3420 BELL AVE 2020-05-04 - Laserfiche WebLink

PERMIT APPLICATI /11114 BUILDIF MECHANICAL/ PLUMBING I SI PRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I 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:3420 Bell Ave PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Rosalina James TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET3420 Bell Ave an• Everett STATE WA zip 98201 OWNER PHONE: 425-321-8040 OWNER EMAIL:rjamesrjames@hotmail.com CONTRACTOR NAME:Neil Kelly CONTRACTOR ADDRESS: STREET5959 Corson Ave S Suite B CITY Seattle STATE WA ZIP 98108 CONTRACTOR PHONE:206-343-2822 CONTRACTOR EMAIL: . LIa°1 b l qD b k CONTRACTOR LICENSE#(REQUIRED):NEILKCI8702 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER CI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:626-393-9339 Robert Gray CONTACT EMAIL:Robert.Gray@ il{4e BUILDING INFORMATIO. ; Existing Use of Building:Single Family Contract Pric. of Work:$ ,3 c]O0 Proposed Use of Building: Heat Source: ■ = - ■• er BUILDING USE: ❑SFR ❑Townhouse ❑Duplex OADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ❑Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Convert finished basement to an ADU by adding a kitchen to the basement I2 y 9OS 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 NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer 'nk-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher I S nk-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain ink-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 I 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 1 ,( P MIT# Lk. f .. D l/ te Owner/Authorized Agent Signatur- Da e (Revised 10/10/2018)