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Home My WebLink AboutPermit File BLD-2023-0096 2104 Creekside Circle 1T+Y C: City of Anacortes Invoice/Permit#: BLD-2023-0096 904 6th Street P.O.Box 547 Applied date: 02/16/2023 Issue date: 02/16/2023 K. J Anacortes, WA 98221-0547 .° (360) 293-1901 Expire date: 08/14/2024 00 _' Job Address: 2104 CREEKSIDE CIR Permit Type: Mechanical Permit ANACORTES WA98221-2461 Project: APN: P84009 Remarks: Replace furnace with a heat pump and air handler. Owner: LYTLE JOHNSON Contractor: FOSS HEATING AND COOLING Address: 1004 COMMERCIALAVE Address: 333 E BLACKBURN RD PMB 238 ANACORTES WA 98221 MOUNT VERNON WA 98273-9006 Phone: (206) 799-1055 Phone: (360) 336-1517 License#: General Information: Fees: #of Heat Pumps—3 Hp 1 Mechanical Permit Fees 48.85 #OF AIR HANDLING UNITS <10000 1 Total Calculated: 48.85 Deposits/Receipts: 0.00 Total Due: 48.85 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 ined this application and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT I S S D BY PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 Office Location: 904 61h Street, Anacortes WA 98821 �:. 4... . Phone: (360) 293-1901 PLUMBING & MECHANICAL PERMIT APPLICATION Please complete all applicable information and submit to buildingpermit@cityofanacortes.org PROPERTY INFORMATION PROJECT ADDRESS ASSESSORS PARCEL NUMBER 2104 Creekside Circle P84009 PROJECT VALUATION $31696.34 0 RESIDENTIAL COMMERCIAL PROPERTY OWNER OWNER PHONE Lytle Johnson (206) 799-1055 OWNER ADDRESS OWNER EMAIL 1004 Commercial Ave. Unit 238,Anacortes,WA 98221 catrax@rockisland.com APPLICANT INFORMATION PROPERTY OWNER CONTRACTOR OTHER: NAME PHONE Foss Heating and Cooling (360)336-1517 ADDRESS EMAIL 333 E Blackburn Rd. Ste. A, Mt. Vernon, WA 98273 orders@fossheating.com CONTRACTOR INFORMATION NAME PHONE Foss Heating and Cooling (360)336-1517 CONTRACTOR'S BUSINESS LICENSES* STATE LICENSE# EXPIRATION *All Contractors & Subcontractors must have a valid FOSSHC1983QA 11/1/24 City of Anacortes business license prior to doing work UBI LICENSE# EXPIRATION in the City. 602236031 9/30/23 ADDRESS(STREET,CITY,STATE,ZIP) EMAIL 333 E Blackburn Rd. Ste. A, Mt. Vernon, WA 98273 orders@fossheating.com PROJECT INFORMATION DESCRIPTION OF PROPOSED WORK: Replace furnace with heat pump and air handler IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? F— 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 1 1 Air Conditioner/Handler 1 1 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 2 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 t m M O O SUBMITTAL REQUIREMENTS = c = c T Z Z W Z W rn D y C) y C 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 & 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. 2/16/23 SIGNATURE DATE Plumbing/Mechanical Permit Application Updated December 2021 Page 3 of 3