HomeMy WebLinkAboutPermit File 2222 J Avenue =%.,. Y .O : City of Anacortes Permit#: BLD-2012-0019
s f 904 6th Street Issue date: 01/24/2012
3
P.O.Box 547 Expire date: 07/22/2013
'` al C/)s Anacortes, WA 98221-0547
et F (360) 293-1901
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Job Address: 2222 J AVE Permit Type: Mechanical Permit
ANACORTES WA 98221-3725 Project:
APN: P31798
Remarks: Replace gas fireplace and gas piping.
Owner: FIDALGO POOL AND FITNESS Contractor: ALPINE HEATING AND COOLING
Address: 1603 22ND ST Address:
ANACORTES WA 98221-3712
Phone: Phone: (360)755-5146
License#:
General Information: Fees:
#of Gas Fireplace 1 Mechanical Permit Fees 38.90
#of Gas Piping 1 Total Calculated: 38.90
Deposits/Receipts: 0.00
Total Due: 38.90
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL
PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR
NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
gat,i .,_..' LAAr
SIGNATURE F �/
OWNER OR AUTHORIZED AGENT ISSUED BY
MECHANICAL PERMIT APPLICATION
Building Department
P.O. Box 547 Anacortes, WA 98221
Phone No.: 360-293-1901 FAX: 360.293.1938
SITE ADDRESS: ,,;?aca r 1 " Av./ , Avtec_..-41s , W4 - ka l
CONTRACTOR A /04 t .Ss,re,I Ci� .o..►f'i0.)
Name A If IA t. NCR t t.r 4 Citt eft PROJECT DESCRIPTION
L C7 0 New Work
Address/Q S1 Ly Pv k k jj��.y c‹
II Alteration
City/State/Zip Qur/.'G.
A .f as , NIA ? 8'3 3 3
Phone 3 Co •?Sf-3/y( FAX -- Permit Fee 23.50
R..n•...i.e$ 34 it —a43•CA?O
State License# A t,.P t N 3 G 76 perm Exp Vag/. O(3 Type of Equip. Fee Each No. Amount
City of Anacortes Business License It Air Cond.Unit 10.65
a/r 60A.• 3041t • tS
PROPERTY OWNER 3 Refrigeration Unit 10.65
Name Fi •l 41 J1 p Pi o l t f Alit 6 5r C+ API"'cr'f' Forgeg Air Sysem 14,80
Address /( 0 3 Ac2n/1 • if P t, Floor Furnace 14.80
City/State/Zip y f.4e. t'J W4 Q?4,/o1 Wall Heater 14.80
Phone 340- 243-.0 6 73 F/AX .34 D •2�t• a tr3 Clothes Dryer 10.65
E-mail Address NIS Lod isea�1t ds(5e Pee 1. Cep. Ventilation Fan 7.25
APPLICANT E><te�t..kty
i ` Range Hood 10.65
Name in 4014.i► St AA(Yrr"1 F+rd`G v 4'0 •- Gas Fireplace 10.65 ' 10.45
Address Ueda 22, `S4 L'G4. Gas Water Heater 10.65
N14 C O. �' 'e 6 w A r a _ Gas Piping s in 4.75 I 4.15
City/State/Zip ! 4
Phone340 •4 9 3.0 6 11-i FAX 340•a 4 9• a 9 S,3 Other(Describe)
11f+ r�
E-mail Address n•i *O.d Iwe r r.col,. e p on •%i ate►
CONTACT 1J 1 TOTAL FEES DUE 3g• 'vM
Name I3ii TiArYt 'G ✓
Address
yti ri i /41/14.eo Re.as cLt llrr✓ t�
City/State/Zip 44 a u,,'4'4 s. w/t q y a & l
Phone 2.° • x•a•42,t7FAx 3 co • kg, - 51 Y 2
_ E-mail Address bsit• h • the tie & rimy I •Cony
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATION IS CORRECT,AND
AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS
PERMIT APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CURRENT
WASHINGTON STATE CONTRACTORS UCENSE AND A CITY BUSINESS UCENSE.STOP WORK ORDERS WILL BE
ISSUE N JOB SITE HE CONTRACTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.
