1227 RUCKER AVE 2021-09-24 - Laserfiche WebLink

MIN • PERMIT APPLICATION* L.1 BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER/ 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:1227 Rucker Avenue, Everett, WA 98201 PROPERTY TAX#:00409422700300 LEGAL for new construction: Short Plat/subdivision Lot No., (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Brooks Smothers TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1227 Rucker Avenue CITY Everett I STATE wa ZIP 98201 OWNER PHONE: 610-675-6113 OWNER EMAIL:fShrmOn@gmail.Com CONTRACTOR NAME:Crown Construction CONTRACTOR ADDRESS: STREET PO Box 14833 Cry Mill Creek STATE WA ZIP 980:" CONTRACTOR PHONE:425-754-4059 CONTRACTOR EMAIL:josh.S@crowncSi.com CONTRACTOR LICENSE#(REQUIRED):CROWNCS835M6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE'): 604-147-241 PRIMARY CONTACT: CI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:610-675-6113 Brooks Smothers CONTACT EMAIL:j ion@gmail.com BUILDING INFORMATION Existing Use of Building:Residential Family Contract Price of Work:$65,000 Proposed Use of Building:Residential Family Heat Source: OGas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition EZiRemodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remodeling a bedroom to become a master suite and adding a half bath to living area. No changes to the exterior of the property or to the overall footprint of the single family home. 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) 1 Shower,Tub.or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp.prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher 1 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 9_, Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 1 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 2_, �O _`-'OGi Brooks Smothers oig,;acy sign aby er«kss mers Dare.zozo.ae.+e n:zn;z-0roo. 8/18/20 Owner/Authorized Agent Signature Date (Revised 10/10/2018) /Z