5306 ROCKEFELLER AVE 2021-08-27 - Laserfiche WebLink

PERMIT APPLICA•ON BUIL ..PG / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 WASHI NGTON (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:5306 Rockefeller AVE PROPERTY TAX#:00495800601 703 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tara Richards/Daniel Crosby TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET5306 Rockefeller AVE c,n Everett STATE WA zip 98203 OWNER PHONE: 425-344-3413 OWNER EMAIL:COUrtneyrichardS@allState.COm CONTRACTOR NAME:TBD - Will use only Licensed and Bonded Contractors (to be provided to City of Everett) CONTRACTOR ADDRESS: STREET Or Ourselves for simple finish work (flooring/tiling/painting) CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: D OWNER D CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-344-34 1 3 T. "Courtney" Richards CONTACT EMAIL:courtneyrichards©allstate.com BUILDING INFORMATION Existing Use of Building:Single Family Residence (SFR) Contract Price of Work:$50,000 Proposed Use of Building:SFR Heat Source: DGas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU LMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: New ❑Addition ❑✓Remodel ❑Repair ❑T.l. Sign ❑Sprinkler CDemolition ❑Change of Use DESCRIPTION OF WORK: Current: 2nd Fl, 1,537 SF, unfinished. Finishing the 2nd FL, including adding an indoor Staircase, chan- ging two 1st FL Bedrooms to office/laundry room. Upgrading 2nd FL windows to vinyl, adding a heat pump for both floors. 2 FL remodel will include 3 BR, 1.75 BA, Great Room. Submitting Separate permit request for Carport to Deck conversion. 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 Purrp&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 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 4/ 2� PERMIT 20 Oq V l Owner/Authorized Si atu Date (Revised 10/10/2018) r c_