HomeMy WebLinkAboutPermit File 2119 16th Street Y Cif. City of Anacortes Permit#: BLD-2011-0445
\.. 904 6th Street Issue date: 12/27/2011
`"'■ P.O.Box 547 Expire date: 06/24/2013
`Y'' �►'0; Anacortes, WA 98221-0547
(360) 293-1901
Job Address: 2119 16TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-2049 Project:
APN: P56179
Remarks: install woodstove
Owner: DAVE THATCHER Contractor: CRAFT STOVES INSTALLATIONS, IN
Address: 2119 16TH ST Address: 900 W DIVISION ST
ANACORTES WA 98221-2049 MOUNT VERNON WA 98273-3226
Phone: (360)293-5272 Phone: (360)336-2532
License#: CRAFTSI97OBT
General Information: Fees:
#of Other Mechanical Units 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
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 PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTIO
171 C
SIGNATURE OF OWNER OR AUTHORIZED AGENT IS$U
�,Zy O MECHANICAL PERMIT APPLICATION
°''' ` Building Department
P.O. Box 547 Anacortes, WA 98221
Cp84 Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: - (ri
CONTRACTOR
c�
Name Cir(ACA- .)ke,/‹.:7,Ac LAVAkk o;\s, lac. PROJECT DESCRIPTION
�i00 0 New Work
Address ��J�5:r✓t\
City/State/Zip 'MX. U. c n0�� W CZ ).Z 3pi. Alteration
Phone 3 lti t:) 3 FAX 3(Q Lf)ti r1 1 Permit Fee 23.50
State License# Crar+�L 1 l3T Exp /31 I tI Type of Equip. Fee Each No. Amount
City of Anacortes Business License# Air Cond.Unit 10.65
PROPERTY OWNER Refrigeration Unit 10.65
Name OA e_ tt (� T'-�F I=R---t Forced Air System 14.80
Address d�...l ( Cl t G,T N Floor Furnace 14.80
City/State/Zip C /-NJ 4- ..0 n'2 GS �u ,h-4 Y��� Wall Heater 14.80
Phone )3 "S)-,7)--FAXrJ Clothes Dryer 10.65
E-mail Address Ventilation Fan 7.25
APPLICANT Range Hood 10.65
Name C1 CO A S CoC'\kt c c}of Gas Fireplace 10.65
Address Gas Water Heater 10.65
City/State/Zip Gas Piping 4.75
Phone FAX Other(Describe)
E-mail Address
I.)ov0 57? !U•
f 1
CONTACT TOTAL FEES DUE
Name CS N_.r\ S k.t5�L
Address SOU nY,V.,StcA
City/State/Zip avi- Vefnot\ U.) 21�3
Phone 3fC0 3 (a :35 3 4- FAX 3 0 'l}4 S i 7 q
E-mail Address C rc fA-c\-uv25 wCtSVi@C,,mcc.S},n2A
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPUCATION AND STATE THE INFORMATION IS CORRECT,AND
AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS
PERMIT APPUCATION. WITH IS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CURRENT
WASHINGTO - ATE CONT CTORS UCENSE AND A CITY BUSINESS UCENSE.STOP WORK ORDERS WILL BE
ISSUED • •,= SITES WH E CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER CENSE.
/2-777- (
AP" ANTS Sit RE DAT
Last Updated 11 29-05
0
_` FOR INSPECTIONS CALL: CITY OF ANACORTES PERMIT ;'!„ . 9 85
293-1901 . BUILDING PERMIT
24 Hrs. Notice Requested Site Address 2119 'Rath Street
1: NAME (OR NAME OF BUSINESS) PLUMBING
Dave Thatcher
MAILING ADDRESS No. TYPE OF FIXTURE OR ITEM FEE
2119 kithStreet
CITY TELEPHONE NUMBER Water Closet $ _ 1
lI ' A,nacortes, WA 98221 293- Bathtub
NAME Lavatory '
i Shower
-
'IADDRESS Kitchen Sink
Dishwasher
st CITY TELEPHONE NUMBER Laundry Tray
Clothes Washer - ,
NAME Water Heater
m
Sa age Roofing Urinal
ADDRESS Drinking Fountain
C.dit .ter::() Floor Sink or Drain
(CITY TELEPHONE NUMBER Slop Sink
.' I v i;iipicor"tes a WA 98221 293-2021 i Water Piping
'I- ', SITTATE LICENSE NUMBER CITY LICENSE NUMBER
t, I VA'GR. 1114P0
I' I I I.OS esidential . ❑ Non-Residential PERMIT $
I�, 'II I I O';Nt w' ❑Add , 0 Alter 0 Repair TOTAL FEE $
• ' l I i'- ''Ii'uilding 0 Plumbing .0 Mechanical MECHANICAL
1 1, 1 0 Sign 0 Demolition ❑ Other ❑ GAS 0 OIL 0 ELECT. ❑ OTHER
Legal Description of Property or Tax,,Account,Number;, i No ' T l PE OF.EQUIPMENT FEE
1 11Lot Block of
AirCond. Unit $
i' it Refrigeration Unit— HP
i
Boiler— HP
S ' !''I I III Forced Air System— BTU/KW
' I' I! illEjearibe Work Floor Furnace
1 1 IReiroof Wall Heater -
• Unit Heater
Clothes Dryer -
�" ''I ',' Ocwpancy-Use Ventilation Fan , '
1�, IiGI�',Srngle Family Residence 0 Multi-Family Residence Range Hood
•
' D,;,bffice ' ❑ Retail 0 Storage 0 Church Air Handling Unit— CFM .
