HomeMy WebLinkAboutPermit File BLD-2022-0692 3916 S Avenue City of Anacortes Invoice/Permit#: BLD-2022-0692
G 904 6th Street
Applied date: 08/31/2022
P.O.Box 547
Issue date: 08/31/2022
` Anacortes, WA 98221-0547
Expire date: 02/27/2024
(360) 293-1901
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Job Address: 3916 S AVE Permit Type: Mechanical Permit
ANACORTES WA 98221-3647 Project:
APN: P58856
Remarks: Install an A/C unit and air handler
Owner: STUART&ANGELA CURRIE Contractor: HANDYS HEATING DBA MECHANICALAUTOMATI(
Address: 3916 S AVE Address: 17737 STATE ROUTE 536
ANACORTES WA 98221-3647 MOUNT VERNON WA 98273-8754
Phone: (360)941-1789 Phone: (360)428-0969
License#:
General Information: Fees:
#OF AIR HANDLING UNITS<10000 1 Mechanical Permit Fees 44.80
#of Air Conditioning Units 1 Total Calculated: 44.80
Deposits/Receipts: 0.00
Total Due: 44.80
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 anti-examine J this application and know the same to
be true and correct.
SIGNATURE OF OWNER OR AUTHORIZED AGENT 4ISS BY
081 Y o PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
Mailing Address: P.O. Box 547, Anacortes, WA 98221
Office Location: 904 6tn Street, Anacortes WA 98821
Phone: (360) 293-1901
PLUMBING & MECHANICAL PERMIT APPLICATION
Please complete all applicable information and submit to buildinj;permit(&cityofanacortes.ore
PROPERTY INFORMATION
PROJECT ADDRESS W iA ASSESSORS PARCEL NUMBER
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PROJECT VALUATION
RESIDENTIAL COMMERCIAL
PROPERTY OWNER WNER PHONE
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APPLICANT INFORMATION
PROPERTY OWNER CONTRACTOR OTHER:
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CONTRACTOR INFORMATION
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CONTRACTOR'S BUSINESS LICENSES STATE LICENSE# EXPIRATIONlb�/0-7/9M
*All Contractors & Subcontractors must have a valid 3S vJ
City of Anacortes business license prior to doing work UBI LICENSE# EXPIRATION
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ADDRESS(STREET,CITY,STATE,ZIP) rnC�l EMAIL
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PROJECT INFORMATION
DESCRIPTION OF PROPOSED WORK:
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? j j YES NO
!f YES, provide the permit/application number.
Plumbing/Mechanical Permit Application
Updated December 2021 Page 1 of 3
PLUMBING & MECHANICAL PERMIT APPLICATION CHECKLIST
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0° SUBMITTAL REQUIREMENTS:7RESIDENTIAL,
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Plumbing& Mechanical Permit Application ✓ ✓ V/
Mechanical Plans
Structural Calculations V/
State Non-Residential Energy Code Compliance Form ✓
Manufacturer's Specifications/CutSheets ✓
Plumbing Plans ✓
Listed &Tested Fire Stopping Assemblies ✓
Elevation View for Roof Mounted Equipment ✓ ✓
Existing Floor Plan V/ V,
New Floor Plan V/ ✓ ✓ ✓
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 most
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 complete and
accurate to the best of my knowledge and abilities.
SIGNATURE DATE
Plumbing/Mechanical Permit Application
Updated December 2021
Page 3 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
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
oilets Refrigerator water supply
Kitchen Sink Pressure Reduction Valve/Regulator
Utility Sink ater Service Line
ub ater Piping
Hand Sink ashing Machine
Shower
Electric Water Heater:Tank-less? Yes❑ No
Dishwasher Backflow Prevention Device
Urinal Hose Sib
Floor Drain/Floor Sink Drinking Fountain
Hydronic Heat in:[]Floor Wall rease Interceptor
Other-please specify:
TOTAL PLUMBING FIXTURES
Plumbing/Mechanical Permit Application
Updated December 2021
Page 2 of 3