3328 RUCKER AVE 2020-01-30 - Laserfiche WebLink

PERMIT APPLICATION 477BUILDING/MECHANICAL/PLUMBING 1 SIGN I SPRINKLER/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.govlpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:3328 RUCKER AVE PROPERTY TAX#:00437578801900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: PAUL DELZELL TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREEr3328 RUCKER AVE cnY EVERETT STATE WA ZIP 98201 OWNER PHONE: 360-200-2522 OWNER EMAIL:PAULDELZELLJR@GMAIL.COM CONTRACTOR NAME:GS HEATING • CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE cm( EVERETT STATE WA zip 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:MELANIE@GSHEATING.COM CONTRACTOR LICENSE#(REQURED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: 0 OWNER CI 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:$4880.15 Proposed Use of Building:RESIDENTAIL Heat Source: ❑Gas DElectric ❑Other BUILDING USE: CISFR ❑Townhouse :Duplex CIADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project ONew ❑Addition ❑✓.Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: HEAT PUMP AND AIR HANDLER INSTALL 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 CountList of Fixtures I 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 i 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 WastelWater 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.lam 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 98.27 RCW and 296,200A WAC. City of Everett Official Use Only PEW -14,,(0 .� P 1�-/ ci r 1 �°�c2 — 03� Owner/Authorized:Agent Signature Date '(Revised 10/10/2018)