9727 18TH AVE W A301 2020-08-28 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL I PLUMBING / SIGN I SPRINKLER/ 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 Mks or Black Ink OnlyPl tw); PROJECT SITE INFORMATION PROJECT SITE ADDRESS:9727 18TH AVE W UNIT A301 PROPERTY TAX#:00854500130100 LEGAL for new construction: Short Piattsubdivision Lot No. (attach copy of long legal description) w CONTACT INFORMATION is OWNER NAME: JOEL PETERSON TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET9727 18TH AVE W UNIT A301 crry EVERETT STATE WA ZIP 98204 OWNER PHONE: 940-230-5726 OWNER EMAIL:flysca@hotmail.com CONTRACTOR NAME:C.M. HEATING INC O,ONTRACTOR ADDRESS: STREET 1415 BROADWAY ciTy EVERETT STATE WA zip 98201 CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM CONTRACTOR LICENSE#(REQUIRED):CMHEAI`09554 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016098, PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) .. CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$10,600 Proposed Use of Building: rHeat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse EDuplex ❑ADU ❑Multi-Family-#Units:143 ❑Commercial ❑Accessory Structure Type of Project: ©New I IAddition ❑Remodel ❑R pair ❑T.I, ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 3 ZONE DUCTLESS HEAT PUMP INSTALL 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) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) , Duct System(Remodel) Refrigeration Drinking Fountain T Sink-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: tiVater Suppression Systemo.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 i PERMIT# /� S Ali.+!'/ Alf 1 .414 Ae i.of i 05/02/19 O "101 3 Owner/Authorized Agent Signature ,/ Date (Revised 70/10x2018)