1118 80TH ST SW BASE FILE 2022-01-24

MEN PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING t 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: 1118 80th St SW Everett, WA 98203 PROPERTY TAX#: 28041200301100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tony Quattrin TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1118 80th St SW c,T„ Everett STATE WA zip 98203 OWNER PHONE: (206)-327-1080 OWNER EMAIL: Tony.quattrin@pepsico.com CONTRACTOR NAME: R&R Foundation Specialist CONTRACTOR ADDRESS: STREET 3409 McDougall Avenue, Suite 204 CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE: (425) 760-5077 CONTRACTOR EMAIL: Lauren@rrSpeCialiSt.net CONTRACTOR LICENSE#(REQUIRED): RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58143 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)760-5077 ext. 3 Lauren Chapman CONTACT EMAIL: Lauren@rrspecialist.net BUILDING INFORMATION Existing Use of Building: Commercial Contract Price of Work:$ 24,698.50 Proposed Use of Building: Commercial Heat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ElCommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ✓❑Repair ❑T.I. ❑Sign DSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Crew will install (13)3" Helical Piles along the southern and eastern perimeter to lift commercial building to maximum practical recovery. 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 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, an I comply with the Stet@ Contractors Law 18.27 RCW and 296.200A WAC. / ' City of Everett Official Use Only 1 10711g PERMI g ,tom\ w e lAu Agent ignature Date (Revised 10/10/2018)