HomeMy WebLinkAboutPermit File BLD-2021-0219 2319 30th Street 1 C} City of Anacortes Invoice/Permit#: BLD-2021-0219
904 6th Street
Applied date: 03/22/2021
P.O.Box 547 Issue date: 03/31/2021
_ 0, Anacortes, WA 98221-0547
(360) 293-1901 Expire date: 09/27/2022
445/
Job Address: 2319 30TH ST Permit Type: Single Family Alteration/Repair Permit
ANACORTES WA 98221-2605 Project:
APN: P57712
Remarks: BATHROOM RENOVATION AND INSTALL WINDOW IN BATH,TILE SHOWER,AND REMOVE NON LOADBEARING
WALL.
Owner: BONNIE BAUGH Contractor: ZACH GELEYNSE DESIGN LLC
Address: 2319 30TH ST Address: 14225 HEMLOCK PL
ANACORTES WA 98221-2605 ANACORTES WA 98221
Phone: (360)708-9365 Phone: (360)389-7347
License#:
General Information: Fees:
Flood plain development N Building Permit Fee 153.25
Building Valuation 8000 Plan Review Fee 99.61
#of Showers 1 State Building Code Fee Resi 6.50
Plumbing Permit Fee 27.00
Total Calculated: 286.36
Deposits/Receipts: 0.00
Total Due: 286.36
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.
7 '
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
/ T Y o PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
1 rAW
PLUMBING & MECHANICAL PERMIT APPLICATION
7low
,y1W; Mailing Address:P.O. Box 547, Anacortes, WA 98221
1to�1- 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:
231a 3o-141
Subdivision/Lot#: RESIDENTIAL COMMERCIAL ❑
APPLICANT: Phone:Zac 36 d 3 g q �3 y 7
h Cz-e.kyr ce.
Address(Street,City,State,Zip): Email Address:
PROPERTY OWNER: Phone:
BM ti BorH-e. ISOo 1~, (36O) -in --g 3 p S
Address(Street,City,State,Zip): Email Address:
CONTACT PERSON: Phone:
ZQ C-u, y%
Address(Street,City,State,Zip): Email Address:
l�(22S !k-e►NAA,oc,1,` pl A r,o rye S to A
CONTRACTOR:* Phone:
Zack 6-eA-tAi n52.
Address(Street,City,State,Zip): Email Address:
AS a. b a J'G
*All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date:
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. p y c 3 52 Z`2-`1 ILo 22
Is this work,associated with another project? Yes 0 No If yes,specify:
PROPOSED WORK: SiAirwoom r-Peyo.ra ;nn. In€441 )Z"X31c' W i�d.o,� _ Ting Sh.,-
RQ—e_ 6.17.4 b wt. 2
-et t over cidi
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: atc,h C�/Lec9'�5 L Owner 0 Agent (specify): n r Ccn-;
Signature: Date: 3/Zt I 2n zi
i G%.1.Y 04, PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING AND MECHANICAL PERMIT CHECKLIST
ice._ !'" WA 98221
7 Mailing Address: P.O. Box 547, Anacortes,
\ ` Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360)293-1901
PROJECT ADDRESS: 2 319 30441 `` '-c..
Plans shall be of sufficient clarity to indicate the location, nature,and extent of the work proposed,and
conform to the provisions of the adopted International Codes and City Ordinances.
PERMIT TYPE:
n 0 7d 9
0
Q; g a:
= Bn
0 SUBMITTAL REQUIREMENTS: �, �; Q. m' ep
The number indicates the number of E.
IVO
n copies for submittal(if applicable). e c Ctre
= �;
A to UQ
to r..
Plumbing&Mechanical Permit Application 1 1 1 1
Mechanical Plans 1 0 0 0
Structural Calculations 1 0 0 0
State Non-Residential Energy Code Compliance Form 1 0 0 0
Manufacturer's Specifications/Cut Sheets 1 0 1 0
Elevation View for Roof Mounted Equipment 1 0 1 0
Plumbing Plans 0 0 1 0
Listed &Tested Fire Stopping Assemblies 0 0 1 0
Permit Fee V i I i
. Existing Floor Plan 2 2 2 2
New Floor Plan 2 2 2 2
NOTES:
1. Handouts and standard details may be found on the City's Planning,Community, &Economic
Development website or can be obtained at city hall during normal business hours.
2. Plans, calculation, & reports prepared by state licensed architects or professional engineers must be
stamped and signed by the design professional.
3. If installing a backflow prevention device, it will need to pass test results of which will need to be
submitted to the city for review.
ECHANICA Cc=
. e
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#: IL Laundry#: Kitchen#: Other#: I
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:
_, LUMBING FIXTURES`.
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): 1 Refrigerator water supply(for water/ice dispenser):
Kitchen Sink: _ Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: Water Piping:
Hand Sink: i Clothes Washer:
Shower: I Electric Water Heater: Tank-less? Yes 0 No 1 Ilik
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: I Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES: : -I
1h '7
STATE OF WASHINGTON
BUSINESS LICENSING SERVICE
Thank you for filing online
Our processing time generally takes up to 10 business days. Some endorsements may take more time for state or city
approval. You will receive your business license with approved endorsements in the mail.An updated business license
will be mailed to you when additional endorsements are approved.
Confirmation Number: 0-019-249-360 Filing Date and Time: 03/22/2021 09:03:35 AM
Payment Method: Credit Card ending in 7514
There is a 2.5% credit card convenience fee charged by a third party vendor.
Business Entity Information
Entity Type: Limited Liability Company
Name of Entity: ZACH GELEYNSE DESIGN LLC
Account ID: 604490352-001-0001
Firm Name: ZACH GELEYNSE DESIGN LLC
Endorsement(s)Applied For Begin End Count Fee
Anacortes General Business- 03/22/2021 03/31/2022 1 $40.00
Non-Resident
$40.00
Fee Type Begin End Count Fee
BLS Processing Fee 03/22/2021 1 $0.00
$0.00
Third Party Credit Card Fee $1.00
Grand Total: $41.00
L'L0004
ooSedk
WALL_
Shown
CDO
- _
, 0
door
Gl o S-e,k
I
Tempered or safety
glass if within 60" of
floor. � NQw w,'r�otaw
34, window cAz{o(ed r t�ghac
4X8 header required
if trusses land on ,
header. 41
If trusses or rafters '.
are parallel to
window opening,
header may be
omitted. Call
1-360-391-1403 for Neu -r La_ 5 ha - t r w S I;
clarification. bltass Pc'oe
•
l o:lea- doe s��-�-
Movt
does. +
I
1
% 70 a
0
I
l
Alt.4 _L
r-c
open ddcar
CITY OF AN CORTES
close,* PLANNING AND : UILDING DEPT:
APPROVE a PLANS
REVIEWED FOR CO 1 E COMPLIANCE
PERMIT#: BLD-2021-0219
ADDRESS: 2319 30TH ST
APPROVED BY: -7)1.,f_Ay
SUBJECT TO FIELD INSPECTION.APPROVED PL S SHALL NOT
iay o t&A- BE ALTERED WITHOUT AUTHORIZA ON.