4735 GLENHAVEN DR 2021-11-17 - Laserfiche WebLink

PERMIT APPLICATION 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:4735 GLENHAVEN DR,EVERETT 98023 PROPERTY TAX#:00456700005000 LEGAL for new construction: Short Plat/subdivision N/A Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: KRISTIE DUTTON TENANT BUSINESS NAME(Commercial): N/A OWNER MAILING ADDRESS: sTREET4206 2ND AVE NW cirY SEATTLE STATE WA ZIP 98107 OWNER PHONE: 425.760.0822 OWNER EMAIL:KRISTIEDUTTON@MSN.COM CONTRACTOR NAME:NORT &CREEK CONTR ORS OWVI ,$'i /` CONTRACTOR ADDRESS: sr ET 131 NE 177TH PL, SUITE 396 CITY DINVILLE STATE WA zip 98072 CONTRACTOR PHONE:425.518.. 33 - CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQl11RED):NORTHCC859R8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE ): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR CI OTHER(Please Specify) CG ENGINEERING i ,)VI I'I,er � CONTACT NAME: CONTACT PHONE:425.778.8500 /L I4t O MORGAN KRUSE, PE CONTACT EMAIL:MORGANK@CGENGINEERING.COM BUILDING INFORMATION Existing Use of Building:SINGLE FAMILY RESIDENCE Contract Price of Work: $16,000.00 Proposed Use of Building:N/A Heat Source: ElGas ❑Electric DOther BUILDING USE: DSFR ❑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: STABILIZE EXISTING CONCRETE FOUNDATION WITH 2" DIAMETER PIN PILES WHERE SETTLEMENT HAS OCCURRED. ASSOCIATED BUILDING PERMIT#(if applicable): N/A 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) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) •Refrigeration Drinking Fountain Sink-Utility, laundry,mop Exhaust Fans(Residential) Commercial Ventilation 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 com 4'with the State Contractors Law 18.27 RCW and 296.200A WAC. f City of Everett Official Use Only - 08.12.2019 PERMIT 671 / D ert� / Owner/Auth rized Agent Signature Date (Revised 10/10/2018) �ttl� f