2300 KASCH PARK RD 2021-02-22 - Laserfiche WebLink

01-77 PERMIT APPLICATION BUILDING SECHANICAL / 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- 0 U o20 2)-300 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: d Oitt1J CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: El OWNER 0 CONTRACTOR ❑O 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 V Existing Use of Building: (', Y(,0\ {� Contract Price of Work: $ t�j4j,()_] U es 1'1 inn(Ar Proposed Use of Building: N d CY1�,�a t -1 Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: NCommercial ❑Accessary Structure Type of Project: ❑New ❑Addition ❑Remodel ORepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:°'AI B `L m N b F ROrli ne rep cuYs okr r <JpGt,i s t-D e )(is- o. 1 rooF 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 _ 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 1 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# *IP DC-1„„„ Owner/Auth.'ized Agent Signature Date (Revised 10/10/2018) —1,' ___