3315 ROCKEFELLER AVE 2021-08-27 - Laserfiche WebLink

PERMIT APPLICATIO BUILDING MECHANICAL/ PLUMBING / SIGNIPRINKLER/ 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:3315 Rockefeller Ave., Unit 6 PROPERTY TAX#:01 051 1 00000600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Alan Lee TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET3315 Rockefeller Ave., Unit 6 CITY Everett STATE WA ZIP 98021 OWNER PHONE: (425) 417-1248 OWNER EMAIL:alanlee.al13@gmail.com CONTRACTOR NAME:Rebound Restoration Contractors-John Marsh CONTRACTOR ADDRESS: STREET P.O. Box 13151 CITY Mill Creek STATE WA ZIP 98082 CONTRACTOR PHONE:425-422-8287 CONTRACTOR EMAIL:jmarsh@ reboundre.com CONTRACTOR LICENSE#(REQUIRED):REBOURC97ORT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)0 J2e1 Q PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR D OTHER(Please Specify) Agent for Contractor (Q 02, 1 CONTACT NAME: CONTACT PHONE:Before Issuance:206-281-7500,After Issuance:425-422-8287 Before Issuance:Chris Bacus,After Issuance:John Marsh CONTACT EMAIL:cbacus@pacengtech.com BUILDING INFORMATION Existing Use of Building: Condominiums(Residential) Contract Price of Work: $17,000.00 Proposed Use of Building: Heat Source: ❑Gas DElectric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ✓❑Multi-Family-#Units: 6 OCommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ©Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Vehicle Impact repair to an existing Condominium Unit(Unit 6) 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 NC—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/InserULog 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 1 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 PERT (�C/� March 11,2020 Jd O 3—o'3 (. Owner/Authorized Agent Signature Date (Revised 10/10/2018) I