4909 ELM ST 2020-02-06 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER/ DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov i www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:4909 Elm St Everett, WA, 98204 PROPERTY TAX#:00449500010600 LEGAL for new construction: Short Plat/subdivision FOREST PARK ADD TOEVERETT DIV ARLK000D-00 Lot No.106 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Steven Taylor TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET4909 Elm Street cn-y Everett STATE WA ZIP 98203 OWNER PHONE: 360-878-1038 OWNER EMAIL:taylor.steven4410@yahoo.com CONTRACTOR NAME:R&R Foundation Specialist LLC d�1/V CONTRACTOR ADDRESS: STREET3409 McDougall Ave Suite 204 /\,O CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE:425-760-5077 CONTRACTOR EMAIL:info@rrspecialist.net CONTRACTOR LICENSE#(REQUIRED): �W Sf. 29J)\ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): S?j PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR D OTHER(Please Specify) Project Coordinator, R&R CONTACT NAME: CONTACT PHONE:425-248-8813 Lauren Chapman CONTACT EMAIL:lauren@rrspecialist.net BUILDING INFORMATION Existing Use of Building:111-SFR Contract Price of Work:$22,551.25 Proposed Use of Building:11 1-SFR Heat Source: ❑Gas DElectric ❑Other BUILDING USE: , SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install (3) 3" helical piles to the Northwest Corner and (6)3" helical piles to the Southeast corner of the foundation of the residence to lift back to practical maximum recovery. Install new posts and steel channel under the residence to stabilize after the lift. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture List of Fixtures Fixture Count Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—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 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) 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ypl- PE IT# O er/Authorized Agent Ignature Dat (Revised 10/10/2018) • 7/Z