4838 W GLENHAVEN DR 2020-03-06 - Laserfiche WebLink

PERMIT APPLICATION 477BUILDING/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 i(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink:Only:Please)..,.::::..:::. :.:::PROJECT;SITE INFORMATION:...:: PROJECT SiTE ADDRESS:4838 W GLENHAVEN DR PROPERTY TAX#:00456700002500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) 1 4 CONTACT INFORMATION OWNER NAME: DWAYNE SCHIREMAN TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET4838 W GLENHAVEN DR circ EVERETT STATE WA zip 98203 OWNER PHONE: 4252756790 OWNER EMAIL;DPSCHIREMAN@GMAILCOM CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: sTREEr3409 EVERETT AVE circ EVERETT STATE WA zip 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:INSTALL@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: El OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 ALIS HA CLOGSTON CONTACT EMAIL:ALISHA@GSHEATING.COM Existing Use of Building:RESiDENTAIL Contract Price of Work:$13661 Proposed Use of Building:RESiDENTAIL Heat Source: ElGas ©Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ODuplex ❑ADU DMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ENew EAddition ZRemodel DRepair ❑T.I. ❑Sign OSprinkler ❑Demolition DChange of Use DESCRIPTION OF WORK: REPLACE GAS FURNACE ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT,APPLICATION.: PLUMBING PERMIT APPLICATION FixtureFixture Fixture Fixture Count List of Fixtures 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 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) 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/insert/Log Roof Drains Water Heater SPRINKLER:!SUPPRESSION SYSTEM s.:c:<:; Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System I No.of Heads ACKNOWLEDGEMENThave 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,an coal 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 big 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 St tee Contractors Law 18,27 ROW and 296.200A WAC. City of Everett Official Use Only 11 1/9 PE' .1�#« — , 0 Owner/Autho`trzed;Ae t Signature ° Date° (Revised 10110/2018)