HomeMy WebLinkAboutPermit File BLD-2020-0365 1520 Latitude Circle 0` Cityof Anacortes
Invoice/Permit #: BLD-2020-0365
904 6th Street
Applied date: 06/25/2020
� ""■' ��� P.O.Box 547
s Issue date: 06/25/2020
Anacortes, WA 98221-0547
�:. 1891 Expire date: 12/22/2021
' (360) 293-1901
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Job Address: 1520 LATITUDE CIR Permit Type: Mechanical Permit
ANACORTES WA 98221 Project:
APN:
Remarks: INSTALL A SINGLE HEAD DUCTLESS HEAT PUMP.
Owner: JAMES & SHENDELLE POLK Contractor: BARRON HEATING & A C
Address: 1520 LATITUDE CIR Address: 5100 PACIFIC HWY
ANACORTES WA 98221 FERNDALE WA 98248-9080
Phone: (985) 212-2449 Phone: (360) 676-1131
License #:
General information: Fees:
# of Heat Pumps <= 3 Hp 1 Mechanical Permit Fees 38.20
Total Calculated: 38.20
Deposits/Receipts: 0.00
Total Due: 38.20
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Permits and Insp... - BLD-2020-0365 - 2020
is,warAce,car gragging(of ftt is pp,er,�rtitSha , of be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
thee` rfy,ao 'any sfai'e'bt'fetleiaf law;'or�or any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
drafifarag Efi2tHig96-iTi5AsTiMirrWtda to allow construction activity during any period of time when such construction is prohibited or restricted by any state or
fg4tT4d240g91rer {grPaiq guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be
valid. Thenbuilding official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this
j6riaicettrilo a1W 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
tl�l G 6ifr`br rTRItlitauilding offiaigl2 authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
irrcgrratea gr jnomplete 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 this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
i'lIt (I1ga1-i
y:' 4 Y `-: PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT
1W :. PLUMBING & MECHANICAL PERMIT APPLICATION
o r F! Mailing Address:P.O. Box 547,Anacortes, WA 98221
lik }e Office.Location: 904 6h Street, Anacortes WA 48821
Phone: (360)293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION:
1520 Latitude Circle P133675 $5269
Subdivision/Lot#: RESIDENTIAL El COMMERCIAL 0
APPLICANT: Phone:
Barron Heating 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway Suite 103,Ferndale,WA 98248 kayiissad@barronheating.com
PROPERTY OWNER: Phone:
James&Shandelle Poles V' U 1-k 985-212-2449
Address(Street,City,State,Zip): Email Address:
1520 Latitude Circle,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 kayiissad@barronheating.com
CONTRACTOR:* Phone:
Barron Heating 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 Pacific Highway Suite 103,Ferndale,WA 98248 kayiissad@barronheating.com
*All Contractors&subcontractors must have a valid City of Professional License#: Date:
BARROHA179D7 10/2 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 0 No ® If yes,specify:
PROPOSED WORK: Install single head ductless heat pump
I declare under penalty of perjury that the information I have provided on this Rub/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: Kaylissa Dunmore Owner 0 Agent El(specify): Barron Heating
Signature: Y'\a_ 4eLDate: 06/25/2020
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: Elec#: Other#: Location(s):
Wall Heater: Gas#: Elec#: Other:#: ' Location(s):
Gas Water Heater: #: Location(s):
Heat Pump: Elec#: 1 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):
r, h - 4 W y ,--4-44.,; A4-1 f'-n^"ram, - 'Itr/r i ee`` .. -1 33 y a a a�s 'a
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 0 No 0
Dishwasher: Backflow Prevention Device:
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Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor ❑ Wall 0 Grease Interceptor:
Other: Other:
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