528 TAMARACK AVE 2020-04-02 - 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 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Ploaso) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:528 Tamarack Avenue, Everett, WA 98203 PROPERTY TAX#:00393400001600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: PAULL JOSEPH B TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 528 Tamarack Avenue crTy Everett STATE WA ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:5 Corners Plumbing CONTRACTOR ADDRESS: STREET 9307 NE 140th St cin Kirkland STATE WA ZIP 98034 CONTRACTOR PHONE:206-508-7972 CONTRACTOR EMAIL:plumb@5cornersplumbing.com CONTRACTOR LICENSE#(REQUIRED):5CORNCP956KD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 43967 PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-335-6138 Kenji Fujii CONTACT EMAIL:plumb@5cornersplumbing.com BUILDING`INFORMATION Existing Use of Building:residential Contract Price of Work:$_1500 Proposed Use of Building:residential 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: Bathroom remodel - 1 toilet, 1 lavatory, and 1 tub/shower ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture 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) 1 Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher 1 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain 1 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 4/29/2019 PERM 0 C) ,A Owner/Authorized Agent Signature Date (Revised 10/10/2018)