4018 GRAND AVE 2025-04-29 - Laserfiche WebLink

PERMIT APPLICATIOI L/ PLUMBING / SIGN BUILDINCOMECHANICAPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (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: 4018 GRAND AVE . EVERETT, WA 98201 PROPERTY TAX#:00468000102300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JONATHAN ARMSTRONG TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 4018 GRAND AVE. SE ,,T., EVERETT STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: OWNER CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: E OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONCEPT ARCHITECTURE,LLC CONTACT NAME: CONTACT PHONE: 425.377.8786 CONCEPT ARCHITECTURE.LLC CONTACT EMAIL: MREIMERS@CONCEPTARCHITECTURE.COM BUILDING INFORMATION q r Existing Use of Building: SFR Contract Price of Work: $ I® C�00 ' \,(6� (2 C.,--- Proposed Use of Building:SFR 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: RENOVATE AND ADD TO EXISTING RESIDENCE, INCLUDING GROUND LEVEL ADDITION AND NEW UPPER FLOOR ASSOCIATED BUILDING PERMIT#(if applicable): 1 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 NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 9 Shower,Tub,or Combo Boiler Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer t Heat Pump&Ductless t Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain y 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. f City of Everett Official Use Only Il/ PERMIT#. �rr, �� `eA u orized Ag nt Signature Date (Revised 10/10/2018) i O ne A