529 SHARON CREST 2021-09-08 - Laserfiche WebLink

EMI PERMIT APPLICATION 111.11.111 BUILDINGOCHANICAL / PLUMBING / SIGN 1•RINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:529 Sharon Crest Everett, WA 98201 PROPERTY TAX#:29053000301900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jack Southwick TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET529 Sharon Crest CITY Everett STATE wa ZIP 98201 OWNER PHONE:425.508.9740 OWNER EMAIL:jSOUthWICk@SeahUrSt.COm CONTRACTOR NAME:DOctOr Construction Co. dba Christensen Contractors Inc. CONTRACTOR ADDRESS: STREET 12208 Possession Lane Edmonds STATE wa zip 98026 CONTRACTOR PHONE:206.947.6758 CONTRACTOR EMAIL:don@christensencontractors.com CONTRACTOR LICENSE#(REQUIRED):DOCTOCCO62RJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ID CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206.947.6758 Don Christensen CONTACT EMAIL:don©christensencontractors.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $85,000 Proposed Use of Building: Heat Source: ❑Gas EElectric ❑Other BUILDING USE: EISFR ❑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: Remodel kitchen, add structural beam in kitchen, vault kitchen nook ceiling, remodel laundry into Master bathroom, remodel upstairs bathroom, remodel laundry, 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) 2 Shower,Tub,or Combo Boiler 1 Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) 1 Clothes Dryer Heat Pump&Ductless 1 Dishwasher 5 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 2 Toilet Exhaust Hood(Type I) (Not Heat/AC system) 1 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 1 Other:lutdoor stub Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log 1 BBQ 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 Contractor Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#n (�O 0 0Us v 352020 (�V Owner/Authorized Agent Signature Date (Revised 10/10/2018)