HomeMy WebLinkAboutPermit File BLD-2021-0911 4317 Cherry Court ►-' C Cityof Anacortes
.. :: Invoice/Permit #: BLD-2021-0911
904 6th Street Applied date: 11/03/2021
P.O.Box 547 Issue date: 11/03/2021
`. ' Anacortes, WA 98221-0547
Expire date: 05/02/2023
Job Address: 4317 CHERRY CT Permit Type: Irrigation Permit
ANACORTES WA 98221 Project:
APN:
Remarks: INSTALL AYARD IRRIGATION SYSTEM WITH BACKFLOW DEVICE.
Owner: LG ANACORTES LLC Contractor: LG ANACORTES LLC
Address: 504 E FAIRHAVEN AVE Address: 504 E FAIRHAVEN AVE
BURLINGTON WA 98233-1846 BURLINGTON WA 98233-1846
Phone: Phone: (360) 755-9021
License #:
General Information: • Fees:
# of Backflow Devices 1 Plumbing Permit Fee 34.00
# of Water Piping 1 Total Calculated: 34.00
Deposits/Receipts: 0.00
Total Due: 34.00
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 ex edlhis application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUE
„ .
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:`s rj PLANNING. COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
� 1 . PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547. Anacortes, WA 98221
-- () Office Location: 904.6th Street, Anacortes WA .98821
Phone.'('3ti0) 293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): P. CEL(S)#: 1 PROJECT VALUATION: 1
43/ -7 GN tlLri"f Gc 't -r 1 - 5k_
Subdivision/Lot#:
Y . ,RESIDENTIAL c' COMMERCIAL
rAPPLICANT: 'Phone: -_
L.. AtiAC.c&-r:c5 LLC_ 36e - -755 -ga21
} Address(Street,City,State,Zip): Email Address: _
5 L/ E Pil iR'H i►YEr► qV6 4)v,z ...t.N4s o a-,aw gg2�13, 1"c \or C-Airx r -nit' .e., ;
PROPERTY OWNER: ' Phone:
LG A ►iA cc. n.'rws 1.- L c, 3bp - 155 - 902 1
Address(Street,City,State,Zip): Email Address:
5p 4 E '.A 1 A.i►..v s Ni i.v s ;vit.,L1 Ni..v s•I V-IP g432. : �o,
CONTACT PERSON: ' 13 Phone:' �10�' C, G..-��e.�c J exit a_..-,
>)AvIS' N40...,,..1 36d - 6G / - 32:72
Address(Street,City,State,Zip): Email Address:
Sot► 'E FAan..N'.VSr. hv's tvM1t.t 1.r0-fa 'vJr. cici 60.4(' n oYwn0,
CONTRACTOR:* i I Phone: ys�.ha e.�:�C,n y ,C ;:►,
LA14DCO GEtv'Trn.
y 360 - 1SS - 9 o21
Address(Street,City,State,Zip): Email Address:
Soo E PA 44.1-4A4tsr AVe gv2Ltwt.}c-N a1.+a. 7-3 +G 1p . e. k G+-12) e, 'P.�n-At` ' , cb--'\
�' Professional License#: Exp.nate:
*All Contractors& subcontractors must have a valid City(ye (00 3 Li03 9b 9
Anacortes business license prior to doing work in the City. Business License#: I Exz Qate;
Contact the City's Finance Department at(360)299-1968. �( OvNQ, L81 0�'�--
Is this work,associated with another project? Yes ( No f ' if yes,specify: r •
PROPOSED WORK: Z e)5-r A\\_ MILA..l G.A -r so-NJ c-' IAo..)5G� viva t.”- co..,37nvL-rx0 1
1 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: fl 21" Si-+a v✓ Owner ❑ Agent l (specify): 0 a n.6 c-s o;u
Signature: ' Date: 111211-1
.
MECHANICAL:
Equipment Type: Appliance/Equipment Information (new and relocated): Total #:
Furnace: 1 Gas#: Elec#: Other#: Location(s):
Wall Heater: Gas#: Lice.#: '" a Other:#: Location(s):
Gas Water Heater: #: Location(s):
Heat Pump: Lice#: Other#: Location(s):
Air Conditioner/Handler: Elec#: Other:#: Location(s):
Radiant/Hydronic Heating: Gas#: Elec#: Other:#: Location(s):
Exhaust Fans: Bath It: Laundry#: Kitchen#: Other#:
Range Hood: ' #: Type 1 or 2 (Circle which one) Location(s):
Fireplace: Gas it: Lice#: Other:#: Location(s):
Clothes Dryer&Duct: Gas It: Lice#: Other: #: Location(s):
{ Stove/Range/Oven: Gas#: Dec#: Other:#: Location(s):
Refrigeration Unit: Elec#: Other:#: Location(s):
M
I Gas Piping/Outlet(s): #: Location(s):
Boiler: Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s):
-11,t ; i TOTAL MECHANICAL OUTLET
PLUMBING FIXTURES:
Pi
Fixture Type(new and relocated): E Total#: Fixture Type(new and relocated): I Total#:
Water Closet(Toilet): Refrigerator water supply(for water/ice dispenser): '
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: I Water Service Line:
Tub: i Water Va Piping: I
� p
Hand Sink: Clothes Washer: ^_^�
Shower: I Electric Water heater: Tank-less? Yes 0 No ❑
Dishwasher: Backflow Prevention Device: I
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor: 1
Other: Other:
IACTlIIG FI 'f ITES
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