5306 ROCKEFELLER AVE 2022-01-21 - Laserfiche WebLink

� PERMIT APPLICATIO I PLUMBING I SIGN i RINKLER / 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:5306 Rockefeller AVE PROPERTY TAX#:00495800601 703 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tara Richards/Daniel Crosby TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET5306 Rockefeller AVE CITY Everett STATE WA ZIP 98203 OWNER PHONE: 425-344-3413 OWNER EMAIL:COUrtneyriChards q©allState.COm CONTRACTOR NAME:Homeowner's (Richards/Crosby) Will Complete CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-344-3413 T. "Courtney" Richards CONTACT EMAIL:courtneyrichards@allstate.com BUILDING INFORMATION Existing Use of Building:Single Family Residence (SFR) Contract Price of Work:$50,000 Proposed Use of Building:SFR Heat Source: ❑Gas ElElectric ❑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: Converting existing carport to deck. Door already exists on 2nd FL for access to Carport Roof/Deck (part of original 2nd floor addition that was approved and permitted). Tax Assessor picture reflects needed view as well. Attached are the plans and structural engineering sign off as well as site plan. Please email any questions. Thank you! 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 NC—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 Ventilatior 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.-/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 l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMI (� �D_I D t� Owner/Authorized Agent Signature Date (Revised 10/10/2018) // E--