4806 SEAHURST AVE 2019-09-24 - 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 l FAX 425-257-8857 1(E)everetteps@everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1515 132nd Street PROPERTY TAX#:28053000406500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Philip Kelton (purchaser) TENANT BUSINESS NAME(Commercial): Tekin & Associates LLC OWNER MAILING ADDRESS: STREET 1600 N Dallas Parkway, Ste 370 ciT' Frisco STATE TX ZIP 75034 OWNER PHONE: (469)458-0485 (Ext. 6) OWNER EMAIL:pkelton@tekindevelopment.com> CONTRACTOR NAME:Joe Hall Construction, Inc CONTRACTOR ADDRESS: STREET 1317 54th Ave E cin, Fife STATE WA Zip 98424 CONTRACTOR PHONE:253-922-6815 CONTRACTOR EMAIL:. CONTRACTOR LICENSE#(REQUIRED):JOEHAC259RT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Demolition&Tank Removal CONTACT NAME: CONTACT PHONE:253-922 6815 Philip Keehnel CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building:Jack in the Box,Convenience Store w/Gas Pumps/Car Wash Contract Price of Work:$ Proposed Use of Building:Jack in the Box&Bank Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: [New ❑Addition ❑✓Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑✓Demolition ❑Change of Use DESCRIPTION OF WORK: Demolish fuel tanks, canopy, and car wash ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 PERMIT# Owner/Authorized Agent Signature Date (Revised 10/10/2018)