HomeMy WebLinkAboutBLD-2020-0800 - MECHANICAL AND GAS WATER HEATERS, RESIDENTIAL 0 _ Cityof Anacorteso
Invoice/Permit #: BID 2020 0 �00
" 904 6th Street
Applied date: °a 2/17/2020
`"'m"" P.O.Box 547
Issue date: 12/17/2020
r' '` � Anacortes, WA 98221-0547 9 ,� r
= f' 1a4� Expi�'e date: 06/ e 5/2022
=ILe (360) 293-1901
114
12461
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Job Address: 1020 F AVE Permit Type: Mechanical Permit
ANACORTES WA 98221-1435 Project:
APN: P56135
Remarks: INSTALL A NEW GAS FIREPLACE INSERT AND GAS PIPING.
Owner: JAMES & CATHLEEN ENNS Contractor: HEARTH & HOME
Address: 1020 F AVE Address: 949 AULT FIELD RD
ANACORTES WA 98221-1435 OAK HARBOR WA 98277-3629
Phone: (805) 441-5676 Phone: (360) 679-8228
License #:
General Information: Fees:
# of Gas Fireplace 1 Mechanical Permit Fees 38.90
of Gas Piping 1 Total Calculated: 38.90
Deposits/Receipts: 0.00
Total Due: 38.90
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 exarairga this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
� °,„
PLAITING , COMMUNITY , & ECONOMIC DEVELOPMENT DEPARTMENT
. ... . ' C)NI:
'''.: _ _ . PLUMBING •StMECHANICAL PERMIT. „.. •
. ...„. .i., ,,, _ . �� � . APPLICATION
7 _. �, Mailing Address : P. O. Box 547, Anacortes, WA 98221
�' �t MIc Office Location : 904 6t1i Street, Anacortes WA 98821
�`4°' " ""' 4 Phone : (360) 293 - 1901 , Fax : (360) 293 - 1938
PLEASE REFER TO THE PLUMBING & MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #) : Parcel ( s) # : s._
cc,
3
Itele #: (:) F A- ye
Subdivision/Lot # :
Residential )it:L. Commercial ■
APPLICANT : Phone : Fax :
H .4•A- izT-114 a .+A orv\ -u":77 3b0 67•69/ g 222 3 L06157c;19 ',2
Add - ss ( Street , City , State , Zip ) : E - Mail Address :
ii LH ALILT FtELD taD heoFfii ) . Cce IAJ 1/1 t \Cj bet. : Q
Ylei
PROPERTY OWNE . Phone : Fax :
' kactryles At=410 ) of G skic5 4'441 % 76
Address ( Street , City , State Zip ) : E -Mail Address :
i 0 20 teg: AYJE?:. c _ aftv *) ehrts (' cfnall ' COM
CONTACT PERSON : Phone : Fax :
Address ( Street , City, State , Zip ) : E -Mail Address :
CONTRACTOR : * _ Phone :: 3oo3o7q8228
Fax :
1 --Ve- A IcZnmA Se 410 Or\ ExI8
Address ( Street , City, State , Zip ) : E -Mail Address i i -
. (..).- w . . 41P ALI Ur . ' I FLO QL) OAK EIP .e&N) e) • A ciD,1, 7 Flea:n *11g at. - 1,01ti Ktif i '' cf.-.
*All Contractors & subcontractors must have a valid City of Contractor ' s License # Exp . Date : ii
PtE � �`T4P1 Anacortes business license prior to doing work in the City. f7C � � 2.02 I
Contact the City 's Finance Department at (360) 299-1968. Business License # : Exp . Date :
Is this work, associated with another project ? Yes E No If yes , specify :
PROPOSED WORK : � A f•-t=::.., a-tz:ii-o-mk --- .� A S ' . , ' ._ .. 1 ib.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 : DE- t 1 `�I -i '� � c, Li, Owner _Agent ge t El (specify) .
Signature : . ► ;� { L I
' • , Date : Z. 1 (42.4) Z...
7
MECHANICAL :
Equipment Type : Appliance/Equipment Information (new and relocated) : Total # :
Furnace : Gas #__Elec #_ Othez• : # BTUs : < 100k_ > 100k__ Location (s)
Wall Heater : Gas #_Elec #_Other : # BTUs : < 100k > 1 OOk Locations)
Air Handler : Gas #__ Elec
#__Other : # .BTUs : < 100k > 1 O0k Locations)
Water Heater : Gas # Elec # Other : # BTUs : < lOOk> 100k Location (s)
_ _
AC Unit / Boiler /
Pump / Roof Gas #__Eec #_ Other : _# BTUs : < 100k, 100k- 500k , 500k-
HeatTop Unit (Circle IMil HP : - - 315 ,j5 - 3O Location( s)
selected) :
Hydronic Heating : Gas # Elec #_In-Floor Wall Radiant Boiler BTUs : Location_,
Exhaust Fans Bath # Kitchen # Laundry # Other ;
#
(single duct) : —
:1„ � � � � �� .
Fireplace /thse : Gas #LE1ec #_ Other : # Location( s) _ - Y2,06 _ 1111
Stove/Range/Oven : Gas #__ Eec, , # Other : _# _ _ Location ( s)
Range Hood : # Location(s)
.ar .dir 1w' — — — — _
Refrigeration Unit : Gas #.....Elee # Other : # _ Location(s) ,
Outdoor BBQ : Gas #__Elec # Other : - Location( s) _ _ -■
Clothes Dryer & Duct : Gas #...Elec tLOther : ..# Location (s)
Gas Piping : # �
Location (s ) , " �`� �` � 13 's
Other : I- Location ( s)
t- Location s - - -- - . .. .
TOTAL OUTLETS :
PLUMBING FIXTURES :
Fixture Type (new and relocated) : Total # : Fixture 'hype (new and relocated) : Total # :
Water Closet (Toilet) : 11111 Pressure Reduction Valve/Pressure Regulator :
Urinal : Backflow Prevention Device :
Sink (kitchen , laundry, lavatory , hand, bar , slop , Water Service Line :
eye wash , etc . ) :
Tub/ Shower : Drinking Fountain :
Dishwasher : Clothes Washer :
Hose Bib : Hydronic Heat in : Floor ■ Wall EJ
Water Header Tankless ? Yes ❑ Np , _ • Grease Interceptor : _ _ _ _ _ _ _ _
Floor Drain I Floor Sink : Water Piping :
Refrigerator water supply (for water/ice
Other : .1; , S •
dispenser) :
TOTAL OUTLETS : OUT)1.,_ ETS :TOTAL