HomeMy WebLinkAboutPermit File BLD-2022-0393 811 26th Street (2) Al V y PLANNING, COMMUNITY,& ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box S47,Anacortes, WA 98221
hyrj Y®.
Office Location: 904 6th Street, Anacortes WA 98821
Phone: (360) 293-1901
1
PLUMBING & MECHANICAL PERMIT APPLICATION
Please complete all applicable information and submit to buildinepermit@cityofanacortes.ore
PROPERTY INFORMATION
PROJECT ADDRESS ASSESSORS PARCEL NUMBER
811 26TH STREET 3814-008-007-0006
PROJECT VALUATION
8833.00 RESIDENTIAL COMMERCIAL
PROPERTY OWNER OWNER PHONE
KRISTA SWEENEY 3604668139
OWNER ADDRESS OWNER EMAIL
811 26TH STREET ANACORTES WA 98221 ksweeney314@gmail.com
APPLICANT INFORMATION
PROPERTY OWNER ®CONTRACTOR OTHER:
NAME PHONE
GREG MARSHALL 3606785402
ADDRESS EMAIL
142 HARRINGTON ROAD COUPEVILLE WA 98239 marshalismechanical@comcast.net
CONTRACTOR INFORMATION
NAME PHONE
MARSHALLS MECHANICAL INC 3606785402
CONTRACTOR'S BUSINESS LICENSES* STATE LICENSE# EXPIRATION
*All Contractors & Subcontractors must have a valid MARSHM1813JH 04/23
City of Anacortes business license prior to doing work UBI LICENSE# EXPIRATION
in the City. 602 653 746 09/03/22
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL
142 HARRINGTON ROAD, COUPEVILLE WA 98239 1marshallsmechanical@comcast.net
PROJECT INFORMATION
DESCRIPTION OF PROPOSED WORK:
Install Ductless Heat Pump
1S THIS WORK ASSOCIATED WITH ANOTHER PROJECT? ❑YES X NO
f YES,provide the permit/application number.
Plumbing/Mechanical Permit Application
Updated December 2021 Page 1 of 3
MECHANICAL
APPLIANCE/EQUIPMENT INFORMATION(NEW AND RELOCATED)
EQUIPMENT TYPE Indicate the number of fixtures for each equipment type TOTAL
GAS ELECTRIC OTHER-Please specify COMMENT
Furnace
Wall Heater
Water Heater
Heat Pump zone ductless heat pump
Air Conditioner/Handler
Radiant/Hydronic Heating
Exhaust Fans
Range Hood
Fireplace
Clothes Dryer&Duct
Stove/Range/Oven
Refrigeration Unit
Gas Piping/Outlet(s)
Boiler BTUs:
Other
TOTAL MECHANICAL OUTLETS
PLUMBING FIXTURES
FIXTURE TYPE(NEW AND RELOCATED) TOTAL FIXTURE TYPE(NEW AND RELOCATED) TOTAL
Toilets Refrigerator water supply
Kitchen Sink Pressure Reduction Valve/Regulator
Utility Sink Water Service Line
Tub Water Piping
Hand Sink Washing Machine
Shower Electric Water Heater:Tank-less? Yes❑ No❑
Dishwasher Backflow Prevention Device
Urinal Hose Bib
Floor Drain/Floor Sink Drinking Fountain
Hydronic Heat in:[]Floor []Wall Grease Interceptor
Other-please specify:
TOTAL PLUMBING FIXTURES
Plumbing/Mechanical Permit Application
Updated December 2021 Page 2 of 3
PLUMBING & MECHANICAL PERMIT APPLICATION CHECKLIST
COMMERCIAL RESIDENTIAL
3
m r- M C q
0 SUBMITTAL REQUIREMENTS v 3 x
Z Z W M
D Z m
Plumbing&Mechanical Permit Application ✓ ✓ 1/
Mechanical Plans ✓
Structural Calculations ✓
State Non-Residential Energy Code Compliance Form ✓
Manufacturer's Specifications/Cut Sheets ✓ ✓ ✓
Plumbing Plans
Listed&Tested Fire Stopping Assemblies
Elevation View for Roof Mounted Equipment ✓ ✓
Existing Floor Plan ✓ �/ �/ �/
New Floor Plan ✓ �/ ✓ �/
(VOTE:
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.
ACKNOWLEDGEMENTS &SIGNATURE
By affixing my signature hereto, I certify that I am the owner,or am acting as the Owner's authorized
agent, and that the application and documents contained with this submittal are compiete and
accurate to he best of fmy knowledge and abilities.
SIGNATLI w DATE
Plumbing/Mechanical Permit Application
Updated December 2021 Page 3 of 3