515 104TH PL SE 2021-11-08 - Laserfiche WebLink

Elm PERMIT APPLICATI 116109 BUILDIN•MECHANICAL/ PLUMBING /SIG 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:515- 104th Place S.E. PROPERTY TAX#:00389500000700 LEGAL for new construction: Short Plat/subdivision BEGIS PLAT 2 Lot No.7 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ann Tafa TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 515- 104th Place S.E. CITY Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Nighthawk Construction, LLC CONTRACTOR ADDRESS: STREET 16212 Bothell-Everett Hwy., Suite F216 ciTY Mill Creek STATE WA ZIP 98012-1602 CONTRACTOR PHONE:(425)308-2330 CONTRACTOR EMAIL:nighthawkconstructionllc@gmail.com CONTRACTOR LICENSE#(REQUIRED):NIGHTCL844MF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR El OTHER(Please Specify) Designer/Agent CONTACT NAME: CONTACT PHONE:(206)225-0068 Douglas Almond-NuttyCAD Drafting and Design, LLC CONTACT EMAIL:doug.almond@nuttycad.com BUILDING INFORMATION Existing Use of Building:Single Family Contract Price of Work:$95,000.00 Proposed Use of Building:Single Family Heat Source: I]Gas ❑Electric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Interior remodel of kitchen, laundry and guest bath. Removal of wall, replaced with new glulam beam. • ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATI PLUMBING PERMIT APPLICATION Fixture Fixture Fixtu Fixture Co t List of Fixtures Count Li of Fixtures Count List of Fixtures Count st of Fixtures C—Air Handling Units as Piping :.ckflow Preventer(Inside Bldg) 1 Sh r,Tub,or Combo Bol Gas Range 1 Clo --s Washer Ink-Commercial(3-comp,prep,floor) 1 Clothes r Heat Pump&Ductless 1 Dishwa •-r Sink-Residential(kitchen,bath,bar) Duct System(Re del) Refrigeration Drinking Fou 'n Sink-Utility,laundry,mop 3 Exhaust Fans(Residen Commercial Ventilatior Floor Drain 2 Toilet Exhaust Hood(Type (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Ty II) ater Heater Interceptor-Grease Waste/Water Piping Repair 1 Exhaust Hood esidential) Woo ve Interceptor-Sand/Oi i .ter Service(behind meter) Forced Air S terns Other: Medical Gas Water s or Fixtures Gas Firep ce/InsertILog Roof Drains Water Heater SPRIN ER/SUPPRESSION SYSTEM Sewag jector or Sump Pump Other: Water Suppress' n System No.of Heads Chemical Sup ression System I No.of Heads ACKNOW DGEMENT: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.lam the owner,or l.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 FERN ,::.i..,..r:i" ..,.. ---------.b,.,. 2-1— 01-29-2141° `0 ^ 0 O \j Owner/Authorized Agent Signature Date (Revised 70/ I/2018)