1208 RUCKER AVE 2022-02-15 - Laserfiche WebLink

Li II MEe-IANICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar ::reet 2nd Floor Intake Drop Box WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I (W)everelivia.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1208 Rucker Ave. PARCEL#: ci- Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): CONTACT INFORMATION OWNER NAME: Jay & Joy Varady OWNER MAILING ADDRESS: STREET 1208 Rucker Ave CITY Everett STATE WA ziP 98201 OWNER PHONE:(425) 299-0433 OWNER EMAIL:knox.jOy@gmail.Com CONTRACTOR COMPANY NAME:Curtiss Construction Co., Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):CURTICC995PA CITY OF EVERETT BUSINESS LICENSE i R.EQUIRED): 039553 CONTRACTOR ADDRESS: sTREET8303 143rd Ave NE c,TY Lake Stevens S-ATE WA LIP 98258 CONTRACTOR PHONE:(425) 239-2941 CONTRACTOR EMAIL:CUrtJSS©curtisscons' Uctionco.com PRIMARY CONTACT: ❑ OWNER C'CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 239-2941 Curtiss B. Fiechtner CONTACT EMAIL:curtiss@curtissconstructionco.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $ •. 0.00 SCO ASSOCIATED PERMIT# (if applicable): (Valuation shall include the pre ailing air market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: Master Bath Remodel MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) A/C Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count Air Handling Unit** Gas Appliance ** t Boiler(most require backflow prevention)** Gas Fireplace, Insert,and/or Log(*for commercial bldgs) Commercial Refrigeration(Walk-in coolers,VRF,VRV,etc) Gas-Other(List Type): ** Commercial Ventilation(corridors stairwell,pressurization.etc.) Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(building permit may be required) ** Heat Pump Ductless(attach plan with location of .utdoor unit) Clothes Dryer Exhaust Hydronic Piping t Duct System(additions.alterations) Unit heater(commercial use) • 2 Exhaust Fan(residential or commercial use) Water Heater(gas or electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type I *** Other(List Type): Exhaust Hood Type II*** Other(List Type): Furnace(residential) Other(List Type): * For commercial gas fireplaces, please attach plans and manufacturer's installation manual. ** Under Description of Work,please include Type of Equipment,model#'s,ad detailed description of work,and the location of the equipment. *** Type I hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review. Please submit the required documents as described in the associated Checklists online at everettwa.gov/permits under the Checklists&Handouts tab. ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work clone 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. City of Everett Official Use Only 3 ✓ PER O12_ -0Z 5 Owner/Authorized Agent ure Date (Revised 2/8/2021)