HomeMy WebLinkAboutPermit File BLD-2020-0126 4419 Lindsey Court fi 4 _ City of Anacortes Invoice/Permit#: BLD-2020-0126
904 6th Street
Applied date: 03/04/2020
P.O.Box 547`"`"
Issue date: 03/04/2020
' C Anacortes, WA 98221-0547 Expire date: 08/31/2021
''' rr, (360) 293-1901
Job Address: 4419 LINDSEY CT Permit Type: Mechanical Permit
ANACORTES WA 98221-8272 Project:
APN: P106965
Remarks: REPLACE NATURAL GAS FURNACE FROM AN 80%TO 90% EFFICIENCY,AND REPLACE 2 EA 30-GAL GAS WATER
HEATERS WITH ONE 40 GALLON.
Owner: COLGLAZIER DOUGLAS D Contractor: BARRON HEATING &A C
Address: 4419 LINDSEY CT Address: 5100 PACIFIC HWY
ANACORTES WA 98221-8272 FERNDALE WA 98248-9080
Phone: Phone: (360)676-1131
License#:
General Information: Fees:
# Forced Air Furnace<=100k 1 Mechanical Permit Fees 53.00
#of Gas Water Heaters<= 100k 1 Total Calculated: 53.00
Deposits/Receipts: 0.00
Total Due: 53.00
Permits and Insp...-BLD-2020-0126-2020
020095-0011 Kell Kna... 03/10/2020 12:09PM
12532- BARRON HEATING&A C
-19-41F19€WHegied8Vg§1 Pltiee AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
tONBEFFkOCTION OR WORK I SOSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
1-ffag-Ripffi-TFATHAT I HAVEI SAD AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
NG'OF1AOPEDINANCES RMIT DOES NOTRNING THIS TYPE OF WORK PRESUME TO GIVE AUTHORITY ILL BE TO VIOLATEPLIED WITHOR CANCEL THETHER PROV SPECIFIED
ONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
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� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�. -- li : A( :: ift BING & MECHANICAL PERMIT APPLICATION
7 :, . Mailing Address: P.O. Box 547, .Anacortes, TVA 98221
' _``l c 681 Office Location: 904 6r1` Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE PLUMBING & MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #): PARCEL(S) #: PROJECT VALUATION:
4419 Lindsey Court P106965 $6,342
Subdivision/Lot#:
RESIDENTIAL El 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:
Doug & Kathy Colglazier 360-293-2026
Address (Street, City, State, Zip): Email Address:
4419 Lindsey Court, 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
All Contractors & subcontractors must have a valid City o f Professional License #: Exp. Date:
'
BARROHA179D7 10/23/2020
Anacortes business license prior to doing work in the City. Business License #: Exp. Date:
Contact the City's Finance Department at (360) 299-1968. 600-092-564
Is this work, associated with another project? Yes ❑ No [KI If yes, specify:
PROPOSED WORK: Replace natural gas furnace, 80 to 90. Replace 2 30 gallon natural gas water heaters with one
40 gallon natural gas water heater.
I declare under penalty of per jury 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 0 Agent ►. (specify): Barron Heating
Signature: l'� �' --- Date: 03/04/2020
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: 1 Elec#: Other#: Location(s): Crawl 1
Wall Heater: Gas#: Elec#: Other:#: Location(s):
Gas Water Heater: #: 1 Location(s): Crawl 1
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):
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
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