5620 12TH AVE W B 2021-09-02 - Laserfiche WebLink

PERMIT APPLICATIO BUILDINPMECHANICAL/ PLUMBING / SIGN PRINKLER / 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:5620B 12th Ave W, Everett WA 98203 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jan Michael Licudan TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: 757.547.6412 OWNER EMAIL: CONTRACTOR NAME:McLeod Construction LLC CONTRACTOR ADDRESS: STREET1115 N 140th St CITY Seattle STATE WA ZIP 98133 CONTRACTOR PHONE:206.545.7837 CONTRACTOR EMAIL:kperkins@mcleodconstruction.com CONTRACTOR LICENSE#(REQUIRED):MCLEOL9514DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 043502 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206.688.6979 Kiley Perkins CONTACT EMAIL:kperkins@mcleodconstruction.com BUILDING INFORMATION Existing Use of Building:Residence Contract Price of Work: $50,000 Proposed Use of Building: Heat Source: OGas 17Electric ❑Other BUILDING USE: ❑SFR ✓❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial EAccessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Smoke Damage to unit, bring first level down to studs and replace all insulation and drywall. Remodel interior finishes on first floor. Second level paint and seal only. 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) "dAli, Clothes Dryer Heat Pump&Ductless O N`, Dishwasher C ,M- 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 PERMIT# II /2 2Oicr 1' " C 1 11063 Owner/Au re • ate (Revised 10/10/2018)