'l L� ! )',Restaurant 0 Other Pre-manufactured Stove or Fireplace ,
II i1 I`! I,, NOTICE Gas Piping
I.di'r .
' 1; 'Thts,;pertmt is issued by the Building Official and,under the provisions
lo$the'!;Uniform Building Code,shall expire by limitation and become null
atidl worth if the building or work authorized by such permit is not com- PERMIT $
' iiieneedfjwithin 180 days from the date of permit issuance,or if the building TOTAL FEE $
ia't'r..i'
6' 'oi'iWoik authorized by such permit is suspended or abandoned at any time
after thlle work is commenced for a period of 180 days. TOTAL FEES VALUATION FEE
�;;,I#y,laiffixing my signature, I hereby certify that I am the owner of the Building r lt)O.f)(7 $ 5 i {5L�
prope,0 for which this permit is issued or am an authorized represen- - r- OC'
tattiwe;lof the owner.' - Plan Check
"' 1d' Plumbing
'iIA111'Iprwisionaof laws and ordinances governing this,type of work will
f; I'„�„ -Mechanical
b'e'lcomnted with whether specified herein or not,including routine calls I
Sign
fo'n in°apetxions. I
- Demolition
h
- Energy Surcharge
•
i I'-Signit re of Owner or Authonzed Agent (Date) State Surcharge 4 50
' IF., ' nil '
. ' Street)Setback Side Mud Setback Rear Yard Setback Other .
TOTAL $ 55 50
U zohe Occupancy Group 'type of Coast. Conditions:
Ent Arta, Vacant Site Dwelling Units •
❑Yes O No
' Biro'
Sp'ainklers Required No.,of Stories Bedrooms Occupant Load
i f]'Nes I ii� • O No
Site oflBldg. Plans Checked By: 1
WREN SIGNED AND DATED BELOW,THIS I8 YOUR PERMIT
��Pe mtemon'is hereby given to do the above described wok aecc ding to the eonditiom
'he eeosi'had aeeonling to the approved pone a d specifications pertaining therto,subject to
ami Ipliin,air'with the ordinances of the CITY OF ANACORTES.
t f.P ff/i�.s/ ?
Permit Issued By (`t- . 'i 1 ,t ) (---...,,r t st
Budding Official - (Date) '
Edwin Frank
PERMIT i*' 9 6 5 4
CITY OF ANACORTES '
BLDG, 0 PLUMBING -❑ MECHANICAL E °
PERMIT _
I'- Telephone293-5173 - +
ANACORTES, WASH. - DATE '-Y+= ;; / - 191\ 't
'PERMISSION,IS HEREBY_GRANTED TO:
OWNER 4/7,c:- i .+"`1 -}1.;1iL. :
; STREET . 'f. s
{, ADDRESS
S'y LOCATION WHERE WORK IS TO BE DONE.
CONTRACTOR % *t-^;:,tom U ,r °'S' -
E.; TO ERECT ❑ INSTALL 0 OR REPAIR D' •
IN THE FOLLOWING MANNER: fi %Ec -4.
PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
PLANS FOR CONSTRUCTION WERE NOT SUBMITTED
WERE ❑
' WORK TO BE DONE BY OWNER ❑ ,-CONTRACTOR,
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS:
TYPE APPROXIMATE VALUE OF WORK PERMIT FEES
ISSUING . `^'✓
BUILDING
GAS PIPING - - `j .2,.
PLUMBING AND W.S.
SEWER CONNECTION INSP.
MECHANICAL - ;' r':::•
PLAN CHECK FEE
MISC.
TOTAL 7,5 u0
LEGAL DESCRIPTION _ `•, _
•
CITY INSPECTOR'
11 cl //r *== J n-it, `1
LEGAL DESCRIPTION
ASSESSORS ACCOUNT NO.
PERMIT NO. DATE DESCRIPTION DATE FINALED
1�j7 �-f0_z5 CtL; .'C.r he 1.ct_e) re .