HomeMy WebLinkAboutPermit File BLD-2021-0827 1914 29th Place •
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P.O.Box 547 ��a�c���� ieU� date: � ()/06/2021
issue date: i 0/06/2021
/ :' Anacortes, WA 98221 -0547
�84E ,;}r E��Orf�e date: 0 !/04/2023
:- (360) 293-1901
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Job Address: 1914 29TH PL Permit Type: Mechanical Permit
ANACORTES WA 98221-3871 Project:
APN: P122605
Remarks: REPLACE GAS FURNACE AND ADD A/C UNIT.
Owner: JOHN B SWITZER Contractor: WASHINGTON ENERGY SERVICES
Address: 1914 29TH PL Address: 3909 196TH ST SW
ANACORTES WA 98221-3871 LYNNWOOD WA 98036-5732
Phone: (360) 755-3339 Phone: (206) 378-6648
License #:
General Information: Fees:
# Forced Air Furnace <=100k 1 Mechanical Permit Fees 48.95
# of Air Conditioning Units 1 Total Calculated: 48.95
Deposits/Receipts: 0.00
Total Due: 48.95
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 examtr ct ythis application and know the same to
be true and correct.
i7(Err,-->!
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSb-ED-
G � PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address: P.O. Box 547, Anacortes, WA 98221
1c11119r Office Location: 904 6th Street, Anacortes WA 98821
�` Phone: (360) 293-1901, Fax: (360) 293-1938
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street, Suite#): Parcel(s)#:
Subdivision/Lot#:
Residential ❑ Commercial ❑
APPLICANT: Phone: Fax:
Address(Street,City, State,Zip): E-Mail Address:
PROPERTY OWNER: Phone: Fax:
Address(Street,City, State,Zip): E-Mail Address:
CONTACT PERSON: Phone: Fax:
Address(Street,City, State,Zip): E-Mail Address:
CONTRACTOR:* Phone: Fax:
Address(Street,City, State,Zip): E-Mail Address
Contractor's License# Exp.Date:
*All Contractors& subcontractors must have a valid City of
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968.
Is this work, associated with another project? Yes ❑ No ❑ If yes, specify:
PROPOSED WORK:
I declare under penalty of perjury that the information I have provided on this foam/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: Owner ❑ Agent ❑ (specify):
Signature: Date:
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#_Elec#_Other: # BTUs:<100k_>100k_Location(s)
Wall Heater: Gas#_Elec#_Other: # BTUs:<100k>100k_Location(s)
Air Handler: Gas#_Elec#_Other: # BTUs:<100k>100k_Location(s)
Water Heater: Gas# Elec# Other: # BTUs: <100k>100k Location(s)
AC Unit/Boiler/
Heat Pump/ Roof Gas#_Elec# Other: # BTUs: <100k, 100k-500k, 500k-
Top Unit(Circle 1Mil HP: <3, 3-15,_15-30 Location(s)
selected):
Hydronic Heating: Gas#_Elec#_In-Floor_Wa11 Radiant Boiler BTUs: Location
Exhaust Fans Bath# Kitchen# Laundry#_Other: #
(single duct):
Fireplace/Insert: Gas#_Elec#_Other: # Location(s)
Stove/Range/Oven: Gas#_Elec#_Other:_# Location(s)
Range Hood: # Location(s)
Refrigeration Unit: Gas#_Elec#_Other:_# Location(s)
Outdoor BBQ: Gas#_Elec#_Other:_# Location(s)
Clothes Dryer&Duct: Gas#_Elec#_Other:_# Location(s)
Gas Piping: # Location(s)
Other: # Location(s)
Location(s)
TOTAL OUTLETS:
PLUMBING FIXTURES:
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Pressure Reduction Valve/Pressure Regulator:
Urinal: Backflow Prevention Device:
Sink(kitchen, laundry, lavatory,hand,bar,slop,
eye wash, etc.): Water Service Line:
Tub/Shower: Drinking Fountain:
Dishwasher: Clothes Washer:
Hose Bib: Hydronic Heat in: Floor ❑ Wall ❑
Water Heater Tankless? Yes ❑ No ❑ Grease Interceptor:
Floor Drain/Floor Sink: Water Piping:
Refrigerator water supply(for water/ice
dispenser): Other:
TOTAL OUTLETS: TOTAL OUTLETS:
G. PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
Isk PLUMBING AND MECHANICAL PERMIT CHECKLIST
K,r.—0.- Mailing Address: P.O. Box 547, Anacortes, WA 98221
w�' Office Location: 904 6th Street, Anacortes WA 98821
" -.— Phone: (360) 293-1901, Fax: (360) 293-1938
PROJECT ADDRESS:
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:
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SUBMITTAL REQUIREMENTS: r. 'I
ten, The number indicates the number of r "r r b C
elD copies for submittal(if applicable). 4 b E
rD
A� A: MA
A:
Plumbing&Mechanical Permit Application 1 1 1 1
Mechanical Plans 1
Structural Calculations 1
State Non-Residential Energy Code Compliance Form 1
Manufacturer's Specifications/Cut Sheets 1 1
Elevation View for Roof Mounted Equipment 1 1
Plumbing Plans 1
Listed &Tested Fire Stopping Assemblies 1
1. Handouts and Standard Details may be found on the City's website at www.cityofanacortes.org 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.