6803 BERKSHIRE DR 2020-01-21 - Laserfiche WebLink

10ErrPERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING 1 SIGN/SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue:or Black Ink:Only;Please);::::::;":::'::::.;;:.::PROJECT S SITE:INFORMATION PROJECT SITE ADDRESS:6803 BERKSHIRE RD PROPERTY TAX#:00392800301202 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: RICH&DAWN RAPP TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREEr6803 BERKSHIRE RD • cry EVERETT • STATE WA zip 98203 OWNER PHONE: 425-308-9117 OWNER EMAIL:RICHARDRAPP@COMCAST.NET CONTRACTOR NAME:GS HEATING • CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE cnY EVERETTSTATE WA zip 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:INSTALL@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSH EAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: ❑OWNER I]CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-610-4257 MELANIE MENDENHALL CONTACT EMAIL:MELANIE@GSHEATING.COM :::BUILDING::INFORMATION: . Existing Use of Building:RESIDENTAIL Contract Price of Work:$9980.07 Proposed Use of Building:RESIDENTAIL Heat Source: OGas MEleotric ❑Other BUILDING USE EISFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ©Remodel ❑Repair ❑T.I. ❑Sign Sprinkler ❑Demolition EChange of Use DESCRIPTION OF WORK: INSTALLATION OF HEAT PUMP AND TWO INDOOR UNITS ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION:;:..::;:;:::: ::.::...:.::::..:.::..:::..::....:. .PLUMBING PERMIT APPLICATION... Fixture Marg Fixture Fixture CountList of Fixtures CountList of Fixtures Count List of Fixtures Count List of Fixtures 2 NC—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 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilator 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'/;rSUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System I 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.l am the owner,or lam authorized by the owner of this property to perform the work for which application is made, and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER ✓44,{41/1 6t, i,i► 10-3/101 VT\ cR 0 -- Owner/Auth...,olirkdokgent Signature Date (Revised 10/10/2018)