320 89TH ST SE 2022-01-25 - Laserfiche WebLink

MINI ® � PERMIT APPLICATIOS BUILDINO"MECHANICAL / PLUMBING / SIGN , .,PRINKLER / DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov II www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:320 89th St. SE PROPERTY TAX#:00476300000500 LEGAL for new construction: Short Plat/subdivision HOLLY CREST BLK 000 D-00 Lot No.5 (attach copy of long legal description) CONTACT INFORMATION 1 OWNER NAME: ASFAW BELAY TENANT BUSINESS NAME(Commercial): 1 OWNER MAILING ADDRESS: STREET 21107 46th PI. W. ciTY LYNNWOOD STATE WA zip 98036 OWNER PHONE: 206.354.4095 OWNER EMAIL:ASFAW08@GMAILCOM CONTRACTOR NAME:TO BE DETERMINED /u (1VU../r— d CONTRACTOR ADDRESS: STREET M CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) DESIGNER :ONTACT NAME: CONTACT PHONE:206.261.2418 DAN V. GARVIDA / GARVIDA DESIGN GROUP CONTACT EMAIL:DANGARVIDA@GMAIL.COM i BUILDING INFORMATION Existing Use of Building:SINGLE FAMILY RESIDENCE Contract Price of Work: $25,000 Proposed Use of Building:SINGLE FAMILY RESIDENCE/AFH Heat Source: EGas ❑Electric DOther BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ECommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: INTERIOR ALTERATION TO INCLUDE WALL DEMOLITION AND WALL CONSTRUCTION. ESTABLISH ADULT FAMILY HOME. " ASSOCIATED BUILDING PERMIT#(if applicable): tC�C+ J 11CHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION _--1 Fixture Fixture Fixture Fixture List of Fixtures List of Fixtures List of Fixtures LlSrt of Fixtures Count Count COU t Count —A'k Handling Units Gas Piping ackflow Preventer(Inside Bldg) 2 Shower,Tub,or Combo Boiler g Gas Range Clott s Washer Sink-Commercial(3-comp,prep,flcor) I —_ Clothes Dryer Heat Pump&Ductless Dishwasher, 2-' Sink-Residential(kitchen,bath,bar) 1 6 Duct System(Remodel) Refrigeration Drinking Fountailr- , Sink-Utility,laundry, mop _� 2 Exhaust Fans(Residential) Commercial Ventilation Floor Drain 2 Toilet k Exhaus ood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exh st Hood(Type II) Water Heater Interceptor-Grease - -\ Waste/Water Piping Repair xhaust Hood(Residential) Wood_ Stc>,ve Interceptor-Sand/Of( Water Service(behind meter) Forced Air Systems Other: Medical Gas,,' Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drais�a Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads a�� 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 a;rreni 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 Fsuilding 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 mad;:, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only f PERMI 12/15/202o T2D\2_— ()Lk/ 1 Owner/Authorized Agent Signature Date (Revised 10/10/2018) (I/