HomeMy WebLinkAboutPermit File BLD-2021-0192 1313 Portalis Court Ofnvooce/P k°rr�n of .i 3 L D-2O21i -O 92
904 6th Street
Ap pdoed (late: 03/16/2021
P.O.Box 547
issue date: 03/10/2021
Anacortes, WA 98221-0547
-r, 1891 E��G�or date: o °/�i 2/2022
' r" (360) 293-1901
•
Job Address: 1313 PORTALIS CT Permit Type: Mechanical Permit
ANACORTES WA 98221-4049 Project:
APN: P122181
Remarks: INSTALLA GAS LINE FORA BACKUP GENERATOR.
Owner: ANGELA HAWKINS LIVING TRUST Contractor: LIGHTS ON ELECTRIC LLC
Address: 1313 PORTALIS CT Address: PO BOX 310
ANACORTES WA 98221-4049 BOTHELL WA 98041-0310
Phone: (360) 303-0926 Phone: (360) 708-9168
License #:
General Information: Fees:
# of Gas Piping 1 Mechanical Permit Fees 28.25
Total Calculated: 28.25
Deposits/Receipts: 0.00
Total Due: 28.25
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.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
krt Yo PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547,Anacortes, WA 98221
`tiw 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:
1313 Portalis Ct P122181 $8888.00
Subdivision/Lot#: RESIDENTIAL is COMMERCIAL ❑
Portalis Island Homes Lot 26
APPLICANT: Phonfangie_haw@msn.com
Angie Hawkins 360 303 0926
Address(Street,City,State,Zip): Email Address:nn�
1313 Portalis Ct Anacortes WA 98226 lit ►L
PROPERTY OWNER: Phone:
Angie Hawkins 360 303 0926
Address(Street,City,State,Zip): Email Address:
1313 Portalis Ct f a cort E)' � e22Sp angie_haw@msn.com
CONTACT PERSON: Phone:
Angie Hawkins 360 303 0926
Address(Street,City,State,Zip): Email Address:
1313 Portalis Ct Anacortes, WA 98226 angie_haw@msn.com
CONTRACTOR:* Phone:
Lights on Electric LLC 360 708 9168
Address(Street,City,State,Zip): Email Address:
PO Box 310 Bothell WA 98401
*All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date:
LIGHTEL937PK
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-196&
Is this work,associated with another project? Yes ❑ No is If yes,specify:
PROPOSED WORK: inspection of gas piping% G'{G��S t i yi.f:� '1 (
sJ I�.
w. MAR 16 2021
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: /`� l� Owner (N Agent ❑(specify):
�p� 112_f 2.01_
Signature: �"0 Date: