310 ALVERSON BLVD 2020-01-21 - Laserfiche WebLink

PERMIT APPLICATION MIPIA BUILDING/ MECHANICAL/ PLUMBING/SIGN I SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES a 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 Slack Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:310 ALVERSON BLVD PROPERTY TAX#:00507800001900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ' 4 CONTACT INFORMATION OWNER NAME: ALICE ROY TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET310 ALVERSON BLVD cin EVERETT STATE WA ZIP 98201 OWNER PHONE: 310-490-5046 OWNER EMAIL:aroy@calstatela.edu CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY cmv 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`' PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAILANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$10,000 Proposed Use of Building: Heat Source: DGas (]Electric ❑Other BUILDING USE: SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: New ❑Addition ❑Remodel ❑✓Repair ETA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: LIKE IN KIND GAS FURNACE CHANGE OUT WITH HEAT PUMP INSTALLATION !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 AJC—Air Handling UnitsGas Piping _Backflow Preventer(Inside Bldg) Shower,Tub,or Combo f - Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer I Heat Pump&Ductless Dishwasher Sink-Residential(kitchen.bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation 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) 1 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 'Na of leads _- Chemical Suppression System No,of Heads • ACKNOWLEDGEMENT:1 have reviewed this application end 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 PERM' i<440/..L44.1.4 �A4 05/22/19 11 ba 0-71 Owner/Authorized.Agent Signature Date (Revised 10/102018) '1 0� " r f