3201 SHORE AVE 2021-04-01 - Laserfiche WebLink

• • OrErr PERMIT APPLICATION BUILDING/ MECHANICAL/ PLUMBING/SIGN/SPRINKLER/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: 3201 SHORE AVE PROPERTY TAX#: 00571700900500 LEGAL for new construction: Short Plat/subdivision SHORF ACRES ADD Lot No. 5 (attach copy of long legal description) BLOCK 9 CONTACT INFORMATION OWNER NAME: Barbara&Josh Kollar TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3201 Shore Ave CITY Everett STATE WA ZIP 98203 OWNER PHONE: 206-818-1332 OWNER EMAIL: barbara.kollar@swedish.org CONTRACTOR NAME: Robin Kearsley, Kearsley Design Group, Inc. CONTRACTOR ADDRESS: STREET 6631 Norma Beach Road CITY Edmonds STATE WA ZIP 98026 CONTRACTOR PHONE: 425-742-5888 CONTRACTOR EMAIL: r@kearsleyhomes.com CONTRACTOR LICENSE#(REQUIRED): KEARSH1005NH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): In process PRIMARY CONTACT: ❑OWNER p CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-742-5888 Robin Kearsley CONTACT EMAIL: r@kearsleyhomes.com BUILDING PERMIT APPLICATION Existing Use of Building: SFR Contract Price of Work:$, $70,000.00 Proposed Use of Building: SFR Heat Source: ViGas ❑Electric DOther Building Type: OSFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition IaRemodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Partial interior remodel of existing residence. Removal of(3) main floor, load bearing columns,to be replaced with overhead beams. Floor leveling of existing family room. No mechanical or plumbing changes proposed. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No.of Heads ACKNOWLEDGEMENT:1 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 / t PERMIT, , JL ___ 9 22 18 _ 1 ( 0 L4 Owner/Authorized Agent 4; re Date (Revised 9/23/2016) /z