3107 COLBY AVE 2021-03-31 - Laserfiche WebLink

!''n 0 PERMIT APPLICATION. BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (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:3107 Colby Avenue PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Everett Housing Authority TENANT BUSINESS NAME(Commercial): Everett Housing Authority OWNER MAILING ADDRESS: STREET3107 Colby Avenue CITY Everett STATE WA ZIP 98203 OWNER PHONE: 425-303-1121 OWNER EMAIL:brendam@evha.org CONTRACTOR NAME: Public Bid to Determine f' )ai i ( � LL� CONTRACTOR ADDRESS: STREET V`-' CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED), 0.2.,CV t ]Z c,tN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (OC PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR D OTHER(Please Specify) Architect: Kurt Nelson c/o Rice Fergus Mille CONTACT NAME: CONTACT PHONE:360-362-1878 Kurt Nelson CONTACT EMAIL:knelson@rfmarch.c. ___`) I BUILDING INFORMATION / Existing Use of Building: Commercial Office Contract Price of o(k: $49(eD1Oc 1 Proposed Use of Building:Commercial Office Heat Source: El..,as ❑Electric ❑Oth/r r BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ,❑Accessory Structure Type of Project: ONew ❑Addition ✓❑Remodel ❑Repair ❑T.I. ❑Sign ❑Spri kler ❑Demolition / ❑Change of Use DESCRIPTION OF WORK: Main Level remodel of restroom, staff shower,janitor, an es within the existing building. Lower Level includes adding a conference room and restrooms. An elevator will be added to connect the 2 main levels and the Break room on a mid level. Associated Structural, Mechanical, Electrical and Plumbing work is also included. 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 Ventilatior 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 Eoor 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 .27 RCW and 296.200A WAC. e `� �JCity of Everett Official Use Only teida ifit!�iL ni-o�aoa o PERMLTO o o 1 r 021 t1�1 er/Authorized Agent Si n ure Date (Revised 10/10/2018)