HomeMy WebLinkAboutPermit File BLD-2021-0822 2007 10th Street - 0' Cityof Anacortes
Invoice/Permit #: BLD-2021-0822
904 6th Street
Applied date: 10/06/2021
"1"1 P.O.Box 547 Issue date: 10/06/2021
C4 Anacortes, WA 98221-0547
T7 �a�t Expire date: 04/04/2023
r l �,- (360) 293-1901
Job Address: 2007 10TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1421 Project:
APN: P56127
Remarks: INSTALL GAS FIREPLACES IN LOWER AND UPPER LEVEL OF HOME IN EXISTING MASONARY FIREPLACES AND
ADD GAS LINES TO NEW INSERTS. +++Contractor will need a City of Anacortes business license endorsement prior to
work+++
Owner: -ERIC-&-GRETCHEN-BECKER-HANNA Contractor: ADVANCEDJNSTAI-LATIONS_INC
Address: 2007 10TH ST Address: 16504 HVVY 99
101
ANACORTES WA 98221-1421 LYNNWOOD WA 98037
Phone: (206) 240-8754 Phone: (425) 745-5977
License #:
General Information: Fees:
# of Gas Fireplace 2 Mechanical Permit Fees 49.55
# of Gas Piping 2 Total Calculated: 49.55
Deposits/Receipts: 0.00
Total Due: 49.55
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 comme -. 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 a - exami -d this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
�V " 0� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
.� Mailing Address: P.O. Box 547, Anacortes, WA 98221
?? ICI
, `' 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#): P ErL((S)#: PRO CT VALUATION:
Subdivision/Lot#: RESIDENTIAL CO RCIAL ❑
iV,PLICANT:..zwer_krz______ Phone:
Addr
ess(Street,
City,
St te,Zip): Email Address:
f, 7d ! lit iv, f�,-,6,4 vie 5 -� eri"
P RTY OWN / Phone:Address(Street,Ci , tate,Zip):� �� Email Address:
CONTA
PERSO 7 i Phone:
Address et,Ci ,St te,Zip): Email Address:
Nie
CTRACTOR: '97 / 1,4 Phone:
- Nam. 7, �9 .�A s Street,Ci//tV)11,44-701/1
ttZip): ���� q� Email Addr ss A�,�/ ' fr�, W,� l��,d r I
f Professional License#: Exp. te:
* Contractors&subcontractors must have a v id City of �/��, /)i is ��
Anacortes business license prior to doing work in the City. business License#: Ex .Dat .
Contact the City's Finance Department at(360)299-1968.
Is this work, associated with another project? Yes No 0 If yes,specify: v_ -O022 ....d86,
PROPOSED WORK:
•
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 or to submit a permit
application t of Anacortes.
Print Nam - Owner .Agent ❑ ( ecify):
Si ure: Date: df9 `1 0071
IECHANICAL:
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 i or 2 (Circle which one) Location(s):
Fireplace: / Gas#: Elec#: Other:#: Location(s): p
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 ❑ Wall ❑ i Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES: if,,/4-