3130 BROADWAY 2021-12-20 - 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:3130 Broadway, Everett WA 98201 PROPERTY TAX#: ):1 - 4�1 59 U / O j) v'D LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Broadway Station Apartments TENANT BUSINESS NAME(Commercial): n/a OWNER MAILING ADDRESS: STREET 17720 15th Ave NE c,T- Shoreline STATE WA zip 98155 OWNER PHONE: 206-280-1484 OWNER EMAIL: CONTRACTOR NAME:Green Built Northwest CONTRACTOR ADDRESS: STREET 17720 15th Ave NE cirr Shoreline STATE WA zip 98155 CONTRACTOR PHONE:206-274-9226 CONTRACTOR EMAIL:admin@greenbuiltnw.com CONTRACTOR LICENSE#(REQUIRED): C1(LGE,..t j;J CO i ( CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 46, PRIMARY CONTACT: ❑OWNER CI CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4252326221 Stephanie Quiroga CONTACT EMAIL:stephanie@greenbuiltnw.com BUILDING INFORMATION Existing Use of Building:multi-family Contract Price of Work: $20000 Proposed Use of Building:multi-family-no change Heat Source: ❑Gas ElElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:8 ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ✓❑Repair DTI. ❑Sign LISprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Repair and replace plumbing fixtures and pipes as needed. ASSOCIATED BUILDING PERMIT#(if applicable): `_.:./‘i 11 - (DK)� 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) 8 Shower,Tub,or Combo Boiler Gas Range 2 Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless 8 Dishwasher 16 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain 8 Toilet Exhaust Hood(Type I) Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease 8 Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas �---WatecValves or Fixtures Gas Fireplace/InserULog Roof Drains 8 Water Peater 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. • ~~�1, ` 'Ci'ty off Everett`g Official Use Only l t, 1(2 / ; PE LVIJ \ i O vo 2.___ Owner/A orized Agent Signat 5 e D to (Revised 10/10/20/18)) L-//