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HomeMy WebLinkAboutPermit File BLD-2021-0170 1611 6th Street . 0. _ Copy of „ WacoviLes .� lnvooce/Pefrrodi Yea BLD-2O21 -0170 ..r µ 904 6th Street „ AppU d date: 03/0 !•l2O21 3 ,y P.O.Box 547 u suie date: 03/04/2021 i 0 Anacortes, WA 98221-0547 1.' �a4► Expurre date: ©8/31i /2022 rf,LY „AC - (360) 293-1901 Job Address: 1611 6TH ST Permit Type: Mechanical Permit ANACORTES WA 98221-1743 Project: APN: Remarks: INSTALLATANKLESS WATER HEATER IN GARAGE. Owner: LUKE A RUSSELL Contractor: BARRON HEATING & A C Address: 1611 6TH ST Address: 5100 PACIFIC F-IWY ANACORTES WA 98221-1743 FERNDALE WA 98248-9080 Phone: (360) 333-8130 Phone: (360) 676-1131 License #: General Information: Fees: # of Tankless Water Heaters 1 Mechanical Permit Fees 50.65 Total Calculated: 50.65 Deposits/Receipts: 0.00 Total Due: 50.65 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 examined this application and know the same to be true and correct. IGIttATURE OF OWNER OR AUTHORIZED AGENT - ISSUED B ° .Y.hr,.o,, PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPLICATION ,rt.:' WA 98221 "3` Mailing Address:P.O. Box 547,Anacortes, -Ag 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: \Gll GAN, 5kt Q/4- P OCoc-1-cs v\rA 7�001tG 15c)a v Subdivision/Lot#: RESIDENTIAL Titi,. COMMERCIAL ❑ APPLICANT: Phone: Uo\-1/4't orl V\ea-i-rna Go Ga7G 1131 Address(Street City,,State,Zip):---) Email Address: S\ 1Vo,LI'h \ i iYwc\ ' C,c1(1 d04#4 otsKet01ocrrrailnsicril l Y . Gon-) PROPERTY OWNER: 4 .: hone: / -J\� A 12uts I( - ..Phone: 3 -3 c610 Address(Street,City,State,Zip): Email Address: l 16-'S-t- co(--tts \A/ c\ALi at c l r?/-(( (n10,1I .C CONTACT PERSON: _ ' Phone: Q2oN t--IfALriN r • Address(Street,City,State,Zip): Email Address: CON CTOR:* Phone: -ctov 1-1 en+tr\ 3C ) &1G ( 131 Address(Street,City,State,Zip): Email Address: 5\3 9a6F"G 1� o�Y l )W� i-tsn8a�- w4 06)(1 , bro c i(10\. G YY1 *All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date: J Anacortes business license prior to doing work in the City. R`7 rg nv \O(d31 aO'I Contact the City's Finance Department at(360)299-1968. Business License#: Exp.Date: Is this work,associated with another project? Yes ❑ No If yes,specify: PROPOSED WORK: Ovf+a11mmn —1-09116..SS 1,./ ti1 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: PS\)1 A i. -r- l.U1 Owner ❑ Agent ((specify): f(OY) Signature: (�1c�-YW"` Date: 37q/dO , 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:-{ . #: f Location(s): (7- PA ' 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: .Elbe#: Other:#: Location(s): Gas Piping/Outlet(s): #: Location(s): ' Boiler: Gas#: Elec#: BTUs: Location(s): Other: #: Location(s): 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: 1,'�.��1",...::,+ •Wit..1 se�.€'s'r":v ,,t:l ��a 4 q�t