HomeMy WebLinkAboutPermit File BLD-2022-0058 5706 Sugarloaf Street . 0 Cityof Anacortes
Invoice/Permit #: BLD-2022-0058
904 6th Street
''''"0001AllemPor Applied date: 02/01/2022
P.O.Box 547
1.. Issue date: 02/01/2022
,Anacortes WA 98221-0547
Expire date: 07/31/2023
t. +�L71 (360) 293-1901
Job Address: 5706 SUGARLOAF ST Permit Type: Mechanical Permit
ANACORTES WA 98221-2966 Project:
APN: P59080
Remarks: Replace gas furnace in garage.
Owner: WILLIAM & HEATHER ROBERTS Contractor: CPI PLUMBING & HEATING
Address: 5706 SUGARLOAF ST Address: 1900 RAILROAD AVE
ANACORTES WA 98221-2966 MOUNT VERNON WA 98273-4957
Phone: (360) 929-8254 Phone: (360) 428-5636
License #:
General Information: Fees:
# Forced Air Furnace <=100k 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0.00
Total Due: 38.30
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 exarrfin d tl)is application and know the same to
be true and correct. J
•
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISS ED
.�NI Y o� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
�
! _ PLUMBING & MECHANICAL PERMIT APPLICATION
17 Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 61'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)#: PROJECT6 VALUATION:
5706 Sugard Loaf Street, Anacortes Wa 98221 P59093
Subdivision/Lot#: RESIDENTIAL 0 COMMERCIAL 0
APPLICANT: Phone•
Sydnee Butler60-868-6399
Address(Street,City,State,Zip): Email Address:
permitting@cpiplumbing.com
PROPERTY OWNER: Phone:
Heather Roberts 360-929-8254
ddress Str r tro cjeOf
, i State,Zip): Email Address:
ame s
CQNTACT PERSON: Phone:
Sydnee Butler
Address(Street, City,State,Zip): Email Address:
CON RACTO i:* Phone:
CPI Plumbing & Heating 360-868-6399
Address(Street,City,State,Zip): Email Address:
1900 Railroad Ave Mount Vernon Wa permitting@cpiplumbing.com
*All Contractors&subcontractors must have a valid City of Professional License#: E7/xp.Date:
5/23
Anacortes business license prior to doing work in the City. C P I P L P H 850 M N Exp.Date:
Contact the City's Finance Department at(360)299-1968. Business License#: Date:
Active
Is this work,associated with another project? Yes 0 NoR If yes,specify:
PROPOSED WORK:
Boiler Replacment
l 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: Sydnee Butler Owner 0 Agent X(specify): Contractor
Signature: S� Unit, Date: 2/1/22
MECHANICAL:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#: 1 Elec#: Other#: Location(s):Garage 1
Wall Heater: Gas#: Mee#: 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 I 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:
' O PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
j PLUMBING AND MECHANICAL PERMIT CHECKLIST
t� Z. Mailing Address: P.O. Box 547, Anacortes, WA 98221
'M Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PROJECT ADDRESS: 5706 Sugarloaf Street
Plans shall be of sufficient clarity to indicate the location,nature, and extent of the work proposed, and
conform to the provisions of the adopted International Codes and City Ordinances.
PERMIT TYPE:
.0y IC t1D It
SUBMITTAL REQUIREMENTS: y n, a CD
n The number indicates the number of '= .. °= b O
copies for submittal(if applicable). r4et
G
w z 7 a'
-. t' ara
crz
0 .�
Plumbing&Mechanical Permit Application 1 1 1 1
Mechanical Plans 1 0 0 0
Structural Calculations 1 0 0 0
State Non-Residential Energy Code Compliance Form 1 0 0 0
Manufacturer's Specifications/Cut Sheets 1 0 1 0
Elevation View for Roof Mounted Equipment 1 0 1 0
Plumbing Plans 0 0 1 0
Listed &Tested Fire Stopping Assemblies 0 0 1 0
Permit Fee ✓ if ✓ I
Existing Floor Plan 2 2 2 2
New Floor Plan 2 2 2 2
NOTES:
1. Handouts and standard details may be found on the City's Planning,Community,&Economic
Development website or can be obtained at city hall during normal business hours.
2. Plans, calculation, &reports prepared by state licensed architects or professional engineers must be
stamped and signed by the design professional.
3. If installing a backflow prevention device, it will need to pass test results of which will need to be
submitted to the city for review.