HomeMy WebLinkAboutPermit File BLD-2022-0218 1602 12th Street Ca City of Anacortes Invoice/Permit#: BLD-2022-0218
904 6th Street
Applied date: 03/28/2022
` 0 P.O.Box 547 Issue date: 03/28/2022
Anacortes, WA 98221-0547
Expire date: 09/24/2023(360) 293-1901
Job Address: 1602 12TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-2113 Project:
APN: P58003
Remarks: Install a 2-head mini split heat pump. Owner: 415-602-7835
Owner: CAROLYN SURYAN Contractor: BARRON HEATING &A C
Address: 1602 12TH ST Address: 5100 PACIFIC HWY
ANACORTES WA 98221-2113 FERNDALE WA 98248-9080
Phone: Phone: (360)676-1131
License#:
General Information: Fees:
#of Heat Pumps<=3 Hp 1 Mechanical Permit Fees 38.20
Total Calculated: 38.20
Deposits/Receipts: 0.00
Total Due: 38.20
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 e ed this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT I
Y pet PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
l r PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address:P.O. Box 547, Anacortes, WA 98221
,cow 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:
1602 12TH ST P58003 $10,201.26
3806Subdivision/Lot 0 -00 0 RESIDENTIAL ® COMMERCIAL ❑
3806-002-020-0002
APPLICANT: Phone:
BARRON HEATING- MAKENNA STEINKAMP 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 PACIFIC HWY SUITE #103, FERNDALE, WA, 98248 MAKENNAS@BARRONHEATING.COM
PROPERTY OWNER: Phone:
CAROLYN SURYAN 415-602-7835
Address(Street,City,State,Zip): Email Address:
1602 12TH ST ANACORTES, WA, 98221 N/A
CONTACT PERSON: Phone:
MAKENNA STEINKAMP- BARRON HEATING 360-676-1131 EXT. 161
Address(Street,City,State,Zip): Email Address:
5100 PACIFIC HWY SUITE #103 FERNDALE, WA, 98248 MAKENNAS@BARRONHEATING.COM
CONTRACTOR:* Phone:
BARRON HEATING 360-676-1131
Address(Street,City,State,Zip): Email Address:
5100 PACIFIC HWY SUITE #103 FERNDALE, WA, 98248 MAKENNAS@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 0 If yes, specify:
PROPOSED WORK: TWO HEAD MINI—SPLIT HEAT PUMP INSTALLATION
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: MAKENNA STEINKAMP Owner ❑ Agent 0 (specify): CONTRACTOR
Signature: c�Z�ZG>rL���� Date: 03/28/2022
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): ID U AND O D U 1
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): #: 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 0 Wall ❑ Grease Interceptor:
Other: Other:
TOTAL PLUMBING FIXTURES:
GNS Y O PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
�
I PLUMBING AND MECHANICAL PERMIT CHECKLIST
�� w7. Mailing Address: P.O. Box 547, Anacortes, WA 98221
4coR: Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
PROJECT ADDRESS: 1602 12TH ST ANACORTES, WA, 98221
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:
►a c eD c O
;'' a -
SUBMITTAL REQUIREMENTS: 2. 2. a'
n The number indicates the number of A= .00
n copies for submittal(if applicable). 4 c4 b E 0
A• w UQ cra
A:
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 V ✓ ✓ V
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.