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HomeMy WebLinkAboutPermit File BLD-2023-0299 3800 Copper Pond G1T Y O City of Anacortes Invoice/Permit#: BLD-2023-0299 904 6th Street Applied date: 05/12/2023 P.O.Box 547 Issue date: 05/12/2023 01 Anacortes, WA 98221-0547 Expire date: 11/07/2024 C�iiil� (360) 293-1901 Job Address: 3800 COPPER POND Permit Type: Mechanical Permit ANACORTES WA 98221-1162 Project: APN: P108203 Remarks: Like for like furnace change out. Owner: DONNA DIXON Contractor: BARRON HEATING&A C Address: 3800 COPPER POND Address: 5100 PACIFIC HWY ANACORTES WA 98221-1162 FERNDALE WA 98248-9080 Phone: (360)333-0350 Phone: (360)676-1131 License#: General Information: Fees: Building Valuation 4952 Mechanical Permit Fees 38.30 # Forced Air Furnace—100k 1 Building Permit Fee 111.25 Total Calculated: 149.55 Deposits/Receipts: 0.00 Total Due: 149.55 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 examined this appli 'on and know the same to be true and correct. SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY A � � / J k � � \ a ON \ \ \ o E _ \ U > E : _ } - A 2 \ cc % % 2 w } \ \ 1 \ & _ � = B 2 U ƒ / £ e e k co ( / ) \ D 2 # 2 2 0 ƒ o f E CL k w k 7z \ f \ \ \ 0 \ _ \ a W 0 < , o « t § \ 2 0 $ E t O / ƒ a 0 E W S o j 0 § i / \ / / \ M S - < 0 0 n © © \ j t § / 2 $ %» k ƒ \ / \ / 3 / ¢ \ _ < � 7 _ \ D- z - 0 0 R \ < k \ / ) / \ / / / � \ \ j \ . S 0 g / E < $ E ® A, E i \ \ 0 § I / a U 2 § ƒ z q 2 z O < 6 « k E I i ID 2 w S � S \ L) 1 G ƒ a s \) & _ - 2 / 2 z m 3 / i E § ❑ / / \ \ \ g 2 = | c \ \ L \ 2 $ o » \ \ \ _ Q o n / ƒ < \ \ bD _ ] @ 2 U « 0 7 7 L § } i ) 7 ® [ E k B 6 E p : o t \ - / u) ® ƒ k \ f k \ \ / \ \ \ k uD \ \ > \ / \ § _ « _ CD z - z E ° \ ® m } t e Q e 0 w _ _ \ e _ r 2 2 7 0 n a- J < i E ƒ a y a / _ LM = E j 6 / / o- = = ``1 V r' PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT Mailing Address: P.O. Box 547, Anacortes, WA 98221 i 7 Office Location: 904 6th Street, Anacortes WA 98821 �1 Phone: 360 293-1901 'o 7. ( ) PLUMBING & MECHANICAL PERMIT APPLICATION Please complete all applicable information and submit to buildingpermit@cityofanacortes.org PROPERTY INFORMATION PROJECT ADDRESS ASSESSORS PARCEL NUMBER 3800 COPPER POND,ANACORTES,WA 98221 P108203 PROJECT VALUATION $4,952.5 �RESIDENTIAL COMMERCIAL PROPERTY OWNER OWNER PHONE DONNA DIXON 360-333-0350 OWNER ADDRESS OWNER EMAIL 3800 COPPER POND, ANACORTES, WA 98221 RAI DERWOMAN I 2@HOTMAIL.COM APPLICANT INFORMATION PROPERTY OWNER ®CONTRACTOR OTHER: NAME PHONE ROBERT DUNN- BARRON HEATING 360-676-1131 ADDRESS EMAIL 5100 PACIFIC HWY FERNDALE,WA,98248 ROBERTD@BARRONHEATING.COMI CONTRACTOR INFORMATION NAME PHONE 1 BARRON HEATING 360-676-1131 1 CONTRACTOR'S BUSINESS LICENSES* STATE LICENSE# EXPIRATION *All Contractors & Subcontractors must have a valid BARROHA179D7 10/23/24 City of Anacortes business license prior to doing work UBI LICENSE# EXPIRATION in the City. 600-092-564 03/2023 ADDRESS(STREET,CITY,STATE,ZIP) EMAIL 5100 PACIFIC HWY FERNDALE, WA, 98248 ROBERTD@BARRONHEATING.COM l PROJECT INFORMATION DESCRIPTION OF PROPOSED WORK:LIKE FOR LIKE FURNACE CHANGE OUT ,IIS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? ]YES 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 l 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 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 IHose 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 mF_ m ram- O o SUBMITTAL REQUIREMENTS = _ Z Z W Z W m D D D 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. P.08E_PIT- D�WN1 5/8/2023 SIGNATURE DATE Plumbing/Mechanical Permit Application Updated December 2021 Page 3 of 3 r dill xr .'Jtl Inc`, t-i' Fr- 4= � 1 R, N Q� uz LU QZ WZ IL 2M Z LU - -lii7 - - CO N Y QN UJ l�bF'Ll N O Q 00 XLLn dN 2"lf� 7.OFt uc 1 �- 4 z a .�1