HomeMy WebLinkAboutPermit File BLD-2020-0293 1110 24th Street 0 _ Cityof Anacortes invoice/Permit #: BLD-2020-0293
904 6th Street
�""
Applied date: 05/22/2020P.O.Box 547
issue date: 05/22/2020
< " 0; Anacortes, WA 98221-0547 Expire date:` 169i p 11/18/2021
(360) 293-1901
.tip;, ,,,;.:•w`:
Job Address: 1110 24TH ST Permit Type: Plumbing Permit
ANACORTES WA 98221 Project:
APN:
Remarks: REPLACE ELECTRIC WATER HEATER.
Owner: C/O WESTWOOD MGT ANACORTES MANOR Contractor: CPI PLUMBING & HEATING
Address: PO BOX 9 Address: 1900 RAILROAD AVE
REDMOND WA 98073-0009 MOUNT VERNON WA 98273-4957
Phone: (360) 466-8078 Phone: (360) 428-5636
License #:
Genera information: Fees:
# of Water Heaters 1 Plumbing Permit Fee 27.00
Total Calculated: 27.00
Deposits/Receipts: 0.00
Total Due: 27.00
The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is
suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examin d t s lapplication and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
1,-‘'IV 6`s,,,.4,
\I"
''''7\11110011
o
Finance Department
020231-0100 Erin W. 06/23/2020 02:04PM
PERMITS AND INSPECTIONS
C/O WESTWOOD MOT ANACORTES MANOR
ASSOCIATES
BLD-2020-0293
Plumbing Permit
REPLACE ELECTRIC WATER
HEATER.
issued
2020 Item: BLD-2020-0293
Plumbing Permit Fee 27.00
Payment Id: 285438
27.00
Subtotal 27.00
Fee FEE 0.41
Total 27.41
03FINANCE CREDIT CARD 27.41
Visa ************2973
Ref.-.42076534776
Auth40258G
2973
Change due 0.00
Paid by: Brad Tully
DMII11111111111111111111111311M111111111111
Signature:
Thank you for your payment
COPY
DUPLICATE RECEIPT
)
,. ), r$,_ f,- 1-$ li rin
PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT 1 ri irr)
PLUMBING & MECHANICAL PERLUT APPLICATION HA 2 2 2020
, !4
i - T /'s
Mailing Address: RO. Box 547, Anacories, WA 98221 i i
II.J 1
\Nic09:"" Office Location: 904 61th Stre -
et Anacortes WA 98821 , i ,
t
Phone: (360) 293-1901 'ITV ru-
- w wr" ANACORTEs
PLEASE RIPER TO THE Pa:WRING & MECHANICAL PERMIT CHECKLIST FOR SUMITIAL REQUIREMENTS
PROJECT ADDRESS (Street, Sitile: 1 PARCEL(S)#: ' PROJECT VALUATION:
A() J4114$1 ve I F3 - q16 /I 04 4 1
sthdivisionttot#: 3
RESIDENTIA r.:.- COMMERCIAL
APPLICANT: 'Phone
Address (Street, City, State,Zip): Email Address:
PRO'ER,s4TarYANEtzci % r.-k Phone:
a3(4)-, 40,- Iset-i.%
Ad, ess (S,Peeti;CrtY, Statb:flPi E ail Address:
54. 6 14i Risee frt If
CONTAC E N:
Phone:
Sainii.., as 0 iojtl.e..r 51/40- W4,- 1)01 Cs
Address (Street, City, State,Zip): Email Address:
CONTWTOkio:t wivorait
(A) k y k (
Vk.e.411TIC) Phone.
SW-- Lf 21-- 60.5
. ddress.(Streqt, City, St4te,Xis.). 'I 1.41 Email Address:
\t . Ka LA Mad ktbiA44-.Utintort CAL -coe....ev L,CA-, Lt(' 4 t ?)V,J-46-610.4)*CD 11-1
Professional License#: i E3cp. te:
*All Contractors & subcontractors must have a valid City of cy\ fe,t+aspoiust 1 ,..., • 2„t
.4placortes business license prior iv doing work in the City, i t
Business License#: Exp. D e:
Contact the City's Finance Department at (361) 299-19a
Is this work, associated with another project? Yes D NoiK. If yes, specify:
PROPOSED WORK: ,...._
kNI4)V.,1ei ., L.. - ,,,,,,:._.,,C,-, ,---r
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: ' ii k. 14 A.a .kaa A A 'IS Ovimer 0 A ent specify): OM-6W
Signature:' . , . _, !a. _ lieMatilik. Date: , ,,
t
t
1
r.y -3,;. s ., °:'.% @z r«d!!;m;:.aS z X?£. f,; „y'.'`*'.1T :"""t*`?..,�S i3"*`''',.'�` Se''' r✓•.?.vo',c t:. '7t 3''',, { ,."?'' r✓,yt'''. 'f' r•ie sry�F 'E.• .E* y.a.^Y{p 2 r''x;
a i ���2��` `z�j f aJ,.' n r ,T 't '.3` ! s r♦ tE G : is �,xys,.s' E+`, , 35 r. a ,.F k��^^,``;
,:y„ww-.:•-*xvs : !--,N s- a:-4 r i •:,--: ,' ':f.r•.fb .ti y;:•' ..,:::t.s<Y,s...§+rc. 4 ♦-; i,:,:w ; ..,'y;,<d• .,'si�✓4,„ r, . .oy. : e , ,,sy"�,,°s 2, 2
Equipment Type: Appliance/Equipment Information (new and relocated): Total #:
Furnace: Gas#: Dec#: Other#: Location(s):
Wall Heater: Gas#: Flee #: Other: #: Location(s):
Gas Water Heater: #: Location(s):
Heat Pump: Flee_#: Other#: I ocation(s):
1 Air Conditioner/Handler: Elec #: Other: #: Loran on(s):
... . . .... ....... . ...
1 Radiant.'Hycirc�nic 1 leaf€erg: Gas#: Flee #: Other: #: Location(s):
1
Exhaust Fans: Bath #: Laundry #: Kitchen : Other :
Range Hood: #: Type 1 or 2 (Circle which one) Location.(s):
Fireplace: �`:. Flee#: Other: #: Location(s):Gas T
t
1 Clothes Dryer & Duct: Gas 4: Flee #: Other: #: Location(s):
I Stove/Range/Oven: Gas 4: Elec Y: Other: #: 1_ocation(s)
1 Refrigeration Unit: Dec #: Other: #: Location(s):
E
Gas Piping! Outlet(s): r: Location(s):
Boiler: Gas #: Flee#: BTUs: Location(s):
Other: 4: Location(s): j
TOTAL MECHAINICAL OUTLETS:
PLUMBING FIXTURES:
Fixture Type (new and relocated): Total#: Fixture Type (new and relocated): Total #.:
Water Closet(Toilet): 1 Refrigerator water supply (for water/ice dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
i
Utility Sink: 1 Water Service Line:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: "Iectric Water Heater: • k-less? Yes 0 No t`' 1
Dishwasher: i 1 Back low Prevention Device:
I
1 Urinal: Hose Bib:
F
i
3 Floor Drain /Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall 0 Grease Interceptor:
Other: Other; ,
TOTAL PLUMBING FIXTURES: