HomeMy WebLinkAboutPermit File BLD-2020-0456 3819 J Avenue ' ► - City of Anacortes
invoice/Permit #: BLD-2020-0456
904 6th Street
Applied date: 08/04/2020
P.Q.Box 547 Issue date: 08/04/2020
Anacortes, WA 98221-0547
(360) 293-1901 Expire date: 01/31/2022
CP
Job Address: 3819 J AVE Permit Type: Mechanical Permit
ANACORTES WA 98221-3572 Project:
APN: P56934
Remarks: INSTALL EXHAUST RANGE HOOD AND VENTING TO EXTERIOR. INCLUDES MICROWAVE/FAN EXHAUST.
**** CONTRACTOR WILL NEED A CITY OF ANACORTES BUSINESS LICENSE ENDORSEMENT PRIOR TO WORK *****
Owner: AMY & HOWARD ROBERTS Contractor: ART OF PERFECTION
Address: PO BOX 1804 Address: PO BOX 2315
ANACORTES WA 98221-6804 OAK HARBOR WA 98277
Phone: (360) 708-5980 Phone: (360) 672-5772
License #:
General Information: Fees:
# of Range Hoods 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
Permits and Insp... - BLD-2020-0456 - 2020
he issuance or.granting of thisRerr90,AIAot be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of
eO85 - 9°14-s aloriggi i Peg order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or
gfftifitg .8jthisicid tif44Eite. ! 1ft allow construction activity during any period of time when such construction is prohibited or restricted by any state or
foptra)012wo e I91 ;hop rp@ 44iit, 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
j i gE11b�'i'PA other ordinan �
executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of
t ealantinioAmTche tbuiiding authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect,
pRratt4icomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or
ecrsion 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 ex Free; this application and know the same to
be true and correct.
-
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
R--ilrq.v. rl\\11 11 \1
G Y' Q I� �LANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
i PLUMBING & MECHANICAL PERMIT APPLICATION
A
\� I-- AN C,O s Mailing Address:P.O. Box 547, Anacortes, WA 98221
'gCpR
Office Location: 904 6th 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:
36i 9 T Avenue, P542939.
Subdivision/Lot#: RESIDENTIAL J COMMERCIAL ❑
Lot 4 21 Broadview
APPLICANT: Phone:
Amyx C. 1Zoi,ev45 3too - 706-598o
Address(Street, City,State,Zip): Email Address:
17•o• 80)( I5o'4 - AnaCor4CS, WA 18221 antyrobcrtsll8€ hetmaiL . Cbrr
PROPERTY OWN Pt: Phone:
Amy C C . Ro�.er fs / Howard W. Rob.erts 3!00 -708-5980 / 3fi0. 94L1- 756)3
Address(Street,City,State,Zip): Email Address: 1_o�mq'� • cow)
'3e19 AvcnuC - Anacar1es, wA 16221 4 nyroorr+s elo
CONTACT PERSON: Phone:
Amy c . Rober+s 3100-708- 5950
Address(Street City,State,Zip): Email Address: .
3519 3-Avenue .Artgcor-ks, WA 1 221 Only rot.era-s'18GhotmaiL .com
CONTRACTOR:* Phone:
Ard- of Perfect;on 14ta-hn.," LLG 3100- (v72.- 5772
Address(Street,City, State,Zi ) Email Address: ,
?.o. oX 2315 • O4.I1arbor/ VNA g8271 Ar+of perfec44onlieo4in9€ iii L •com
*All Contractors&subcontractors must have a valid City of Professional License A Exp.Date:
ART
Anacortes business license prior to doing work in the City. ness License P E P N S 97 M 2
Contact the Ci ty's Finance Business Exp.Date:
Department pment at(360)299-1968. 134
Is this work, associated with another project? Yes ❑ NoX If yes, specify:
PROPOSED WORK: ISx ha u s.fi ra hood 'ia s-l-nll-e& and V -l-eo. - -o the
',-tei"t0r• /'licrrwoatc flax -e-lla,A.-1 -f.r► abovf ratMt .
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: )I C` 17.-0 b-er Owner Agent ❑ (specify):
Signature: Date: 7 - 2 7- 20 2 0
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#: 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: #: , Typcl or 2 (Circle which one) Location(s): k f
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):
TOTAL MECHANICAL OUTLETS:
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 ❑ Wall ❑ Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES: