2131 LAKE HEIGHTS DR 2021-09-07 - Laserfiche WebLink

PERMIT APPLICATIO MII BUILDIN.MECHANICAL/ PLUMBING / SIG PRINKLER/ 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:2131 Lake Heights Dr, Everett,WA 98208 PROPERTY TAX#:28052900205000 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Bethany of the Northwest TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1902 120th Place SE,Suite 201 cm. Everett TATE WA zip 98208 OWNER PHONE: (425)258-9174 OWNER E L:TIMP bethanynw.org CONTRACTOR NAME:Charter Construction CONTRACTOR ADDRESS: STREET 980 S Harney St CITY Seattle STATE WA ZIP 98108 CONTRACTOR PHONE: 206-402-9598 CONTRACTOR EMAIL:brett.peterson@chartercon.com CONTRACTOR LICENSE#(REQUIRED):CC CHARTCI171 PM) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 039909 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:206-782-8208 ext 829 Suzanne Salandi CONTACT EMAIL:ssalandi@clarkbarnes.com BUILDING INFORMATION Existing Use of Building: I-1/A-2 Contract Price of Work: $16,440.00 Proposed Use of Building: I-1/A-2(NO CHANGE) Heat Source: ❑Gas ❑Electric ❑Other _ BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ['Addition ['Remodel ❑Repair ❑✓T.1. OSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: NON STRUCTURAL DEMOLITION, WORK TO INCLUDE DEMOLISHING NON STUCTURAL INTERIOR WALLS, KITCHEN EQUIPMENT, PLUMBING FIXTURES. AREA OF WORK-732 SF 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 Ejector or Sump Pump Other: Water Suppression System I No.of Heads Chemical Suppression System 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!am authorized by the owner of this property to perform the work for which application is made, and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only S"‘‘1.41; 6/17/20 PE # Oq'- 004Owner/Authorized nt Signature Date (Revised 10/10/2018) j /2 -