2613 PINE ST 2020-04-02 - Laserfiche WebLink

' MINI PERMIT APPLICATION 11111 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 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:2613 Pine St Everett,WA 98201 PROPERTY TAX#:29052000408600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Innovative Home Solutions NW CONTRACTOR ADDRESS: STREET 2511 E Lake Sammamish Shr Ln SE CITY Sammamish STATE WA ZIP 98075 CONTRACTOR PHONE:2068505728 CONTRACTOR EMAIL:LLe@ihsnw.com �� CONTRACTOR LICENSE#(REQUIRED):INNOVHS855PL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ' / 170 PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2068505728 Lahnie Le ,CONTACT EMAIL:LLe@ihsnw.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$5,000.00 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR Townhouse EDuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Gas piping from Meter to 4 outlets (furnace, HWT, range and dryer). ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION J Fixture Fixture Fixture Fixture 1 Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units 4 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 Ventilatior 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 SystemNo.of Heads Chemical Suppression System I INo.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 REM* 2cr) \✓ 1/6/2020 r. al° Owner/Authorized Agent Signature Date (Revised 10/10/2018)