HomeMy WebLinkAboutPermit File BLD-2022-0551 503 4th Street City of Anacortes Invoice/Permit#: BLD-2022-0551
904 6th Street
Applied date: 07/13/2022
z P.O.Box 547 Issue date: 07/13/2022
Anacortes, WA 98221-0547
Expire date: 01/09/2024
a (360) 293-1901
,00
Job Address: 503 4TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1611 Project:
APN: P56779
Remarks: Install a free-standing wood stove.
Owner: JOHN&MARY GASSER MIGEON Contractor: CRAFT STOVE INSTALLATION LLC
Address: 503 4TH ST Address: 900 W DIVISION ST
ANACORTES WA 98221-1611 MOUNT VERNON WA 98273-3226
Phone: (206)920-8206 Phone: (360)336-2532
License#:
General Information: Fees:
#of Other Mechanical Units 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 commence in 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 mined t is application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED B
f. 1T Y o� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
"' Office Location: 904 6th Street, Anacortes WA 98821
y., Phone: (360) 293-1901
„`1cOR
PLUMBING & MECHANICAL PERMIT APPLICATION
Please complete all applicable information and submit to buildin¢permit@cityofanacortes.ore
PROPERTY INFORMATION
PROJECT ADDRESS ASSESSORS PARCEL NUMBER
503 4th St P56779
PROJECT VALUATION
10750.00 Q RESIDENTIAL COMMERCIAL
PROPERTY OWNER OWNER PHONE
Migeon and Gasser 206-478-2595
OWNER ADDRESS OWNER EMAIL
503 4th St., Anacortes WA 98221 craftstoveswash@comcast.net
APPLICANT INFORMATION
PROPERTY OWNER MCONTRACTOR OTHER:
NAME PHONE
Ben Sousa 360-336-2532
ADDRESS EMAIL
900 W Division, Mount Vernon WA 98273 craftstoveswash@comcast.net
CONTRACTOR INFORMATION
NAME PHONE
Craft Stove Installation 360-336-2532
CONTRACTOR'S BUSINESS LICENSES* STATE LICENSE# EXPIRATION
*All Contractors & Subcontractors must have a valid craftsi831 vh 8/31/22
City of Anacortes business license prior to doing work UBI LICENSE# EXPIRATION
in the City. 604023118 8/31/22
ADDRESS(STREET,CITY,STATE,ZIP) EMAIL
900 W Division St., Mount Vernon WA 98273 craftstoveswash@comcast.net
PROJECT INFORMATION
DESCRIPTION OF PROPOSED WORK:
Install free standing wood stove
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? I_ ]YES X NO
If YES,provide the permit/application number.,
Plumbing/Mechanical Permit Application
Updated December 2021 Page 1 of 3
ee
MECHANICAL
APPLIANCE/EQUIPMENT INFORMATION (NEW AND RELOCATED)
EQUIPMENTTYPE Indicate the number of fixtures for each equipment type TOTAL'
GAS ELECTRIC OTHER-Please specify COMMENT
Furnace
Wall Heater
Water Heater
Heat Pump
Air Conditioner/Handler
Radiant/Hydronic Heating
Exhaust Fans
Range Hood
Fireplace wood fireplace 1
Clothes Dryer&Duct
Stove/Range/Oven
Refrigeration Unit
Gas Piping/Outlet(s)
Boiler BTUs:
Other
TOTAL MECHANICAL OUTLETS 1
PLUMBING FIXTURES
1 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:QFloor 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
o SUBMITTAL REQUIREMENTS _
Z - Z w Z 'm
r r
Plumbing&Mechanical Permit Application ✓ ✓ ✓ ✓
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 ✓ ✓ ✓ ✓
NOTE:
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 & SIGNATURES;
By affixing my signature hereto, I certify that I am the owner,or am acting as the Owner's authorized
agent, and that lication and documents contained with this submittal are complete and
accurate tAE
of my�nowledge and abilities.
711,312
Z
SIG NATU DATE
Plumbing/Mechanical Permit Application
Updated December 2021 Page 3 of 3