HomeMy WebLinkAboutPermit File 2319 Lake Park Drive (2) .GS' - 0 City of Anacortes Invoice/Permit #: BLD-2018-0714
904 6th Street
x 1 Applied date : 11 /19/2018
P . O .Box 547
Issue date : 11 /19/2018
tJa >' Anacortes, WA 98221 -0547OVA Expire date : 05/17I2020
`l1ill (360) 293- 1901
007
Job Address : 2319 LAKE PARK DR Permit Type: Mechanical Permit
ANACORTES WA98221 -8732 Project:
APN: P99138
Remarks: Install natural gas furnace like for like
Owner: VAUGHAN WILLIAM J III Contractor: BARRON HEATING & A C
Address: 2319 LAKE PARK DR Address: 5100 PACIFIC HWY
ANACORTES WA98221 -8732 FERNDALE WA98248-9080
Phone: Phone: (800) 328-7774
License #: BARROHA179D7
General Information : Fees:
# Forced Air Furnace <=100k 1 Mechanical Permit Fees 38.30
Total Calculated: 38.30
Deposits/Receipts: 0,00
Total Due: 38 .30
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THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DA�*(S40IK IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMM�E7N, �E9, 4
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL P �i *N ry
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER -SPE HEREIN OR34O71 ;.F)Hr
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE P IONS OF NY OTHER�STATEDOM
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. `� �� ,"..
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED BY o a =J o
18-1379 �
�z iY o� PLANNING, COMMUNITY, & ECONOMIC DEVELOPMENT DEPARTMENT
(2 [ � PLUMBING & MECHANICAL PERMIT APPLICATION
r� ►45 . Mailing Address: P. O. Box 547, Anacortes, WA 98221
Office Location: 904 6 Street, Anacortes WA 98821
Phone: (360) 293-1901
PLEASE REFER TO THE PLUMBING & MECHANICAL PERMIT CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #): PARCEL(S) #: PROJECT VALUATION:
2319 Lake Park Drive P99138 $4800.00
Subdivision/Lot #: RESIDENTIAL 19 COMMERCIAL ❑
APPLICANT: Phone:
Barron Heating & A/C 360-676-1131
Address (Street, City, State, Zip): Email Address:
5100 Pacific Highway Suite 103, Ferndale, WA 98248 amandaa@barronheating.com
PROPERTY OWNER: Phone:
William Vaughn 360-299-8101
Address (Street, City, State, Zip) : Email Address:
2319 Lake Park Drive, Anacortes, WA 98221
CONTACT PERSON: Phone:
Barron Heating & A/C 360-676-1131
Address (Street, City, State, Zip): Email Address:
5100 Pacific Highway Suite 103, Ferndale, WA 98248 amandaa@barronheating.com
CONTRACTOR: * Phone:
Barron Heating & A/C 360-676-1131
Address (Street, City, State, Zip) : Email Address:
5100 Pacific Highway Suite 103,. Ferndale, WA 98248 amandaa@barronheating.com
Professional License #: Exp. Date:
*All Contractors & subcontractors must have a vakd City of BARROHA179D7 10/23/2020
Anacortes business licenseprior to doing work in the City. Business License #: Exp. Date:
Contact the City's Finance Department at (360) 2994968. 600-092-564
Is this work, associated with another project? Yes ❑ No IN If yes, specify:
PROPOSED WORK: Install natural gas furnace - Like for Like
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: Amanda Allison Owner ❑ Agent ® (specify): Barron Heating
Signature: P4 Date: 11 /06/2018
Equipment Type: Appliance/Equipment Information (new and relocated) : Total #:
Furnace: Gas #: 1 Elec #: Other #; Location(s) : 1
Wall Heater: Gas #: Elec #: Other: #: Location(s):
Gas Water Heater: #: Location(s):
Heat Pump: Elec #: Other #: Location(s):
Air Conditioner /Handler: Elec #: Other: #: Location(s) :
Radiant /Hydronic Heating: Gas #: Flee #: Other: #: Location(s):
Exhaust Fans: Bath #: Laundry #: Kitchen #: Other #:
Range Hood: #: Type 1 or 2 (Circle which one) Location(s) :
Fireplace: Gas #: Elec #: Other: #: Location(s) :
Clothes Dryer & Duct: Gas #: Elec #: Other: #: Location(s) :
Stove/Range/Oven: Gas #: Flee #: Other: #: Location(s):
Refrigeration Unit: Elec #: Other: #: Location(s):
Gas Piping/ Outlet(s): #: Location(s):
Boiler: Gas #: Elec #: BTUs: Location(s):
Other: #: Location(s):
TOTAL MECHANICAL OUTLETS : 1
PLUMBING FIXTURES :
Fixture Type (new and relocated): Total #: Fixture Type (new and relocated) : Total #:
Water Closet (Toilet): Refrigerator water supply (for water/ice dispenser):
Kitchen Sink: Pressure Reduction Valve/Pressure Regulator:
Utility Sink: Water Service Line:
Tub: Water Piping:
Hand Sink: Clothes Washer:
Shower: Electric Water Heater: Tank-less? Yes ❑ No ❑
Dishwasher: Backtlow Prevention Device:
Urinal : Hose Bib:
Floor Drain / Floor Sink: DrinkingFountain:
Hydronic Heat in: Floor ❑ Wall ❑ Grease Interceptor:
Other: Other: