8107 HAMLET LN 2021-03-31 - Laserfiche WebLink

• PERMIT APPLICATIO• 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:8107 Hamlet Lane Everett WA 98203 PROPERTY TAX#:00691100002600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Bill Arnold TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET8107 Hamlet Lane CITY Everett STATE WA zip 98203 OWNER PHONE: 206-406-9222 OWNER EMAIL:billa1966.ba@gmail.com CONTRACTOR NAME:R&R Foundation Specialist CONTRACTOR ADDRESS: STREET3409 McDougall Ave Suite 204 CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE:425-626-4841 CONTRACTOR EMAIL:barbara@rrspecialist.net CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58143 PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-626-4841 Barbara Stasiak CONTACT EMAIL:barbara@rrspecialist.net BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$16,477.50 (Proposed Use of Building:Shi.< 1Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: USER ❑ ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: LiNew LiAddition LJRemodel LJRepair LJT.I. LJSign LJSprinkler LJDemolition LJChange of Use DESCRIPTION OF WORK: crew will install helical piles to stabilize and lift foundation to maximum structural recovery ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture List of Fixtures I Fixture I I ist of Fixtures Fixture I List of Fixtures I Fixture I List of Fixtures (-own I Mount 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) (C Dry Heat Pump&Ductless Dishwasher I Sink-Residential(kitchen,bath,bar) Ductlothes Systemer(Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry, mop Fxhru st Fang(Ra�irtnntiall Cnmmercial\/antilatin Flnnr flrain Tnilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) VVater 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 VVater Heater SPRINKLER I 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 PE T , a/W C1.4.. / c5'- e--di2,-i 12/11/2020 0 12.^' c3 Owner/Authorized Agent Signature Date (Revised 10/10/2018) �f'� 1 / ..