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Home My WebLink AboutPermit File BLD-2021-0047 4205 Saint Mary's Drive -T Y Ci ' Ce of Anac®rres C.) .• Invoice/Permit #: BLD-2021-0047 904 6th Street Applied date: 01/12/2021 P.O.Box 547 sue date: 01/12/2021 " ' ; Anacortes, WA 98221-0547 :-i.. I•I' �a4r ,:' Expire date: 07/11/2022 4, .,4 ' - (360) 293-1901 ;, ,,w Job Address: 4205 SAINT MARYS DR Permit Type: Mechanical Permit ANACORTES WA 98221-3669 Project: APN: P79399 Remarks: INSTALL NEW GAS PIPING AND NEW FURNACE. Owner: JOHN & SHANNON COUSINEAU Contractor: ALPINE HEATING AND COOLING Address: 4205 SAINT MARYS DR Address: PO BOX 853 ANACORTES WA 98221-3669 BURLINGTON WA 98233-0620 Phone: (503) 516-5855 Phone: (360) 755-5146 License #: General information: Fees: # Forced Air Furnace <=100k 1 Mechanical Permit Fees 43.05 # of Gas Piping 1 Total Calculated: 43.05 Deposits/Receipts: 0.00 Total Due: 43.05 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 commence ithin 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 € amined\his application and know the same to be true and correct. s ( — ,,,,, ._z: ' af.---2 SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY CITY OF ANACORTES BUILDING DEPARTMENT ‘!.�, 0.: INSPECTION CARD (360) 293-1901 .::. (Card to be on job site at all times) Job Address: 4205 SAINT MARYS DR APN: P79399 Permit #: BLD-2021-0047 issue date: 01/12/2021 Permit Type: Mechanical Permit Expire date: 07/11/2022 Remarks: INSTALL NEW GAS PIPING AND NEW FURNACE. Applicant: Contractor: Owner: Lender: ALPINE HEATING AND COOLING ALPINE HEATING AND COOLING JOHN & SHANNON COUSINEAU PO BOX 853 PO BOX 853 4205 SAINT MARYS DR BURLINGTON, WA 98233-0620 BURLINGTON WA 98233-0620 ANACORTES WA 98221-3669 (360) 755-5146 (360) 755-5146 (503) 516-5855 License #: nf �" e Inspector's g�p rr� �y-q Inspector's Co C'�`� u Us�eLti®� • ®at4e Initials ®1 a ' �omens:�- U us • nspecti®U u • Date : Initials u 0 u B u G j Stormwater BMPs * Gas Piping *** Setbacks Rough Ducts & Vents *** I I Site, Soil & Footings** Vent Termination Clearances Post Pads ** Appliance Installation SIGN FINAL *** IDryer Vent Installation *** II ji .1NS.PECTION CARD for: I Plumbing Ground Work *** Drywall Mechanical, Plumbing, Sign, Side Sewer *** MECHANICAL FINAL I Re-roof, Fence, : Decks Rough Plumbing *** FENCE FINAL I Drywall Stormwater BMPs * * DO NOT clear, grade, or dig before II Stormwater BMPs inspection passes l Water Line Installation *** Setbacks i Water Piping Installation *** Site, Soil & Footings ** ** DO NOT cover with concrete until inspection has passed PLUMBING FINAL Post Pads ** Roof Sheathing Nailing *** Deck Framing *** DO NOT cover until signed off RE-ROOF FINAL BUILDING FINAL - ST 1r p PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPLICATION 1 %'7- ,9y_- Mailing Address:P.O. Box 547,Anacortes, WA 98221 eo ", Office Location: 904 6`h Street Anacortes WA 98821 Phone: (360) 293-1901 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SU le17AL REQUIREMENTS PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION: SubdivisionlLot#: RESIDENTIAL 7 COMMERCIAL 0 APPLICANT: / ; I Phone: //'pipe_ /..``e,f,:_m '0or'rt'<- 3,''" y_ 7S' , '' Addre-T y(Street,p-City,State,.dip): i Email Address: 7,--, f o g g t - --- 107 .),44,v, ,s„�-- ,i i-f--.:r -f/ '4 PROPERTY OWNER: Phone: kt - r-r t3 X'�i L is 1 J. 1,v e-t4"-A. G' .. 5 j k -s` 'r S Address(Street,City,State,Zip): Email Address: 'y'.-- >" 5R-).-4.- j1/4' . a-frz. CONTACT PERSON: Phone: 3 Address(Street. City,State,Zip): ( Email Address: 1' `/cl =} `, 5 t °y5 CIF ' CONTRACTOR:* ` I Phone: . '-1 l t -�-- l- '"" r fl S t cr76� Address( ttreet,City,State Zip): J ill Email Address: j 9. Professional/License#:I ExpAlf Contractors& subcontractors must have a valid City of pate: Ana busin�license prior-to doing work in the City a�';r '`� i {r 1 Businesk License#: Exp.Date: Contact the City's Finance.Department at(360)299-.1968 , 3 S-I 1 e>L , 4 .- `1 Is this work, associated with another project? Yes 0 No:EL If yes,specify: PROPOSED WORK: , _� t a. :�i Pei `R r ---r.t If-k�,,,n-t. b _ k: ,�;;Ie--C-ice " /`, riLe-6.. . s t 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 proper} owner or duly authorized agent of the property owner to submit a permit application to the City of Anapoiyes. f #" 4- / // Print Name: ',1(''f,9` r 1 r;-- ..a r- Owner 0 Agent L(specify): 'rL "J Signature: „ �- _ Date: _.. NIECHAlNICAL: 1 Equipment Type: ,---A-ppliance/Equipment Information(new and relocated): I Total#: 1 ,----- I Furnace: ( Gas#: I : Eec#: Other#: Location(s): 1 .-- ___,....- Wall Heater: - -.Gas#: Flee#: Other:#: Location(s): Gas Water Heater: 4: Location(s): Heat Pump: Flee#: Other#: Location(s): Air Conditioner/Handler: Flee#: Other:#: Location(s): Radiant/Hydronic Heating: Gas 4: Dec#: Other:#: Location(s): Exhaust Fans: Bath#: Laundry#: Kitchen#: Other#: Range Hood: #: Type I or 2 (Circle which one) Location(s): Fireplace: Gas#: Elec#: Other:#: Location(s): Clothes Dryer&Duct: Gas 4: Dec#: Other:#: Location(s): Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s): Refrigeration Unit Dec 4: Other:tt -- - --Location(s): ..,_ Gas Piping/Outlet(s): (14: 1 Location(s): Boiler: '---;-Gas-4: ----De -c 4.- - -13TUs- ---ttion(s): , Other: P-- Location(s)- TOTAL MECHANICAL OUTLETS:I 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: Urinal: Hose Bib: Floor Drain/Floor Sink: Drinking Fountain: Hydronic Heat in: Floor 0 Wall 0 Grease Interceptor: Other: Other: TO All PLUMBENG FIXTURES: __ _ ___