HomeMy WebLinkAboutPermit File BLD-2021-0953 3812 R Avenue City of Anacortes
Erw o 0;e/Perot nisi: BLD-2021-0 053
904 6th Street
. AppdueD date: 1 u/2412021i
''"rwileaellior . P.O.Box 547 DssLe date: t 1/2412021i
Anacortes, WA 98221-0547
164' kri
f- 360 293-1901 =xpw date: 0612 1202
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Job Address: 3812 RAVE Permit Type: Mechanical Permit
ANACORTES WA 98221-3638 Project:
APN: P58820
Remarks: INSTALLA GAS FIREPLACE INSERT TO EXISTING GAS LINE OUTLET.
*miner: MEGAN WYLIE Contractor: CRAFT STOVE INSTALLATION LLC
Address: 3812 RAVE Address: 900 W DIVISION ST
ANACORTES WA 98221-3638 MOUNT VERNON WA 98273-3226
Phone: (360) 420-5011 Phone: (360) 336-2532
License #:
General Information: Fees:
# of Gas Fireplace 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 and examined this application and know the same to
be true and correct.
SIGNATURE OF OVVNER OR AUTHORIZED AGENT ISSUED BY
GAT Y�� PLANNING,COMMUNITY,&ECONOMIC DEVELOPMENT DEPARTMENT
% PLUMBING & MECHANICAL PERMIT APPLICATION
7+14:10,447: Mailing Address: P.O.Box 547,Anacortes, WA 98221
"1-coltY Office Location: 904 6ll'Street,Anacortes WA 98821
Phone: (360)293-1901
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT CT ADD VA
SS (Street,Suite#): PARCEL(S)#: PROJECT LUATION:
33 I2 , , , P s Fszo 3Los —
SubdiLOT vision/Lot#: RESIDENTIAL 'W COMMERCIAL ❑
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APPLICANT: Phone:
C rct -I- S-FoJe -3(0 0-3 -7 2—
Address (Street,City,State,Zip): Email Address:
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PROPERTY OWNE : Phone:
� WSJ C. 3(pb-420- sot I
Address Street,City,State,Zip): Email Address:
3$r12 ' t hie, A't tr dcs W ZZ 1
CONTACT PERSON: Phone:
n SOLI 3 b 3: LQ-2S3 2--
Address(Street,City,State,Zip): Email Address:
qDD W ,DidlSIb(N MA- Vesnu\ WA C W-13 CrA-F-4-slz,4es SKCcuµcc1Si-, net
CONTRACTOR:* Phone:
UCL-Pr Si-ova T\s-6 11a 0-n 3(oD-33b-7 32_
Address(Street,City,State,Zip): Email Address:
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*All Contractors&subcontractors must have a valid City of Professional License#: Exp.Date:
Anacortes business license prior to doing work in the City. L�� 31 L l t p/31 :Z!j Z 2
Contact the City's Finance Department at(360)299-1968. Business License#: Exp.Date:
Is this work,associated with another project? Yes ❑ No f" If yes,specify:
PROPOSED WORK: I ✓1 S+I-&-1,1 ejas 1✓ASe/-1` Fj i(e p I ete e 'fro ty 4 c f
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 Anaco s. p ,, a J
Print Name: ® r Ll) (� Gt- D I it t7 Owner ❑ Agent Fl(specify): f i�i rii in
Signature: Date: 1 I Ili fit/7i/
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): U L;
Clothes Dryer&Duct: Gas#: Elec#: Other: #: Location(s): J
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):
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:
Boor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor:
Other: Other: