HomeMy WebLinkAboutPermit File BLD-2021-0157 1802 Cedar Springs Lane Y C3` C oy of Are comes ,; o ry �� < o �� Invoice/Perm .tea BLD-2021 -0157
• 904 6th Street
`` 1 Applied date: 02/26/2021
"'!"'" 4 R" P.O.Box 547
y issue date: 02/26/2021
Anacortes, WA 98221-0547
Expire date: 08/25/2022
!$4` = (360) 293-1901
Job Address: 1802 CEDAR SPRINGS LN Permit Type: Mechanical Permit
ANACORTES WA 98221-3567 Project:
APN: P117565
Remarks: REPLACE GAS WATER HEATER FOR THE SAME.
Owner: SELLEN VINCENT E JR Contractor: BARRON HEATING & A C
Address: 1802 CEDAR SPRINGS LN Address: 5100 PACIFIC HWY
ANACORTES WA 98221-3567 FERNDALE WA 98248-9080
Phone: Phone: (360) 676-1131
License #:
General Information: Fees:
# of Gas Water Heaters <= 100k 1 Mechanical Permit Fees 38.20
Total Calculated: 38.20
Deposits/Receipts: 0.00
Total Due: 38.20
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 an 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 examirr this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE
FG 'Y o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
_. --.: PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547,Anacortes, WA 98221
;Cog ' 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:
O(9 t,clor aplo s &crYlc2.- 91 l`i'56 5 0-1G,f c).
Subdivision/Lot
1k �� RESIDENTIAL COMMERCIAL ❑
APPLIC Phone:
MIlan 14e.01-fir, 3 C o 6 o C 1131
Address(Street,City,State,Zip): Email Address:
SIDO 9�el-fi'G �ii6' 'r �/)do �. VIi t>tS10� 10oc � y)�•G.
PROPERTY OWNER: Phone:
'�91Y)csz. 50Vin 360 333 04
Address(Street,Ci ,State,Zip): Email Address:
`�0 a CLd 5 7( bet AV►Co(— 5 .
CONTACT PERSON: „ Phone:
-cif ki 'o T o 67G 1131
Address(Street,City,State,Zip): Email Address:
CONTRACTOR:* Phone:
Zo4 -i Hewn 36o 01' 6 113i
Address(Street,City,State,Zip): ry� Email Address: ��
I GAO O po c i 'i f_ 163�1f'J.w, c'S �c>E 7)3,c o'y
/ D
*All Contractors&subcontractors must have a valid City of Professional License#: _ Exp.Date:
Anacortes business license prior to doing work in the City. 14- l I 910 A.
r�3/ 4 `�1
Contact the City's Finance Department (360)299-1968. Business License#: Exp.Date:
t1' at
Is this work,associated with another project? Yes ❑ No-Lk No—lk If yes,specify:
PROPOSED WORK: W cAThn l\ CI 1t r CX `n ‘
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 Xity of Anacortes.
Print Name: ). t Owner ❑ Agent (specify): %C.Ntriin
Signature: algtt, Date: /0,67(i001 .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): i.
1M
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#: Other:#: Location(s):
Clothes Dryer&Duct: Gas#: Elec#: Y_ Other:#: Location(s):,
Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s):
Refrigeration Unit: _Elc#: Other:#: Location(s):
Gas Piping/Outlet(s): #: Location(s):
Boiler: Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s):
EP , ��' �� ,c-' -,77 . s t..$ 7- nSu t,',7'', sY',,,.*, t l9:,s ;`' r -'¢ t, rW£.°-+Z Fr- �i,,s1: a ,,,,4,.:. :1 r „ c ,4,, ,� t,�''Y
PLUMBING FIXTURES:
1 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 ❑ Wall ❑ _ Grease Interceptor:
Other: Other:
u.:. . e t;.°;, ' : c .' .- 71 E' -itiNry '
a i _ . e � 4 ? rw u Se 4 s. E