|
6111-11 BUILDING/M16HANICAL/ PLUMBING I SIGN I SPLER I DEMOLITION
<br /> EVERETT CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> WASHINGTON (P)4257257-8810 I FAX 425-257-885/ t( )everetteps@everettwa.gov I wwW.everettwa.gov/permits
<br /> tefilen*ToThiaetWO4fir7-'f4r41':',Yorg',--;,:titiortoitvrirtTorowiittioir,:mt,stemr,Agg'.:auw:;',7-.-;m:IK,,,,.
<br /> PROJECT SITE ADDRESS: .
<br /> 2202 Rockefeller Ave' 'verett WA 98201 PROPERTY TAX#:004391478 3101
<br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description)
<br /> e.f.:';',"::'',;;;.."0. 4.;;R:.0.:;
<br /> Alina bell-Ciames )1( Leonard Moore
<br /> OWNER NAME; TENANT BUSINESS NAME(Commercial):
<br /> OWNER MAILING ADDRESS: STREET 2202 Rockefeller Ave
<br /> Everett STATE WA98201
<br /> CITY ZIP
<br /> OWNER PHONE:
<br /> 615-557-3845 1,, abellgames@gmail.com
<br /> OWNER EMAIL:
<br /> CONTRACTOR NAME:Evergreen Seismic, LLC.
<br /> CONTRACTOR ADDRESS: sTEEET12825 184th Dr SE
<br /> Snohomish STATE WA 98290
<br /> my ZIP
<br /> - -39
<br /> CONTRACTOR PHONE:20671 o • evergreenseismic c m
<br /> 0
<br /> CONTRACTOR EMAIL: ' .....400111- 0/104•16.
<br /> It .. ; figualor
<br /> CONTRACTOR LICENSE#(REOU3 IRED): CITY OF EVERETT BUSINESS LiCENsE#(REQUI-Milo ky4111kmillrak
<br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE:206-715-3957
<br /> Matt RobinsonCONTACT EMAIL:info@evergreenseismic.com
<br /> : . . .
<br /> / 10,;,..,,,TV.-:,:.::,,,::'...tottr-7;:1700040,00:04104.04: ::q3;i,,,:sioggrT.,ISY: 4:,: ;',K1*ai -1,. ::::.:'
<br /> Existing Use of Building; ingle*family residence Contract Price of Work:$75°U°
<br /> residence lfamily
<br /> Proposed Use of Building:Single Heat Source: n....Gas OElectric 1:30ther,. .
<br /> ,...., ,.., 1_, r_i
<br /> BUILDING USE: OSFR LiTowrillouSe LJDuPlex L-JADU L-iMulti-Family-#Units: OCOITImerUlal DAccessory Structure
<br /> Type of Project: °NeW I:Addition °Remodel ORepair CT.,. °Sign °Sprinkler ODeMOlition °Change of Use
<br /> DESCRIPTION OF WORK: Voluntary seismic retrofit upgrade to basement of SFR per engineered plan set.
<br /> Adding anchor bolts,framing, insulation, plywood and framing clips from first-floor platform to existing basement pony walls.
<br /> No earth disturbance.
<br /> ASSOCIATED BUILDING PERMIT#(if applicable): ,r •
<br /> oto-AVY.01*Et*1::awAlit0:.N.: T.'r:tsZrpl:V:O:B.tNaiktRr.tAtt Atif000.**101WAN:,,,:: :,': .'. .
<br /> MauroFixture Fixture
<br /> List of Fixtures Fixture List of Fixtures. List of Fixtures. 00 of Fbdures
<br /> count count Count Count
<br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo
<br /> Sink-Commercial(3-cornp,prep,ficer)
<br /> Boiler Gas Range Clothes Washer
<br /> Clothes Dryer Heat Pump&Ductlese Dishwasher Sink-Residential(kitchen,bath,bar)
<br /> Duct System(Remodel Refrigeration Drinking Fountain Sink-Utility,laundry,mop
<br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet
<br /> Exhaust Hood,Crype I) (Not Heat/AC system) Hose BibbUrinal
<br /> Exhaust Hood(Type It) Water Heater Interceptor-Grease Waste/Water Piping Repair
<br /> Exhaust Hood(Residential) Wood Stove interceptor-Sand/Oil Water Service(behind meter)
<br /> Forced Air Systems Other: Medical Gas. Water Valves or Fixtures
<br /> Gas Fireplace/Insert/Log , Roof Drains Water Heater
<br /> '441:Sfit1*OEM11110PREs:010A-***TES:t :: ::': Sewage Ejector or Sump Pump Other
<br /> Water Suppression System 1
<br /> No.of Heads
<br /> Chemical Suppression System 1 INo.of Heads
<br /> 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
<br /> current federal,state,end local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the
<br /> Building Official before being authorize' . der any circumstance.lam the owner,or I am authorized by the owner of this properly to perform the work for which application is made,
<br /> and!comp w r,i. State ontra •„ aw 18.27 RCW and 296.200A WAC.
<br /> / fie
<br /> City of Everett Official Use Only
<br /> /
<br /> PE4111 #
<br /> • •f i 40
<br /> c)r$1
<br />
|