2306 112TH PL SE 2020-05-21 - Laserfiche WebLink

PERMIT APPLICATIOI' 4FETTBUILDING / 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 SITEINFORMATION PROJECT SITE ADDRESS: 23O /lam Ib( t' Unit 2A)J PROPERTY TAX#: 00575700101902. 00575700101 9n3 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MVM Development and Construction TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 19528 Ventura Boulevard, Suite 573 CITY Tarzana STATE CA Zip 913J'56 OWNER PHONE: 818-822-6560 OWNER EMAIL: gmoalem@gmail.com CONTRACTOR NAME: Same as above CONTRACTOR ADDRESS: STREET CITY STATE ZAP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER (Please Specify) ,ter cnieC:t CONTACT NAME: Peter Anderson CONTACT PHONE: 206-949-5828 CONTACT EMAIL: pga.imagodelineo@msn.com BUILDING PERMIT APPLICATION Existing Use of Building: Vacant property Contract Price of Work: $ 100.000 Proposed Use of Building: Townhouse Heat Source: ❑Gas EElectric DOther Building Type: ❑SFR-Detached ❑SFR-Attached EDuplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑New EAddition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct new three story Townhouse ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn _Alteration Repair Type of Project: New _Addn Alteration Repair #of #of #of #of Fixtures List of Fixtures List of Fixtures List of Fixtures List of Fixtures Fixt res Fixtures Fixtures A/C—Air Handling Units Heat Pump 4 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems )( Unit Heater 2 Bathtub Urinal Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater Refrigeration 1 Shower Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas Range Hood >4 Water Heater Other Exhaust Fan 1 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Chemical or Water I 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. l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. 7 t City of Everett Official Use Only 1 ., — 1 N Owner/Authorized Agent Signature Date (Revised 9/23/2016)