9931 19TH AVE SE 2019-09-18 - Laserfiche WebLink

grr PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 9931 19th Ave SE, Everett, WA 98208 PROPERTY TAX#: 28051700308800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SAMI SAID TENANT NAME(If Commercial): BP ARCO #7028 OWNER MAILING ADDRESS: STREET 9931 19th Ave SE, CITY Everett STATE WA zip 98208 OWNER PHONE: (206) 356-1974 OWNER EMAIL: SAMI©EMANUELINC.COM CONTRACTOR NAME: Joe Hall Construction, Inc. CONTRACTOR ADDRESS: STREET 1 317 54th Ave East CITY Fife STATE WA ZIP 98424-1226 CONTRACTOR PHONE: (253) 606-7725 CONTRACTOR EMAIL: philk@joehall.com CONTRACTOR LICENSE#(REQUIRED): JOEHAC*259RT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR p OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE: (425) 870-2425 Michael Barthol, AIA CONTACT EMAIL: mbarthol@pmdginc.com BUILDING PERMIT APPLICATION Existing Use of Building: Retail Fuel Convience Store Contract Price of Work: $ ®I Proposed Use of Building: Same Heat Source: iliGas ❑Electric DOther Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: •aCommercial ❑Industrial Type of Project: ❑New ❑Addition DRemodel DRepair 2T.I. ❑Sign DSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: BP Arco#7028 Minor Tenant Improvements,non-structural. Branding upgrade:new paint inside and out,new cabinets and equipment. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units _ Heat Pump Tojlef— % Backflow Preventer(Inside Bldg) Forced Air Systems _ Unit Heater Bathtub Urinal -Gas Piping _ Boiler 3 Lavatory(Wash Basin) Drinking Fountain Water11EatecRefrigeration Shower Floor Drain •Gas Fireplace �2 Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range -_ _ Ducting Dishwasher Roof Drains _Clothes Drye ookups -0thet-: Clothes Washer Medical Gas Range d \� Water Heater Other: Exh st Fan Sink(Service/Bar/Mop/etc.) Otherz ,� SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only _4, PERMIT IW - ,�r • 'er/Authorized A'.- ignature Date (Revised 9/23/2016) / , I