1918 ROCKEFELLER AVE 2021-08-27 - Laserfiche WebLink

• PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only.Plons )` . .... .. , PROJECT SITE INFORMATION, PROJECT SITE ADDRESS:1918 Rockefeller Ave PROPERTY TAX#:00437038002300 LEGAL for new construction: Short Plat/subdivision EVERETT DIV a FLAT OF 1LK 380 D-00 Lot No.23/24 (attach copy of long legal description) CONTACT INFORMATION;; OWNER NAME: Barbara Stratton TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1918 Rockefeller Ave crw Everett STATE WA zip 98201 OWNER PHONE: (425)210-9404 OWNER EMAIL:barstratton@yahoo.com CONTRACTOR NAME:Matvey Foundation Repair CONTRACTOR ADDRESS: sTREET421 SW 152nd St cm( Burien STATE WA zip 98166 CONTRACTOR PHONE:253-327-1650 CONTRACTOR EMAIL:permits@gomatvey.com CONTRACTOR LICENSE#(REQUIRED):Matvefr837k5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056264 PRIMARY CONTACT: ❑OWNER O CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-660-7971 Ayden Wagner CONTACT EMAIL:permits@gomatvey.com BUILDING INFORMATION. Existing Use of Building:Single Family Residence Contract Price of Work:$23,600.00 Proposed Use of Building:SFR-no change Heat Source: OGas ❑Electric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: :New ❑Addition ❑Remodel ©Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Underpinning of the existing single family residence to stabilize the foundation. No additions or change in footprint. 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: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 PERM 9/9/2020 11J(�0 VL, Own /Authorized Ageg Signature Date (Revised 10/10/2018) Zl