HomeMy WebLinkAboutPermit File BLD-2021-0142 1813 10th Street y� r, r' 1�
} Invoice/Permit #: BLD-2021-012
904 6th Street �p
1�6�p ied date: 02/ 18/2021
P.O.Box 547 Ussue date: 02/18/2021
Anacortes, WA 98221-0547 !r.,
1891 "/.:-2. Expure date: 08/17/2022
7t_ 01: +C
(360) 293-1901
Job Address: 1813 10TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1417 Project:
APN: P56058
Remarks: REPLACE GAS FURNACE FOR TI-IE SAME, 70k BTU's.
Owner: MACDONALD PETER D Contractor: RIGHT WAY PLUMBING & HEATING
Address: 5258 CRESTLINE WAY Address: 647 SUNSET PARK DR
STE A
PLEASANTON CA 94566-5470 SEDRO-WOOLLEY WA 98284-1590
Phone: Phone: (360) 855-2665
License #:
General Information: Fees:
# Forced Air Furnace <=100k 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
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 ex 'rrthis application and know the same to
be true and correct.
•
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
kt PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
A
PLUMBING & MECHANICAL PERMIT APPLICATION
_
r Mailing Address:P.O. Box 547, Anacortes, WA 98221
rg y, Office Location: 904 6`"Street,Anacortes WA 98821
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)#:
l3 "^ 54-.
subdivision/Lot Io-#:
Residential X Commercial ❑
APPLICANT: - Phone: Fax:
Rc'glnfi IA) Qlurnb ', Wear 3b0-855 24(05
Address(Street,City,State,Zip): E-Mail Address:
L947-# Swnse+ Qoacl De. Sedro i Iley 98? 4 er;c @ ciiktLA a.y konlo-tiec� • cow,
PROPERTY OWNER: Phone: Fax:
Marx 'Rtc 3(.0-(P4o 1- 55 5
Address(Street,City,State,Zip): E-Mail Address:
"7 o5 3'1 sf. A f etcor+es
CONTACT PERSON: Phone: Fax:
�'��� Shelby — 1/3/1 y 30- 60 -`t Z(o I
Address(Street,City,State,Zip): E-Mail Address:
CQNTRACTOR:* Phone: Fax:
Kii114 GOA.4 Iumbinc, ', 1�eF.. �1�g 360-$55.- ZIoGS
Address(Street,City,State,Zip). E-Mail Address
(o41-(t 'SA'-le; Qack De. Seiko l.2oo1 ley eri c @ Ci'J ktwAy plNn b- !leaf. cob
Contractor's License# Exp.Dat :
*All Contractors&subcontractors must have a valid City of rtti+W P 011- 6)5 (o)l Z1 ZZ.
Anacortes business license prior to doing work in the City. Business License P. Exp.Date:
Contact the City's Finance Department at(360)299 1968. 6.o l y 7 S 5- 5 zo Z.t
Is this work,associated with another project? Yes 0 No - If yes,specify:
PROPOSED WORK:
_ Change out 90,5 . cu.enaces
I declare under penalty of perjury that the information I have provided on this formiapplication 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: ERA C. SAle.11py Owner 0 Agent *(-specify): ovoNA. e r
Signature: Date: Z./ l to I Z.t
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:_
Furnace: Gas OElec# Other: # I BTUs:<100k >I00kLocation(s) 7O 003 STU I
Wall Heater: Gas#_Elec#_Other: #_BTUs:<100k>100k Location(s)
Air Handler: Gas#__Elec# Other: # BTUs:<100k>100k_Location(s)
Water Heater: Gas# Elec# Other: # BTUs:<100k>100k Location(s)
AC Unit/Boiler/
Heat Pump/ Roof Gas#_Elec## Other: #_BTUs: <100k, 100k-500k, 500k-
Top Unit(Circle 1Mil HP: <3, 3-15,_15-30 Location(s)
selected):
Hydronic Heating: Gas#,_Elec# In-FloorWall Radiant_Boiler BTUs: Location
Exhaust Fans Bath# Kitchen# Laundry# Other:
(single duct):
Fireplace/Insert: Gas#,__Elec# Other: #_Location(s)
Stove/Range/Oven: Gas#_Elec#_Other_# Location(s)
Range Hood: # Location(s)
Refrigeration Unit: Gas# Elec# Other:_# Location(s)
Outdoor BBQ: Gas# Elec# Other_# Location(s)
Clothes Dryer&Duct: Gas#_Elec# Other_# Location(s)
Gas Piping: # Location(s)
Other: # Location(s)
Location(s)
TOTAL OUTLETS:
PLUMBING FIXTURES:
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): 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 0 Wall 0
Water Heater Tankless? Yes 0 No ❑ Grease Interceptor:
Floor Drain/Floor Sink: Water Piping:
Refrigerator water supply(for water/ice Other:
dispenser):
TOTAL OUTLETS: TOTAL OUTLETS: