3104 TULALIP AVE 2021-09-01 - Laserfiche WebLink

• PERMIT APPLICATION• 4ffrr BUILDING / MECHANICAL/PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (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:3104 Tulalip Ave. PROPERTY TAX#:00561 901 1 00201 LEGAL for new construction: Short Plat/subdivision__ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Adam & Laura Braddock TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET3104 Tulalip Ave. CIn Everett STATE WA ZIP 98201 OWNER PHONE: 425-903-0653 OWNER EMAIL:adambraddock@johnlscott.com CONTRACTOR NAME:Aaron Glenn- Done Right Construction& Restoration, LLC CONTRACTOR ADDRESS: STREET P.O. BOX 851 CITY MUKILTEO STATE WA ZIP 98275 . CONTRACTOR PHONE:425-344-9668 CONTRACTOR EMAIL:aarong @donerightconstruct.com CONTRACTOR LICENSE#(REQUIRED):DONERRC933PZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5-$LI d^ PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Owner's Agent CONTACT NAME: CONTACT PHONE:206-281-7500 Chris Bacus - Pacific Engineering Tech. CONTACT EMAIL:cbacus@pacengtech.com BUILDING INFORMATION Existing Use of Building:Single Family Residence Contract Price of Work:$80,000.00 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure Type of Project: ['New DAddition DRemodel l]Repair ❑T.I. ❑Sign OSprinkler ❑Demolition DChange of Use DESCRIPTION OF WORK: Fire Damage Repair,This permit application is to repair the damage to an existing single family residence due to a recent fire. A Fire Damage Walkthrough has been completed previously. ASSOCIATED BUILDING PERMIT#(if applicable): V106-co\ MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures nt List of Fixtures Count List i- free A/C—Air Handling Units G.s Piping Backflow Preventer(Inside Bldg) ShowelfT66 or Combo Boiler G 'Rang- Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer •,�-!to-' mp&Ductless Dishwasher — Sink-Residential(kitchen,bath,bar) Duct System(Remodel) t efrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residenti-` 4 Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bib Urinal Exhaust Hood(Typ- Water Heater Intercepto se Waste/Water Piping Repair Exhaust HoodfeRgsidential) Wood Stove Intercep and/Oil Water Service(behind meter) Forced Air Systems Other: Me ' al Gas Water Valves or Fixtures Gas Fireplace/InserULog oof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System I 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 PERMIT# 6 �� June 5,2019 Owner/Authorized Agent Signature Date (Revised 10/10/2018)