5230 EAST DR 2022-02-01 - Laserfiche WebLink

® M PERMIT APPLICATIOO BUILDING /MECHANICAL /PLUMBING /SIGN /SPRINKLER /DEMOLITION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ; 3 C EC5 f Pi- t vt- PROPERTY TAX #:00471700001705 LEGAL for new construction: Short Plat/subdivision I ? C- 2 C r' 'f. e Lot No. 4 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ron Moir TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: ITlEIT5302 East Drive c,rr Everett STATE WA Z,P 98203 OWNER PHONE: 425-290-2429 OWNER EMAIL:)Oel@haackbrotherS.COm CONTRACTOR NAME:Haack Brothers Homes CONTRACTOR ADDRESS: STIEET3922 87th AVE NE CITY Marysville STATE WA ZIP 98270 CONTRACTOR PHONE:4254-290-2429 CONTRACTOR EMAIL:JOel@haackbrothers.COm CONTRACTOR LICENSE 4(REQUIRED):HaackB1012DZ CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 053967 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Joel Haack CONTACT PHONE:425-290-2429 CONTACT EMAIL:joel@haackbrothers.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $350,000 Proposed Use of Building:SFR Heat Source: E]Gas ❑Other _❑Electric BUILDING USE. ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair LIT. 1. ❑Sign ❑Sprinkler ✓❑Demolition ❑Change of Use DESCRIPTION OF WORK: NEW SFR with attached Garage ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures A/C — Air Handling Units 4 Gas Piping Backflow Preventer (Inside Bldg) 4 Shower, Tub, or Combo Boiler 1 Gas Range 1 Clothes Washer Sink -Commercial (3-comp, prep, floor) 1 Clothes Dryer Heat Pump&Ductless 1 Dishwasher 6 Sink -Residential (kitchen, bath, bar) Duct System (Remodel) Refrigeration Drinking Fountain 1 Sink -Utility, laundry, mop Lt Exhaust Fans (Residential) Commercial Ventilatior (Not Heat/AC system) Floor Drain 3 Toilet _ Exhaust Hood (Type 1) 2 Hose Bibb Urinal Exhaust Hood (Type II) 1 Water Heater Interceptor -Grease Waste/Water Piping Repair f Exhaust Hood (Residential) Wood Stove Interceptor-Sand/Oil 1 Water Service (behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures 1 Gas Fireplace/InseNLog Roof Drains Water Neate4 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. 1 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. �� Agent Sii _? - j C.- Z © 2� Date City of Everett Official Use Only PE Cog (Revise 0/10/2018) 1��