4918 23RD AVE W 2021-09-02 - Laserfiche WebLink

PERMIT APPLICATIOVI BUILDIN ECHANICAL/ PLUMBING /SIGN rgPRINKLER/ 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.govI www.everettwa.gov/permits (Blue Or Black Ink Only Please) PROJECT SITE INFORMATION �, a PROJECT SITE ADDRESS:4918 23rd Ave West PROPERTY TAX#:00644500000600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Paul and Alison Vijgen TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET4918 23RD AVE W CITY EVERETT STATE WA 2IP 98203 OWNER PHONE: 425-466-4840 OWNER EMAIL:alison.vijgen@noaa.gov CONTRACTOR NAME:JOE BOSCACCI-Broadview Buildings Inc CONTRACTOR ADDRESS: STREET2623 VIEWCREST AVE CITY EVERETT STATE WA ZIP 98203 CONTRACTOR PHONE:206 660 3670 CONTRACTOR EMAIL:boscacci4@hotmail.com CONTRACTOR LICENSE#REQUIRED:601517432 gg ( ) )�� OII7/QCITY OF EVERETT BUSINESS LICENSE#(REQUI D) '5b21�J ) PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑✓ OTHER(Please Specify) Architect l(c I CONTACT NAME: CONTACT PHONE:206.224.3323 Cassidy Zimmerman CONTACT EMAIL:cassidyz@shksarchitects.com BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$24,140 Proposed Use of Building:SFR(same) Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑✓SFR ❑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 of existing atrium, hall, stair, and existing guest bathroom. Total remodel area of 340 sf. ASSOCIATED BUILDING PERMIT#(if applicable): ECHANIGAL`PERMIT APPLICATION :PLUMBING'PERMIT APPLICATION J „, ,, ;.; Fixture Fixture F' re Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Cou�ri List of Fi res _A/C— A it Handling Units Gas Piping Backflow P enter(Inside Bldg) 1 Shower,Tu , r Combo Boiler Gas Ran Clothes Washer Sink- mercial(3-comp,prep,floor) Clothes Dry- Heat mp&Ductless Dishwasher 4 -Residential(kitchen,bath,bar) _Duct System(--model) frigeration Drinking Fountain Sink-Utility,laundry,mop _Exhaust Fans(Re-'.ential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type (Not Heat/AC system) Hose BibbZhya Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste Piping Repair Exhaust Hood(Resid- ial) Wood Stove Interceptor-Sand/Oi Water Service(b�M' d peter) Forced Air Syste Other: Medical Gas Water Valves or Fixtures` Gas Fireplac- sert/Log Roof Drai Water Heater SPRIN R%SUPPRESSION u.., STEM; Se ge Ejector or Sump Pump Other: Water Suppre ='on System No.of'--ds Chemical Suppression System INo.of Hea.- ACKNOWLEDGEMENT::I have reviewed this application and confirm the .rmation 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 ap. • -d 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 properly 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# Cassidy Zimmerman py° msea +a+ Ksaenw,.c�� az ( -6 a`7 10.15.19 Owner/Authorized Agent Signature Date (Revised 10/10/2018) ./ r2-