HomeMy WebLinkAboutPermit File BLD-2020-0393 1110 24th Street NCk
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' Cityof Anacortes
Invoice/Permit #: BLD-2020-0393
904 6th Street
Applied date: 07/07/2020
P.O.Box 547 Issue date: 07/07/2020
Co; Anacortes, WA 98221-0547
,, ,? Expire date: 01/03/2022
rt (360) 293-1901
Job Address: 1110 24TH ST Permit Type: Plumbing Permit
ANACORTES WA 98221 Project:
APN:
Remarks: REPLACE ELECTRIC WATER HEATER FOR THE SAME.
Owner: C/O WESTWOOD MGTANACORTES 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 #:
General 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 exa application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B
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Finance Department
020248-0031 Erin W. 07/07/2020 01 :59PM
PERMITS AND INSPECTIONS
CPI PLUMBING & HEATING
BLD-2020-0393
Plumbing Permit
REPLACE ELECTRIC WATER
HEATER FOR THE SA
issued
2020 Item; BLD-2020-0393
Plumbing Permit Fee 27,00
Payment Id; 287233
27.00
Subtotal 27.00
Fee FEE 0,41
Total 27.41
03FINANCE CREDIT CARD 27.41
Visa **********o2973
Ref.42102612304
Auth47044G
2973
1
Change due 0.00
Paid by; Brad Tully
MINI311,111011NIMINIIMI
Signature:
Thank you far your payment
COPY
DUPLICATE RECEIPT
JUL 0 7,2020 1 , 1,D —2 62 0 -0 393
--4-4-y 4kilrkNotkcoRTIA.,,,,,,,G. COMMUNITY. &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
'111101,47 Mailing Address:P.O. Box 547, Anacortes, WA 98221
....4coNt Office Location: 904 61 Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE PLUMBING&MECH4ATIC4L PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRE4 S(Street,Suite#): PARCEL(S)#: PROJECT VALUATION:
1110 24th #C3
2,
P31918 $1000
Subdivision/Lo p#: 1:t ,..,..t.
'D f ft.t2,1— RESIDENTIAL 0 COMMERCIAL El
APPLICANT: Phone:
Anacortes Manor (360) 466-8078 Michael (maintenance)
Address(Street,City, State,Zip): Email Address:
1110 24th St N/A
PROPERTY OWNER: Phone:
Same as applicant
Address(Street,City.State,Zip): Email Address
CONTACT PERSON: Phone: 1
Same as applicant
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* Phone:
CPI Plumbing&Heating (360) 428-5636
Address(Street,-City,State,Zip): Email Address:
1900 Railroad Ave Mount Vernon,WA 98273 csrpiplumbing.co
Professional License#: ' Exp.Date:
*All Contractors& subcontractors must have a valid Cio)of
cpiplph850mn 2021
Anacortes business license prior to doing work in the Cr '. i
Business License#: ' Exp.Date:
Contact the City's Finance Department at(360)299-1968.
Is this work,associated with another project? Yes D No a If yes,specify:
I
PROPOSED WORK: er ) 1
1 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: Chelsea Vannoy Owner 0 Agent RI (specify): Contractor
Signature: CheCsea Vaimou Date: 7/6/20
MECHANICAL:
Equipment Type: Appliance/Equipment Information (new and relocated): Total #:
i
Furnace: Gas #: Elec #: Other#: Location(s):
wall Heater: Gas #: Floc #: Other: #: Location(s):
Gas Water Heater: #: Location(s):
Heat. Pump: Elec #: Other #: Location(s):
f
Air Conditioner/Handler: [ Elec #: Other: #: Location(s): i
Radiant /Hydronic Heating: j Gas #: Elec #: Other: #: Location(s):
Exhaust Fans: Bath.#: Laundry.#: Kitchen #: Other #:
Range Hood: #: Type l or 2 (Circle which one) Location(s):
Fireplace: j Gas #: Elec #: Other: #: Location(s): I
Clothes Dryer & Duct: i Gas #: Elec #: Other: #: Location(s): 1
I
Stove/Range/Oven: Gas #: Elec # Other: #: Location(s): i
Refrigeration Unit: Elec #: Other: #: Location(s):
Gas Piping/ Outlet(s): #: Location(s):
Boiler: Gas #: Elec #: BTUs: Location(s):
Other: #: Location(s):
TOTAL MECHANICAL OUTLET
PLUMBING.. FIXTURES: •
Fixture Type (new and relocated): Total #: Fixture Type (new and relocated): Total #:
Water Closet (Toilet): I Refrigerator water supply (for water/ice dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: , Water Service Line:
Tub: i Water Piping:
Hand Sink: Clothes Washer:
Shower: I Electric Water Heater: Tank-less? Yes 0 No ki 1
Dishwasher: I Backflow Prevention Device:
Urinal: Hose Bib.:
Floor Drain./ Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall L Grease Interceptor: ,
Other: Other:
TOTAL PLUMBING FIXTURES:
1