43 aD/
APPII�SIGNATURE
DATE
Last Updated 11-29-05
MECHANICAL PERMIT
CITY OF ANACORTES PERMIT NO. : MEC96-0113
P.O. BOX 547 APPLIED: 11/26/96
ANACORTES, WA 98221 ISSUED: 11/26/96
(206) 293-1901 EXPIRES: 11/26/97
SITE ADDRESS: 2222 J AVE
ASSESSOR'S PARCEL NO. : 2222
PROJECT DESCRIPTION: Gas Fireplace and piping
— OWNER — CONTRACTOR
FRANK OLGESBEE LAVINE'S HEATING
2222 J AVENUE P.O. BOX 992
ANACORTES WA 98221 ANACORTES WA 98221
293- 293-6543
LAVINHS066BF
TYPE OF WORK. . . :ADD BOILERS/COMPRESSORS- DOMES. INCIN • 0
TYPE OF USE •RES 0-3 HP • 0 COMML. INCIN • 0
3-15 HP • 0 RELOC/REPAIR. . . : 0
FUEL TYPES 15-30 HP • 0 CLOTHES DRYERS. : 0
: /GAS/ / /: 30-50 HP • 0 GAS WTR HEATERS: 0
FURN < 100K BTU: 0 50+ HP • 0 STOVE, APPLI. . . : 0
FURN >=100K BTU: 0 AIR HANDLING UNITS-- FIRE LOG/LITE. . : 1
FURN - FLOOR. . . : 0 <= 10000 cfm. : 0 WOODSTOVES • 0
UNIT HEATERS. . . : 0 > 10000 cfm. : 0 OTHER UNITS • 0
VENT FANS • 0 EVAP COOLERS. . . : 0 GAS OUTLETS • 1
VENT SYSTEMS. . . : 0 HOODS • 0
VENT W/O APPLI. : 0
— FEES — NOTES
Code Amount---- By- Date---- Receipt
PRMT $ 37. 00 MD 11/26/96 6212
TOTAL $ 37.00
I hereby acknowledge that I have read this permit and state that the above information is correct, and agree to comply with all
ordinances and laws regulating activities covered by this permit.
Issued by Applicant or Owner' s Signature
24 Hour Notice Required For All Inspections
mec_prmt, Rev: 06/11/92
, CITY OF ANACORTES
BLDG. 11 PLUMBING 0 MECHANICAL ❑
PERMIT F,:> rtgit
Telephone 293.6173 _
ANACORTES, WASH. DATE .t,:' t`,r a. 1 L il 19 s 7
P PERMISSION HEREBY GRANTED TO:
OWNER Al'lI4. t j1, .-..? S,e f r:,
STREET ,..1
ADDRESS .a%••`al� Lb.Ap,f IC
WHERE WORK IS TO BE DONE z
CONTRACTOR ids 6 c !«I� -1! - I
TO ERECT ❑ INSTALL 0 OR REPAIR 0'
F IN THE FOLLOWING MANNER: — / lr^ *%I ,;,�:L G Y 1✓,e'S /3i
! r; ;7/ :Zstry,-.) ., ± 7 c< k ri .,,:.u,.'. .1 (01
/I t
{ PERMIT EXPIRES ONE YEAR FROM DATE ISSUED
WERE NOT CJ�
PLANS FOR CONSTRUCTION WERE ❑ SUBMITTED
I WORK TO BE DONE BY OWNER 0 CONTRACTOR Lie 1
1
RECEIPT OF FEES IS ACKNOWLEDGED AS FOLLOWS: i
TYPE APPROXIMATE VALUE PERMIT FEES.
LOF WORK
ISSUING
BUILDING I i 2 0 _ ,- G' a
GAS PIPING _
PLUMBING AND W.S.
SEWER CONNECTION INSP. 1
MECHANICAL _
PLAN CHECK FEES� p _ 3 :'�
w MISC. , ` ` ) / . ,to , `l�: . ._.-' ` _ "
TOTAL j i( )
' LEGAL,-DESCRIPTION f/X/ -=`-C it)"f "I-"_ ' ; ' t ri`
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