3016 NASSAU ST 2021-06-10 - Laserfiche WebLink

4ETT • PERMIT APPLICATI• 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:3016 Nassau St. ,PROPERTY TAX#:00437572302400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Brian Adams TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 3016 Nassau St. CITY Everett STATE WA ZIP 98201 OWNER PHONE: 206-396-5163 OWNER EMAIL:Boatman007@gmail.com CONTRACTOR NAME:Mark Coe - McBride Construction Resources CONTRACTOR ADDRESS: STREET 15100 8TH AVE SW CITY BURIEN STATE WA ZIP 98166 CONTRACTOR PHONE:206-235-1672 CONTRACTOR EMAIL:markc@mcbrideconstruction.com CONTRACTOR LICENSE#(REQUIRED):MCBRICR099JZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Owner's Agent CONTACT NAME: CONTACT PHONE:206-281-7500 Chris Bacus - Pacific Engineering Tech. CONTACT EMAIL:cbacus@pacengt com BUILDING INFORMATION / • Existing Use of Building:Single Family Residence Contract Price of W rk: $2�va, Uo.00 / J\3 CO Proposed Use of Building: Heat Source: ❑ as Electric ' ❑Other BUILDING USE: OSFR Townhouse Duplex ❑ADU ❑Multi-Family-#Units: �_ .❑Commercial Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ✓❑Repair CIT.!. ❑Sign Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Fire Damage Repair, This- I app(cation is e to an • • g si �e family residence duo to a r-eGe+*fire. ompleted pre ' . gevy/eva/ L'fir/C/Geme,pt 0.1�','P1I'yl( 5 qG/ rZeytt €d, . )oer''rrefvil+r/y 'qt'r- R'eime„e 7e Kq,I,`a] 0�d �`�' ' 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 Ga ing Backflow Preventer(Inside Bldg) Shower,Tu ombo Boiler r as Range Clothes Washer Sinkmmercial(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(Resident' Commercial Ventilatior Floor Drain --- y Toilet Exhaust Hood(Type.' (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(T, ie II) Water Heater Interceptor-Greases'' Waste/Water Piping Repair Exhaust Hoo. "esidential) Wood Stove Interceptor-S d//Oil Water Service(behind meter) Forced Air systems Other: Medical s Water Valves or Fixtures Gas Fir-.lace/Insert/Log Roo rains Water Heater SPR 'KLER / SUPPRESSION SYSTEM ewage 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. 1 am the owner,or I am authorized by the owner of this property to pe orm the work for which ao,glation is made. and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. �_ ,^ `\ Q Grp k—' `0`p A„^'� Ci of Everett Official Use Only PE'I # \1 8/22/19 11 (VLJ`cCe 0 Owner/Authorized Agent Signature Date (Revised 10/10/2018) ! y.2.)