2300 KASCH PARK RD 2020-12-31 - Laserfiche WebLink

gn- PERMIT APPLICATION BUILDING•ECHANICAL / PLUMBING / SIGN •RINKLER / 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 SITE INFORMATION PROJECT SITE ADDRESS:2300 Kasch Park Road PROPERTY TAX#: 2_rb 0 vl I VI C(1 2 Pj3oO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Larry Daubenmire TENANT BUSINESS NAME(Commercial): Community Transit OWNER MAILING ADDRESS: STREET7100 Hardeson Road cITY Everett STATE WA zip 98203 OWNER PHONE: 425-348-2393 OWNER EMAIL:larry.daubenmire@commtrans.org CONTRACTOR NAME:Piet-Yet bid _,„.. Wes•(o Va7 R ol CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: - CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED):jJiQ _GAt(_, hp%, 1 J(L, CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): � ( PRIMARY CONTACT: DOWNER ❑ CONTRACTOR 0 OTHER(Please Specify) CM Consultant:Brianna Navarro KPFF 425-286-3477 CONTACT NAME: CONTACT PHONE:425-348-2393 Larry Daubenmire CONTACT EMAIL:larry.daubenmire@commtrans.org BUILDING INFORMATION Existing Use of Building: my-a. c J{,O p � Contract Price of Work: $ 3-y ( 2 11 (e S h YYr art 1 p / Proposed Use of Building: 0 rJ)n .} yni Heat Source: ❑Gas ❑Electric ,Other. BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑A�DU ❑Multi-Family-#Units: ❑Commercial Accessory Structure ❑ -,S Type of Project: ❑New Addition ❑Remodel LRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ?D\J\Lfl i / CANO e\I Qoo c i (S : ; Aston ne,w sinooz, polo recover nap-, neAAJ Pr-t i )n i stA.e,of. s v\ze� m e,tc s lol ►I re,�a -c F 1 a s�n a �a +ns Rio►nS ASSOCIATED BUILDING PERMIT#(if applicable): ,,? MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture List of Fixtures Fixture List of Fixtures List of Fixtures List of Fixtures Count Count Count Count 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 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain 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/ 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 PERMIT#NI D �,,,, c, ,,,,, 00.a.„, 3- -1 c rOt I Owner/Aut orized Agent Signature Date (Revised 10/10/2018)