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HomeMy WebLinkAboutPermit File BLD-2020-0701 4204 Osprey Lane • ' _ Cityof Anacortes invoice/Permit #: BLD-2020-0701 904 6th Street Applied date: 11/09/2020 P.O.Box 547 Issue date: 11/09/2020 .'i ` Anacortes, WA 98221-0547 Expire date: 05/08/2022 (360) 293-1901 Job Address: 4204 OSPREY LN Permit Type: Mechanical Permit ANACORTES WA 98221-7202 Project: APN: Remarks: INSTALLA PELLET STOVE/FIREPLACE. Owner: JAMES & JANICE KNIGHT Contractor: CRAFT STOVE INSTL OF MV WA LLC Address: 15262 82ND TERN Address: 900 W DIVISION ST PALM BEACH GARDENS FL 33418 MOUNT VERNON WA 98273-3226 Phone: (561) 262-4279 Phone: (360) 336-2532 License #: General Information: Fees: # of Other Mechanical Units 1 Mechanical Permit Fees 34.15 Total Calculated: 34.15 Deposits/Receipts: 0.00 Total Due: 34.15 A 2� l 1 r 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 commenc 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 a xamin d this application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED13<--- OiWIOWN i iLl ' Y &ECONOMIC DEVELOPMENT Fr 04111.11 �� a PLANNING,COMMUNITY, �TY E [PLUMBING & MECHANICAL PERMIT APPLICATION Mailing Address:P.O.Box 547,Anacortes, WA 98221 ,?,co"` A' 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)#: JECT VALUATION: H2.014 OS rey L� ?a 3bl PRgi (00001-- Subdivision/Lot#. RESIDENTIAL IAL 1 COMMERCIAL ❑ La 5 i co, aF. P s hot' QI a.v N c Nti OS'-cvl APPLIcAvT: Phone: C ak44 5-A-D\re "co()-3 -2_s 2-- Address(Street,City,State,Zip): Email Address: q()(.) W ; N.g\.Skbr 1-41-_ Ve I \(\ WA- ciss2.1 CrUrc- 1-s-�a./eSWcASkC COMCC 1-, (\et PROPERTY O Phone: Ad s (Street,City,State,Zip): Email Address: CONTACT PERSON: Phone: • C';e SC)i_k 3(i)C) 335--23 2- Address(Street,City,State,Zip): Email Address: Cl Dv w ,Di v Sion VW. Ve-x n 1n1 I\ c kL1 s-bves w( s k c3 Mcas-t- net CONTRACTOR:* Phone: C x c - - 5fO\l 1 kr,s-61Icc-E-icm - (,9 D-33(D—7 32 Address(Street,City,State,Zip): Email Address: q()0 W,D\\)kSi Ur'\ M .Vex u \ tz-i 3 0xot-(=4-s csvic i-eco i-cc ,s-E- ae± *All Contractors&subcontractors must have a valid City of Professional License#: 8E1i Date: Anacortes business license prior to doing work in the City. L. � ens 31�' gy 3Da 2�22-1 Contact the City's Finance Department at(360)299-1968. Business License#: Expp..Date: Is this work,associated with another project? Yes ❑ No A If yes,specify: PROPOSED WORK: \v\f)�&AN, OA CJv ©--- peA,'" Sc- i 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(ty of Anacortes n`� ,�A^ Print Name: �U O' ( �''�\- �k f t/" ` Owner E Agent /(specify): NAM i A Signature: Date: 11 I`'7 1 2- 1) 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: #: Type 1 or 2(Circle which one) Location(s): Fireplace: Gas#: Elec#: Othei` ' \-P4 Location(s): \;,‘) i\& t' 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): 1 r h \I mI,,( 'i_I V-iNrl( ' A ( t�l i i Ir-.1 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 E No ❑ Dishwasher: Backflow Prevention Device: Urinal: Hose Bib: Floor Drain/Floor Sink: Drinking Fountain: Hydronic Heat in: Floor 0 Wall ❑ _ Grease Interceptor: Other: Other: