HomeMy WebLinkAboutPermit File BLD-2022-0557 4909 Macbeth Drive 1 C) City of Anacortes Invoice/Permit#: BLD-2022-0557
904 6th Street
Applied date: 07/14/2022
P.O.Box 547
Issue date: 07/14/2022
Anacortes, WA 98221-0547
Expire date: 01/10/2024
=`n~ (360) 293-1901
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Job Address: 4909 MACBETH DR Permit Type: Mechanical Permit
ANACORTES WA 98221-3025 Project:
APN: P59776
Remarks: Install new generator and gas piping.
Owner: MICHAEL CAVANAUGH Contractor: WASHINGTON ENERGY SERVICES
Address: 4909 MACBETH DR Address: 3909 196TH ST SW
ANACORTES WA 98221-3025 LYNNWOOD WA 98036-5732
Phone: Phone: (206)378-6648
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 and exam' is application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSU
G � PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING & MECHANICAL PERMIT APPLICATION
Mailing Address: P.O. Box 547, Anacortes, WA 98221
L 17
V� Office Location: 904 0 Street, Anacortes WA 98821
17_� Phone: (360) 293-1901, Fax: (360) 293-1938
PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS(Street, Suite#): Parcel(s)#:
Subdivision/Lot#:
Residential ❑ Commercial ❑
APPLICANT: Phone: Fax:
Address(Street,City, State,Zip): E-Mail Address:
PROPERTY OWNER: Phone: Fax:
Address(Street,City, State,Zip): E-Mail Address:
CONTACT PERSON: Phone: Fax:
Address(Street,City, State,Zip): E-Mail Address:
CONTRACTOR:* Phone: Fax:
Address(Street,City, State,Zip): E-Mail Address
*All Contractors& subcontractors must have a valid City of Contractor's License# Exp.Date:
Anacortes business license prior to doing work in the City. Business License#: Exp.Date:
Contact the City's Finance Department at(360)299-1968.
Is this work, associated with another project? Yes ❑ No ❑ If yes, specify:
PROPOSED WORK:
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: Owner ❑ Agent ❑ (specify):
Signature: ^ Date:
Equipment Type: Appliance/Equipment Information(new and relocated): Total#:
Furnace: Gas#_Elec#_Other: # BTUs:<100k_>100k_Location(s)
Wall Heater: Gas#_Elec#_Other: #_BTUs:<100k>100k_Location(s)
Air Handler: Gas#_Elec#_Other: #_BTUs:<100k>100k_Location(s)
Water Heater: Gas# Elec# Other: # BTUs: <100k>100k Location(s)
AC Unit/Boiler/
Heat Pump/ Roof Gas#_Elec#_Other: # BTUs: <100k, 100k-500k, 500k-
Top Unit(Circle 1Mil HP: <3, 3-15,_15-30 Location(s)
selected):
Hydronic Heating: Gas# Elec# In-Floor Wall Radiant Boiler BTUs: Location
Exhaust Fans Bath#_Kitchen#_Laundry#_Other: #
(single duct):
Fireplace/Insert: Gas# Elec# Other: -# Location(s)
Stove/Range/Oven: Gas#_Elec#_Other:_# Location(s)
Range Hood: # Location(s)
Refrigeration Unit: Gas#_Elec#_Other:_# Location(s)
Outdoor BBQ: Gas#_Elec#_Other:_# Location(s)
Clothes Dryer&Duct: Gas#_Elec#_Other:_# Location(s)
Gas Piping: # Location(s)
Other: # Location(s)
Location(s)
TOTAL OUTLETS:
PLUMBING FIXTURES:
Fixture Type(new and relocated): Total#: Fixture Type(new and relocated): Total#:
Water Closet(Toilet): Pressure Reduction Valve/Pressure Regulator:
Urinal: Backflow Prevention Device:
Sink(kitchen, laundry, lavatory,hand,bar,slop,
Water Service Line:
eye wash, etc.):
Tub/Shower: Drinking Fountain:
Dishwasher: Clothes Washer:
Hose Bib: Hydronic Heat in: Floor ❑ Wall ❑
Water Heater Tankless? Yes ❑ No ❑ Grease Interceptor:
Floor Drain/Floor Sink: Water Piping:
Refrigerator water supply(for water/ice
dispenser): Other:
TOTAL OUTLETS: TOTAL OUTLETS:
G=� PLANNING, COMMUNITY, &ECONOMIC DEVELOPMENT DEPARTMENT
PLUMBING AND MECHANICAL PERMIT CHECKLIST
aw Mailing Address: P.O. Box 547, Anacortes, WA 98221
���, w� Office Location: 904 6rh Street, Anacortes WA 98821
" Phone: (360) 293-1901, Fax: (360) 293-1938
PROJECT ADDRESS:
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:
(71
a SUBMITTAL REQUIREMENTS:
The number indicates the number of
copies for submittal(if applicable). CD
b
Plumbing&Mechanical Permit Application 1 1 1 1
Mechanical Plans 1
Structural Calculations 1
State Non-Residential Energy Code Compliance Form 1
Manufacturer's Specifications/Cut Sheets 1 1
Elevation View for Roof Mounted Equipment 1 1
Plumbing Plans 1
Listed &Tested Fire Stopping Assemblies 1
1. Handouts and Standard Details may be found on the City's website at www.cilyofanacortes.org 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.