4503 RIVERFRONT BLVD 2020-01-30 - Laserfiche WebLink

PERMIT APPLICATION r,�'"" 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( www.everettwa.gov/permits w(Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SiTE ADDRESS:4503 RIVERFRONT BLVD PROPERTY TAX#:01167800003000 LEGAL for new construction: Short PlatJsubdiviSion , ,Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: DREW JOHNSTON TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET4503 RIVERFRONT BLVD err EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-478-7520 OWNER EMAIL:Joanneamack@gmail.com CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY CITY 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 O CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION w Existing Use of Building: Contract Price of Work:$7000.00 M Proposed Use of Building Heat Source: OGas Electric ❑Other_ BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units ❑Commercial ❑Accessory Structure Type of Project' ❑New ❑✓Addition ❑Remodel LiRepair ❑T.I. ESign ❑Sprinkler EDemolition ❑Change of Use DESCRIPTION OF WORK: A/C INSTALLATION ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture List of Fixtures Fixture Fixture Fixture Count Count List of Fixtures Count List of Fixtures Count List of Fixtures 1 A/C-Air Handling Units Gas Piping _ Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,piep,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 Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease WastefWater 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/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!comply with the State Contractors Law 18 27 RCW and 296 200A WAC. j ( J 05115/19 �O City of Everett Official Use Only C / Y( IL /t94 PEmV C) —W5 Owner/Authorized Agent Signature Date W (Revised 10601201&)