HomeMy WebLinkAboutPermit File BLD-2021-0941 1803 Creekside Lane •
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T 904 6th Street ppvoed date: 11/22/ 021i
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J O Az Anacortes, WA 98221-0547
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$4 360 293-1901 IE purr date: 05/21/ 02
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Job Address: 1803 CREEKSIDE LN Permit Type: Mechanical Permit
ANACORTES WA 98221-2463 Project:
APN: P99861
Remarks: INSTALL AN A/C UNIT TO EXISTING HVAC SYSTEM.
Owner: ZANE & VERLA BROWN Contractor: BARRON HEATING & A C
Address: 1803 CREEKSIDE LN Address: 5100 PACIFIC HWY
ANACORTES WA 98221-2463 FERNDALE WA 98248-9080
Phone: (425) 239-8819 Phone: (360) 676-1131
License #:
General Information: Fees:
# of Air Conditioning Units 1 Mechanical Permit Fees 34.15
Total Calculated: 34.15
Deposits/Receipts: 0.00
Total Due: 34.15
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 a exami e is application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT I B
Y p PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
l r PLUMBING & MECHANICAL PERMIT APPLICATION
VVMailing Address:P.O. Box 547, Anacortes, WA 98221
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co ) 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:
1803 CREEKSIDE LANE P99861 13,956.00
Subdivision/Lot#: RESIDENTIAL l� COMMERCIAL ❑
CREEKSIDEIDEVILLAGE 3, DIV 1, LOT 51
APPLICANT: Phone:
BARRON HEATING 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 PACIFIC HWY SUITE 103 FERNDALE WA 98248 MISTYC@BARRONHEATING.COM
PROPERTY OWNER: Phone:
VERLA BROWN 425-239-8819
Address(Street,City,State,Zip): Email Address:
1803 CREEKSIDE LANE ANACORTES WA 98221 N/A
CONTACT PERSON: Phone:
MISTY CHANDLER 360-676-1131 ext 169
Address(Street,City,State,Zip): Email Address:
5100 PACIFIC HWY FERNDALE WA 98248 MISTYC@BARRONHEATING.COM
CONTRACTOR:* Phone:
BARRON HEATING 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 PACIFIC HWY FERNDALE WA 98248 MISTYC@BARRONHEATING.COM
*All Contractors& subcontractors must have a valid City of Professional License#: Exp.Date:
BARROHA179D7 10/23/2022
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968. 600-092-564 10/23/2022
Is this work,associated with another project? Yes ❑ No M If yes, specify:
PROPOSED WORK: NC ADD TO EXISTING HVAC EQUIPMENT
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: MISTY CHANDLERI/ Owner ❑ Agent l� (specify): ADMIN
Signature: 7/1-1 .CA2422 - Date: /V/9/2/
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: 1 Elec#: 1 Other:#: Location(s):N O RTH SIDE OF HOME 1
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): #: Location(s):
Boiler: Gas#: Elec#: BTUs: Location(s):
Other: #: Location(s):
TOTAL MECHANICAL OUTLETS: 1
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 0 No 0
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor ❑ Wall ❑ Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES: