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HomeMy WebLinkAboutPermit File BLD-2021-0169 1311 37th Street Y City of Anacortes Invoice/Permit#: BLD-2021-0169 904 6th Street Applied date: 03/03/2021 P.O.Box 547 Anacortes, WA 98221-0547 Issue date: 03/03/2021 `- Expire date: 08/30/2022 '' (360) 293-1901 Job Address: 1311 37TH ST Permit Type: Mechanical Permit ANACORTES WA 98221-4245 Project: APN: P121388 Remarks: REPLACE GAS FURNACE FOR THE SAME. Owner: JARED&BETH HORSTMAN Contractor: FOSS HEATING AND COOLING Address: 1311 37TH ST Address: 333 E BLACKBURN RD ANACORTES WA 98221-4245 MOUNT VERNON WA 98273-9006 Phone: (419)516-3885 Phone: (360)336-1517 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 examined this application and know the same to be true and correct. dede , SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED isit. ir PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPLICATION ' t"--( Mailing Address:P.O. Box 547, Anacortes, WA 98221 ' Office Location: 904 6th Street, Anacortes WA 98821 Phone: (360) 293-1901 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS PRO ECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION: 13%I 371"/ 51-1 Piz% ) 36 $6 oSS.. 3)1 Subdivision/Lot#: RESIDENTIAL ❑ COMMERCIAL El APPLICANT: Phone: [-oSS / a , ail,/ Coo/to(/ (3ZC)) 336`'-- 1. /I Address(Street,City, State,Zip): Email Address: 333 .g f,t,. 'r 644,1' V, sj .4 l'1 r, v , 21VA-° 1 orcl <a f o-.s4 /ify'r CO, r PROPERTY OWNER: Phone: Jam' 1f©rsrilici 4 (L/ 1) 5fr,"— 3238 5- Address(Street,City, State,Zip): Email Email Address: Si /1 v+ac©�r* IVA 1V i I CONTACT PERSON: Phone: /�1 Rvsell (36633 e_ 1517 Address(Set,City, State,Zip): Email Address: 333E P bPr4' ! 5t,/ Mfr Ve o" l 4 c1S2-73 oreirrs4fosshea.6 , com CONTRACTOR:* ` Phone: -5QC 4p /i6ait Address(Street, City, State,Zi ) Email Address: *All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date: Anacortes business license prior to doing work in the City. 5 /t Contact the City's Finance Department at(360)299-1968. Business License#: Exp.Date: 6Q.2-,-136 031 I/3®!mot Is this work,associated with another project? Yes ❑ N Q. If yes,specify: PROPOSED WORK: Rytate acts rffr iv"die w -1-k l/kc ,'t, kind, 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: riff re' J} . K vj a l( Owner El Agent s g �(specify): FOB leGsfiatS Signature: / Date: 3/ 72- 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): 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#: Other: #: Location(s): Stove/Range/Oven: Gas#: Elec#: Other: #: Location(s): Refrigeration Unit: Elec#: Other: #: Location(s): Gas Piping/Outlet(s): #: Location(s): Boiler: Gas#: Elec#: BTUs: Location(s): Other: #: Location(s): TOTAL MECHANICAL OUTLETS: 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 ❑ No 0 Dishwasher: Backflow Prevention Device: Urinal: Hose Bib: Floor Drain/Floor Sink: Drinking Fountain: Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor: Other: Other: TOTAL PLUMBING FIXTURES: