HomeMy WebLinkAboutPermit File BLD-2022-0143 1417 Latitude Circle C? ' City of Anacortes
�` Invoice/Permit#: BLD-2022-0143
904 6th Street
Applied date: 03/01/2022
P.O.Box 547 Issue date: 03/01/2022
;1`,......,'' =0 Anacortes, WA 98221-0547
,,,,_...,a,. Expire date: 08/28/2023
y (360) 293-1901
Job Address: 1417 LATITUDE CIR Permit Type: Mechanical Permit
ANACORTES WA 98221 Project:
APN:
Remarks: Install generator and transfer switch to existing gas line.
Owner: JOHN T LEWIS TRUST Contractor: ARLINGTON ELECTRIC INC
Address: 1417 LATITUDE CIR Address: 13310 240TH ST NE
ANACORTES WA 98221 ARLINGTON WA 98223-4818
Phone: (360)399-7177 Phone: (360)403-0515
License#:
General Information: Fees:
#of Gas Piping 1 Mechanical Permit Fees 38.90
#of Other Mechanical Units 1
Total Calculated: 38.90
Deposits/Receipts: 0.00
Total Due: 38.90
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 - '. ed this application and know the same to
be true and correct.
— 1111)17
SIGNATURE OF OWNER OR AUTHORIZED AGENT IS'11lir
- T v 0 PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
k�r ��� Mailing Address:P.O. Box 547, Anacortes, WA 98221
'�?coR 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(5)#• PROJECT VALUATION:
1A\71/4 -z �� cc �, Q ti A IL crC,- yid
Subdivision/Lot#: RESIDENTIAL X. COMMERCIAL ❑
APPLICANT: Phone:
kP_i.113G1t ) C.i�1C 1 INC . Sbt"� L/O OSi S
Address(Street,City,State,Zip): Email Address:
j3I o aq O Sr N)E A a Ll N6 T .3 1 A 9 d3 ✓i ov el ec#v;c_ . c on
PROPERTY OWNER: Phone:
CN -off
��d]]dree[ss(Street,City,State,Zip): (� 7� Em IAAddress: 1(6 /
CONTACT PERSON: Phbiie:
Ne-LiNCI-0v\3CLCC-E•1C Itvc_ . &6C U( bSt
Address(Street,City,State,Zip): Email Address:
i33►0 aHc SftivE l ► 6io,Q 3 .ar\;v,G , E(e(-►C_ 0,(-6v1
CONTRACTOR:* Phone:
Poi.,r)GThi\) EL_ C-112.1C, INC . \,cO LADE uc-)i
Address(Street,City,State,Zip): Email Address:
1 3i() NE_Ace..1,►rvG \n1 c 3 Gt✓ii iaielec. c_2 mS . cb1/v1
*All Contractors&subcontractors must have a valid City of Professional License#: Exp. Date:
A uN NE 4
Anacortes business license prior to doing work in the City. Exp. D i 1Finance Department at(360)299-1968. Business License#: Date:
Contact the City'sD t t
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Is this work, associated with another project? Yes ❑ No' If yes,specify:
PROPOSED WORK: Cl j2N CS &O.>, �j®1vk;4Al'I '`,NA5 h�l\
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\_nn40 t�LFA/h Owner ❑ A e ❑ (specify): d'2 Y
Signature: I �� Date: 31 j01,
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: if: 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 if: Other:#: Location(s):
Stove/Range/Oven: Gas#: Elec#: Other:#: Location(s):
Refrigeration Unit: Elec if: Other: #: Location(s):
Gas Piping/Outlet(s): #: Location(s):
Boiler: Gas#: Elec#: BTUs: Location(s):
Other: C` eot v #: Location(s):
TOTAL MECHANICAL OUTLETS: 02
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 ❑ No 0
Dishwasher: Backflow Prevention Device:
Urinal: Hose Bib:
Floor Drain/Floor Sink: Drinking Fountain:
Hydronic Heat in: Floor 0 Wall ❑ Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES: