2110 ROCKEFELLER AVE 2022-03-02 - Laserfiche WebLink

PERMIT APPLICATIO• BUILDING RIECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2110 Rockefeller Avenue PROPERTY TAX#:00437043602802 LEGAL for new construction: Short Plat/subdivision Everett Division B Lot No.28-29 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Taylor Fjeran / Michael List TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 2110 Rockefeller AVenue CITY Everett STATE WA ZIP 98201 OWNER PHONE: (425) 359-4751 OWNER EMAIL:taylor.fjeran@gmail.com CONTRACTOR NAME:Owner Acting as Contractor CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) Designer/Agent CONTACT NAME: CONTACT PHONE:(206) 225-0068 Douglas Almond - NuttyCAD Drafting and Design, LLC CONTACT EMAIL:doug.almond@nuttycad.com BUILDING INFORMATION Existing Use of Building:Detached Garage Contract Price of Work: $85,000.00 Proposed Use of Building:Detached Garage Heat Source: ❑Gas ❑Electric ❑Other Unconditioned Space BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure Type of Project: ❑✓New ❑Addition ❑Remodel ❑Repair I. ❑Sign ❑Sprinkler ❑✓Demolition ❑Change of Use DESCRIPTION OF WORK: -Derrraittiorrof-exisUng.de-taclaefigarage. Construct new detached garage in same location _ I ASSOCIATED BUILDING PERMIT#(if applicable): l,�D t lJL1 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) 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: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. City of Everett Official Use Only nd?), PERMIT �✓ �.,®.,.„,_„Po ...�.,.,.__e�._...�o._a_e.m„•. 05/26/2020 Owner/Authorized Agent Signature Date (Revised 10/10/2018) t,