HomeMy WebLinkAboutPermit File 1219 10th Street ,..._ C} City of Anacortes Invoice/Permit#: BLD-2017-0541
904 6th Street
Applied date: 10/16/2017
P.O.Box 547 Issue date: 10/16/2017
Anacortes, WA 98221-0547
Expire date: 04/14/2019
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(360) 293-1901
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Job Address: 1219 10TH ST Permit Type: Mechanical Permit
ANACORTES WA 98221-1922 Project:
APN: P55413
Remarks: Replace a natural gas furnace like for like.
Owner: HAL ROOKS Contractor: BARRON HEATING&A C
Address: 1219 ,10TH ST Address: 5100 PACIFIC HWY
ANACORTES WA 98221-1922 FERNDALE WA 98248-9080
Phone: Phone: (800)328-7774
License#: BARROHA179D7
General Information: Fees:
# Forced Air Furnace<=1,000 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 DAYS, •OT4
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMF, I FQ; ;=
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR)slot,:' •Ht
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER TATEC�f
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED
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MECHANICAL PERMIT APPLICATION
City of Anacortes Building Department
P.O.Box 547 Anacortes,WA 98221 Street Address:904 6tt,Street
Phone:(360)293-1901 Fax: (360)293-1938
SITE ADDRESS: 12 1 c-i 1 O S b Anacryr&& , (�H ZZ�
CONTRACTOR
Name &&iA1'P Pr\ kl, 1 PROJECT DESCRIPTION
�J q ❑ New Work
Address \ ( n J c v r7CAC c H(G,I/lf/iGI Li, /' IN(
I,,t ,1 m✓ tff Alteration r'
City/State/Zip rre1Y1 arn l Ai` 1/v 1 " i , -' _ (mot r 4 J lc-e
phone()) b-76H1 FAX 3 )) GI, -311 Permit Fee 23.50
Slate License# L AIN-b 11 A 13°)DI Exp t� yp q p. 1
1(�/2�j 1 T e of E ul Fee Each No. Amount
City of Anacortes Business License:niYes ❑No Air Cond.Unit 10.65
PROPERTY OWNER Refrigeration Unit 10.65
Name EiAL - f„5C 17 k, Forced Ali System 14.80 t i 16fi`
Address 17 I ai ) f)tlit5 Err //y�,, Floor Furnace 14.80
City/State/Zip
A AOi I 5 Vi1k "I92z` Wall Heater 14.80
Phone 4J1 1-2_(>1 3-b 1.71/FAX Clothes Dryer 10.65
E-mail Address Ventilation Fan 7.25
APPLICANT Range Hood 10.65
Name b'G'('rCc✓1 gitbi-(\\DI
L Gas Fireplace 10.65
Address `7 CMS �5 ` (ltr6Lf dr Gas Water Heater 10.65
CityfStateiZip Gas Piping 4.75
Phone FAX Other(Describe)
E-mail Addres . - G O
CONTACT CO 1 €€vt m ' v" 1 GOr" TOTAL FEES DUE �t�' "
Name 'Jcn/tP. alGJ LL(32-(T,-t /7,r'
Address _
City/State/Zip
Phone FAX
E-mail Address
I HEREBY ACKNOWLEDGE I HAVE READ THIS PERMIT APPLICATION AND STATE THE INFORMATION IS CORRECT,AND AGREE
TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING ACTIVITIES COVERED BY THIS PERMIT
APPLICATION. WITH THIS PERMIT ALL CONTRACTORS AND SUBCONTRACTORS SHLL HAVE A CURRENT WASHINGTON
STATE CONTRACTORS LICENSE AND A CITY BUSINESS LICENSE.STOP WORK ORDERS WILL BE ISSUED ON JOB SITES
WHERE CONTRACTTORS/SUBCONTRACTORS ARE WORKING WITHOUT PROPER LICENSE.
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APPLICANTS SIGNATUR DATE
Last Updated Nos.9,2012
Permits and Irr_pe •• 6LD-2016-•1090 - 2016
City ofAnacortes Ij1.r,1 t��-00 4 ::9.ri.D. fl ;6/291 01 :58PM
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(;j ,�;. ;:;,,PI)voi9e/P *ft: BLD-2016-1090
904 6th Street -;:iAPpiiediiet _:; n c N
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P.OBox 547 P:` . Payment LS4V.Wiciate: 02/26/2016 171 .75
4,? Anacortes, WA 98221-0547 T rand.,,' ycpiro date= 08/24/2017 171.75
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Job Address: 1219 10TH ST Permit Type: Reroof Single Family Residence
ANACORTES WA 98221-1922 Project:
APN: P55413
Remarks: reroof single family residence.
Owner: HAL ROOKS Contractor: SPENCER ROOFING &SIDING LLC
Address: 1219 10TH ST Address: 26714 HELMICK RD
ANACORTES WA 98221-1922 SEDRO-WOOLLEY WA 98284-8329
Phone: Phone:
License#:
General Information: Fees:
Building Valuation 8500 Building Permit Fee 167.25
State Building Code Fee 4.50
Total Calculated: 171.75
Deposits/Receipts: 0.00
Total Due: 171.75
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I
HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS
OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE
GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
LOCAL LAW REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
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SIGNATURE OF OWNER OR AUTHORIZED NT ISSUED BY