLD-2020-0064 4807 Harbor View Place T 4`' City of Anacortes Invoice/Permit#: BLD-2020-0064
904 6th Street
P.O.Box 547 Applied date: 02/07/2020
Anacortes, WA 98221-0547
Issue date:
r Expire date: 08/05/2021
T& (360) 293-1901
Job Address: 4807 HARBOR VIEW PL Permit Type: Mechanical Permit
ANACORTES WA 98221-4087 Project:
APN: P105263
Remarks: Adding a counter-top stove with vented hood, dishwasher,water supply to existing refridgerator, and changing out 4 hose
bibs with backflow devices. Will also be removing a french glass door with a non-load bearing wall. Carpet will be
replaced with wood. Items beyond this permit have been deemed maintenance so no building permit required? Inspector
will make that call.
Owner: ANN SUHR Contractor: TODD NOICE LLC
Address: 4807 HARBOR VIEW PL Address: 2725 PEABODY
PO BOX 28061
ANACORTES WA 98221-4087 BELLINGHAM WA 98225
Phone: (619) 861-3585 Phone: (360)441-5407
License#:
General Information: Fees:
#of Water Piping 2 Mechanical Permit Fees 30.75
Stove,Appliance 1 Total Calculated: 30.75
#of Dishwashers 1
#of Hose Bibs 4 Deposits/Receipts: 0.00
#of Ventilation Fans 1 Total Due: 30.75
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020051-0017 Erin Wil... 02/07/2020 11:47AM
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TNI52PERNII 4BEed0W1 MIT AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
eCiNVIlk6oroN OR WORK itl.t6SPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
hipTi tiiai rTIEYtTHAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
8 1 OAF AOPOMKES E DOES NOTRNING THIS TYPE PRESUME TO GIVEOF AUTHORK ORITYILL BE TO VIOLATEPLIED WITH OR CANCEL • HE:-ROVl IONSSPECIFIED
IOF ANY OTHER STOATETHE
OR
LOCAL LAW REGULATI STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATSI OF OWN OR AUTHORIZED AGENT ISS. '
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PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
7F ,891 Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADD S (Stu et,Suite#): PARRS #: Li PROJECT VALUATION:
Subdivision/Lot#-
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g®� �`EbeVE� .5RESIDENTIAL ❑ COMMERCIAL ❑
APPLI : �e�® `� ,�^/ Phone: �(
f/V A/ S' ��/Loo 3- a� �/9- U 61 3'5 5'
Address(Street,City, State, i ) Email Address:
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PROPERTY OWNE Phone:
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Address( eet, ity, a , ip Email Address:
CONTACT PERSON: Phone:
S'l1/14,E 11-S 460vg
Address(Street, City, State,Zip): Email Address:
CONTRACTOR:* • Phone: a cr7
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A dress(Street, Ci ,State,Zip): Email Address:
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*All Contractors& subcontractors must have a valid City of Professional License#: Exp.Date:
Anacortes business license prior to doing work in the City. ®���Nz 5'0� Hi o 2'c)
Bus}ne�ss�ice�e�#: ��� Exp.Date /�$ �
Contact the City's Finance Department at(360)299-1968. (�U ✓J� en `/ (/
Is this work,associated with another project? Yes ❑ NoX If yes,specify:
PROPOSED WORK:
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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: /G Owner Agent ❑ (specify):
Signature: Date: 2-o 7 2 7 20
MECHANICAL:
Equipment Type: Appliance/Equipment Information (new and relocated): Total #:
Furnace: Gas#: Elec#: Other#: Location(s): ii. _
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): _,e9.__.
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): ,-0.--
Fireplace: Gas#: Elec#: Other:#: Location(s): .41
Clothes Dryer&Duct: Gas#: Elec#: Other:#: Location(s): —
Stove/Range/Oven: Gas#: Elec#: / Other: #: Location(s): / LI
Refrigeration Unit: Elec#: Other:#: Location(s):
Gas Piping/Outlet(s): #: Location(s): _a'
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: -.49
Utility Sink: Water Service Line: /
Tub: ID, Water Piping:
Hand Sink: Clothes Washer: d
Shower: liy Electric Water Heater: Tani-less? Yes ❑ No ❑ ��
Dishwasher: V1 / Backflow Prevention Device:
Urinal: �er"" Hose Bib: ✓ -
Floor Drain/Floor Sink: _ 9 Drinking Fountain:
Hydronic Heat in: Floor ❑ Wall ❑ A Grease Interceptor: telf
Other: �1�� Other: . .�
d�� TOTAL