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HomeMy WebLinkAboutPermit File BLD-2022-0965 1608 Georgia Place City of Anacortes Invoice/Permit#: BLD-2022-0965 _ 904 6th Street P.O.Box 547 Applied date: 12/22/2022 Issue date: 12/22/2022 Anacortes, WA 98221-0547 Expire date: 06/19/2024 (360) 293-1901 --,o 77� Job Address: 1608 GEORGIA PL Permit Type: Mechanical Permit ANACORTES WA 98221-1368 Project: APN: P99826 Remarks: install a boiler, Instinct S110, 110K BTU. Owner: 360-299-3309 Owner: GROTTE TOM SEPARATE PROP TRUST Contractor: CPI PLUMBING&HEATING Address: 1608 GEORGIA PL Address: 1900 RAILROAD AVE ANACORTES WA 98221-1368 MOUNT VERNON WA 98273-4957 Phone: Phone: (360)428-5636 License#: General Information: Fees: #of Boilers> 100,000 BTU 1 Mechanical Permit Fees 50.65 Total Calculated: 50.65 Deposits/Receipts: 0.00 Total Due: 50.65 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 ine is application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISS r PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 61h Street, Anacortes WA 98821 ,Ilo ►�, Phone: 360 293-1901 tc�o' ( ) PLUMBING & MECHANICAL PERMIT APPLICATION Please complete all applicable information and submit to buildingpermit@cityofanacortes.org PROPERTY INFORMATION PROJECT ADDRESS ASSESSORS PARCEL NUMBER L--r0 r PkA qd ) PROJECT VALUATION % 1.I .L oG ©RESIDENTIAL COMMERCIAL PROPERTY OWNER OWNER PHONE 00-'A\ C�vut1e 3W - 2- q - 3309 OWNER ADDRESS OWNER EMAIL Q r IGcv C � C7 CA ook Corr, APPLICANT IN ORMATION ❑PROPERTY OWNER ZCONTRACTOR OTHER: NAME PHONE CPI Plumbing, Heating, Cooling 360-218-7863 ADDRESS EMAIL 1900 Railroad Ave, Mt. Vernon, WA 98273 permitting@cpiplumbing.com CONTRACTOR INFORMATION NAME PHONE CPI Plumbing, Heating, Cooling 360-428-5636 CONTRACTOR'S BUSINESS LICENSES* STATE LICENSE# EXPIRATION *All Contractors & Subcontractors must have a valid CPIPLPG780MI 2023 City of Anacortes business license prior to doing work UBI LICENSE# EXPIRATION in the City. 604-909-749 2023 ADDRESS(STREET,CITY,STATE,ZIP) EMAIL 1900 Railroad Ave, Mt. Vernon, WA 98273 permitting@cpiplumbing.com PROJECT INFORMATION DESCRIPTION OF PROPOSED WORK: 1`11S�G1.� N&""j l vk§ny lc,} IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? u YES X NO If 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 Air Conditioner/Handler Radiant/Hydronic Heating Exhaust Fans Range Hood Fireplace Clothes Dryer&Duct Stove/Range/Oven Refrigeration Unit Gas Piping/Outlet(s) Boiler t BTUs: 1 l� Other TOTAL MECHANICAL OUTLETS 1 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 9 M K o SUBMITTAL REQUIREMENTS = _ Z Z oo Z oo m D i7 Z n Z C D M 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 & 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. czaAl� 7z 1 2-1 .12 2- SIGNATURE DATE Plumbing/Mechanical Permit Application Updated December 2021 Page 3 of 3 4 , r 1 � w A Stephen & Michael Olsen Gail Grotte#55239244 1608 Georgia Place,Anacortes WA 98221 USA Location: In garage Triangle Tube Instinct 110 Boiler Installation Install Triangle Tube Instinct 1105 95% Boiler.