3322 52ND PL SW 2021-12-20 - Laserfiche WebLink

• CJ PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 OL (P) 425-257-8810 1 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. 3322 52nd PI. S.W. PROPERTY TAX #: 00396700203200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Bradley & Kim Larssen TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET3322 52nd PI. S.W. clTv Everett STATE WA zip 98203 OWNER PHONE: 206-963-2815 OWNER EMAIL: kimboonelarssen@gmail.com CONTRACTOR NAME: Done Right Construction & Restoration, LLC CONTRACTOR ADDRESS: STREET P.O. Box 851 CITY MUKILTEO STATE WA zIR 98275 CONTRACTOR PHONE: 425-344-9668 CONTRACTOR EMAIL: aarong@donerightconstruct.com CONTRACTOR LICENSE #(REQUIRED): DONERRC933PZ CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) owner's Agent CONTACT NAME: Chris Bacus - Pacific Engineering Tech. CONTACT PHONE: 206-281-7500 CONTACT EMAIL:cbacus@pacengtech.com BUILDING INFORMATION Existing Use of Building: Single Family Residence Contract Price of Work: $ 100,000.00 Proposed Use of Building: Heat Source: ❑v Gas ❑Electric ❑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: 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): MECHANICAL PERMIT APPLICATION,, -'PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture c unr Li of Fixtures Fixture Count List of Fixtures Fixture Count List of Fi s A/C —Air Handling Units as Piping Backflow Preventer (Inside Bldg) Shower, Tub Combo Boiler - Gas Range Clothes Washer Sink-C mercial (3-comp,prep,floor) Clothes Dryer ( Heat Pump&Ductless Dishwasher Si -Residential (kitchen, bath, bar) Duct System (R d Refrigeration Drinking Fountain Sink -Utility, laundry, mop Exhaust Fa idential) Commercial Ventilatior (Not Heat/AC system) Floor Drain Toilet Exhaust H ype 1) Hose Bibb Urinal Exhaust Hood (Type II) Water Heater Interceptor -Grease Waste/Water Piping Repair Exhaust Hood (Residential)l Wood Stove Interceptor-Sandlot Water Service (behind meter) Forced Air Systems I Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log I Roof Drains Water Heater SPRINKLER / SUPPRESSION SYSTEM Sewage,EectororSump Pump Other: Water Suppression System I jNo. of Heads Chemical Suppression System I lNo. of Heads ACKNOWLEDGEMENT: l 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. all, May 17, 2019 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT 10 (Revised 1011012018)