1503 VIRGINIA AVE 2019-09-24 - Laserfiche WebLink

PERMIT APPLICATION � BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION '1°11PIV4 i" CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Biu:or Black Ink Only PI o) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1503 VIRGINIA AVE PROPERTY TAX#:29051700300400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ELYSE KUFELDT TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1503 VIRGINIA AVE _ ciTv EVERETT STATE WA ZIP 98201 OWNER PHONE: 425-246-5059 OWNER EMAIL:kufelyse@gmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cin EVERETT STATE WA zip 98201 CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM CONTRACTOR LICENSE#(REQUIRED):CMHEAI*09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016098_V PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION i Existing Use of Building Contract Price of Work:$11500 Proposed Use of Building: Heat Source: E3Gas CIElectric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ElAccessory Structure Type of Project. ❑New ©Addition ❑Remodel DRepair ❑IT.I, ❑Sign OSprinkler ❑Demolition ❑Change of Use ., DESCRIPTION OF WORK: 3 ZONE DAIKIN DUCTLESS INSTALL ASSOCIATED BUILDING PERMIT#(if applicable): I MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures cover 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 Dater 1 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 1 SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System 'No.of Heads Chemical Suppression System 'No.of Heads ACKNOWLEDGEMENT.f 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,ort 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 J[41 11 )411 02/26/19 P # \cto2 - 0R3 OwneriAuthorizAgentSignature Date (Revised 14/W0/2018)