5126 SEAVIEW WAY 2021-08-30 - Laserfiche WebLink

• PERMIT APPLICATION • BUILDING /MECHANICAL/PLUMBING /SIGN /SPRINKLER I 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:5126 Seaview Way PROPERTY TAX#:00567900201302 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Clifford Jr& Kathleen E Grant TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 5126 Seaview Ave CITY Everett STATE WA zip 98201 OWNER PHONE: 425-971-3610 OWNER EMAIL:cliff.j.grant©gmai.com CONTRACTOR NAME:R&R Foundation Specialist CONTRACTOR ADDRESS: STREET 3409 McDougall Ave crry Everett STATE WA ZIP 98201 CONTRACTOR PHONE:425-760-5077 CONTRACTOR EMAIL:leesa@rrspecialist.net CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58143 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-760-5077 ext 2 Leesa Cronin CONTACT EMAIL:Ieesa@rrspecialist.net BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$38,870.00 Proposed Use of Building:Foundation Repair Heat Source: OGas ❑Electric ❑Other BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure Type of Project: :New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Crew with install (17)3"Helical Piles to stabilize and obtain maximum practical recovery. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Ftxrure 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 Ventilator 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 1 SUPPRESSION SYSTEM - Sewage Ejector or Sump Pump Other: Water Suppression System I No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:(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,tam the owner,or/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 RCWpnd 296.200A WAC. < City of Everett Official Use Only ,ram z� l � eA uthorized Agent S gna ure D to / PERMt1 (Revised 10/10/2018)