HomeMy WebLinkAboutPermit File BLD-2021-0909 4310 Cherry Court 3 _. City of Anacortes Invoice/Permit #: BLD-2021-0909
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: 4310 CHERRY CT Permit Type: Irrigation Permit
ANACORTES WA 98221 Project:
APN:
Remarks: INSTALL A YARD 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 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 an• -xamine+ this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY
•
(3LP20z ) - 07 D9
PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL. PERMIT APPLICATION
I . • •
VFMlateK47 Mailing Address: P.O. Box 547,.Anacortes. WA 98221
os•*, Office Location: 904 6th Street,-Anacoites WA 98821
Phone. ''360) 293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: I PROJECT VALUATION: 1
41310 ci-kanevl C-c),J P135LH?
Subdivision/Lot#: n •
;RESIDENTIAL Lia, COMMERCIAL D
APPLICANT: Phone:
LC, ANAc.aft--rc5 6— 366 - 755 -qt'9- i
Address(Street,City,State,Zip): Email Address:
5-0 q E A/EN 1;10D. f, q it 13, • \ gP.
PROPERTY OWNER: Phone: -) JJ
c, Ay4 r\--rc L. t-C. 34b - -155 - 962 I
Address(Street,City,State.,Zip): Email Address:
' 5.04 &,eLL-1 44(.1t7 V.414 (Van -+CwkAlo r e. 1 "2)e 5e.srii
CONTACT PERSON: Phone:
r4Vts. t•) 3 Ci - — 3 2.-P2-
Address(Street,City,State,Zip): Email Address:
5 0 4 'E VA) A,,;u v Li oaa Nr-a‘s. °Kt. etcx.4 e norwic.,y1 e e \c p
.
CONTRACTOR:* i Phone:
LAVDEO v7- 1 360 - 1-55
Address(Street,City,State,Zip): Email Address:
4 • E FA 14-1-4A4tSe+ AVG P>t=al- pL3 ".ir CA%-\\or e. '2J ctv b-N
Professiotil License Exp.Date:
*All Contractors ct.subcontractors must have a valid City of (.003 q3
Anacones business license prior to doing work in the City. Business License It Ev.,Date:
Contact the City's Finance Department at(360)299-1908. L(30-11(411 DON()% .
is this work,associated with another project? Yes fl( No [1 If yes,specify:
PROPOSED WORK: t 1-0z4,5itt V0.0f.. ‘C.1-4SINA,""C
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: A /2-1- <pi A',"" Owner 0 Agent K(specify): 0 in.-era-T
/
Signature: - Date: 1.-
MECHANICAL:
Equipment Type: Appliance/Equipment Information (new and relocated): Total#:
r —
Furnace: j Gas#: Elec#: Other#: Location(s): {
Wall Heater: Gas#: Elec#: Other:#: Location(s):
Gas Water Heater: #: Location(s):
Heat Pump: Elec#: Other#: Location(s):
- ; I
Air Conditioner/Handler: Elec#: Other:#: Location(s):
-I
1 Radiant/Hydronic Heating: Gas#: Elec#: Other:#: Location(s): ►
t Exhaust Fans: Bath#: Laundry#: Kitchen#: Other#:
Range Hood: i #: 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:#: I-,ocation(s):
Refrigeration Unit: Elec#: Other:#: Location(s):
t--
Gas Piping/Outlet(s): #: Location(s):
it I
Boiler: Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s): i
— — TOTAL,MECHANICAL OUTLETS s
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: 1
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes 0 No 0
Dishwasher: Backflow Prevention Device:
Urinal: , Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ ' Grease Interceptor:
Other: I Other:
TOTAL PLUMBING FIXTURES: 1 '
L J