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HomeMy WebLinkAboutPermit File BLD-2021-0937 1419 10th Street % CR ©u Pr1�c� C©[r'�C�s .,t lInv ce/Pernnit . a C 1 i -2021-0937 904 6th Street AppHed dated [1/ 71202 1101 . P.O.fox 547 ► '"' ;' llssu date: i 11712021 Anacortes, WA 98221-0547 vsk 1891 , z- Expwe date: 05/1i ��/2023 (360) 293-1901 Job Address: 1419 10TH ST Permit Type: Plumbing Permit ANACORTES WA 98221-1923 Project: APN: P55732 Remarks: EXTEND GAS LINE TO METER, ROUGH-IN PLUMBING FOR 2 TOILETS, 4 SINKS, 1 UTILITY SINK, 1 TUB, AND 1 SHOWER. Owner: STEVEN & DONNA GREENHUT Contractor: JO ABSOLUTE PLUMBING INC Address: 1419 10TH ST Address: 222 ANDERSON RD SUITE A ANACORTES WA 98221-1923 MOUNT VERNON WA 98274 Phone: (909) 260-9836 Phone: (360) 610-6141 License #: General Information: Fees: # of Tubs, bath 1 Plumbing Permit Fee 83.00 # of Gas Piping 1 Total Calculated: 83.00 # of Hand Sinks 4 # of Water Closets (Toilets) 2 Deposits/Receipts: 0.00 # of utility Sinks 1 Total Due: 83.00 # of Showers 1 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 )(amine this application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSCJ �1e PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT PLUMBING & MECHANICAL PERMIT APPLICATION }7 Mailing Address: P.O. Box 547, Anacortes, WA 98221 � � 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: 1 y IQ I o .5t- ' 5 5 33 z, 'a 57zo,_vO Subdivision/Lot#: RESIDENTIAL C' COMMERCIAL ❑ ux-S f V2°F M i- 4 all oc l of 10 &tc h- I l L APPLICANT: Phone: 141)3 01 u.f c• ?I ccrn h c',79 3(.0 o cot 0 - Co I SI I Address(Street, City, State,Zip): Email Address: p 30yr 1.44s, f'hour►f Wen°a l[]4 Cgj273 _ &losolaftpila.w►Ioirt5Z4F-7eyhoo.COm PROPERTY OWNER: Phone: -C.A.(e rl Crrec n h LL+ 3coo Colo - [o I LI Address(Street,City, State,Zip): Email Address: 1 Ll 1 Gi 10"Sf Paxori-es &J� g9Zz I of ar-fLp1u+ L'+��2`f7�a yahoo. r+�t CONTACT PERSON: Phone: Jerem 0lr'vex- 3G0 Co/O -Col L/1 Address TStreet, City, State,Zip): Email Address: Z22 fittledZor774A, VY]ounf lit(Mn NA 41F273 salufcplw.he'n j247e yakoo. cowl CONTRACTOR:* Phone: Jo Ph.olaJL 7u. t n5 Mc_ 3&0 6to - &I y 1 Address(Street,City,State,Zip): Email Address: _2.22- t4nd an Rd Sit14 , rl1p i+ Vc,/nov, &xi - 3 dbsolwd-e-plumbt Vileojahoe•cam *All Contractors& subcontractors must have a valid City of Professi*nal License#: Exp.Date: Anacortes business license prior to doing work in the City. rigsode �7�U 9lOfate: Contact the City's Finance Department at(360)299-1968. Business License#: Exp.Date: c0o3 3oi 333 S/3i I zoza. Is this work,associated with another project? Yes ❑ No Pr If yes, specify: PROPOSED WORK: t e/ d jas b'vte_ its re'clt ntef i • 2ou5 h i'rn .Ind 4-441 ou f hwo tad'k4s, Cora►' / v si des , one t?uradrej, .Sr!?k. , one, tu5Jchor,'er- and Or7 L Shower- 041i. • 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 owneror duly authorized agent of the property owner to submit a permit application to the City of Anacortes. Print Name: Jaa1iL f-/1'(I Owner ❑ Agent El(specify):t noklcee'' Signature: dc_ Date: 1 i /17/Zo?rl MECHANICAL: 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 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): #: 35' Location(s):EXftrxl,;.-79 J as /,:�C. fo re,c-I, y3tefeL,,- 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): 1 Refrigerator water supply(for water/ice dispenser): Kitchen Sink: Pressure Reduction Valve/Pressure Regulator: Utility Sink: I Water Service Line: Tub: I Water Piping: Hand Sink: £4 Clothes Washer: Shower: j Electric Water Heater: Tank-less? Yes ❑ No ❑ Dishwasher: Backflow Prevention Device: Urinal: Hose Bib: Floor Drain/Floor Sink: Drinking Fountain: Hydronic Heat in: Floor 0 Wall 0 Grease Interceptor: Other: Other: TOTAL PLUMBING FIXTURES: 9