6438 CADY RD 2022-03-23 - Laserfiche WebLink

EVERETT WASHINGTON PERMIT APPLICATION BUILDING ECHANICAL / PLUMBING / SIGN WINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 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: 6438 Cady road Everett, WA 98203-4512 1PROPERTY TAX #: 00400000003301 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TadeSSe rlatrlael TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET 6438 Cady road c,n Everett STATE WA Z,P 98203.4512 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Homeowner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR El OTHER (Please Specify) Designer CONTACT NAME: Carmelo N Laviste CONTACT PHONE: 206-6832395 CONTACT EMAIL: cnldesign.drafting@gmail.com BUILDING INFORMATION Existing Use of Building: Single -Family Contract Price of Work: $ 15000 Proposed Use of Building: Adult -Family Home Heat Source: OGas ❑Electric ❑Other BUILDING USE: OSFR ❑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: Convert exist. 3 car garage into 2 bedrooms and living space, 2 bedrooms interior addition, bathroom alterations and existing single family residence at the lower floor into an Adult -family home. ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures A/C — Air Handling Units Gas Piping _Backflow Preventer (Inside Bldg) 1 Shower, Tub, or Combo Boiler Gas Range Clothes Sher Sink -Commercial (3-c p,prep,fIoor) Clothes Dryer Heat Pumpx6uctless Dishwasher 2 Sin k-Residenti dchen,bath,bar) 3 Duct System (Remodel) 3 ,geration Drinking Fountain Sink-UtJity; aundry, mop 3 Exhaust Fans(Residential) Commercial Ventilatior (Not Heat/AC system) Floor Drain 1 Toilet Exhaust Hood (Type I) Hose Bibb Urinal Exhaust Hood (Type 1 , Water Heater Interceptor -Grease Waste/Water Piping Repair Exhaust Hood esidential) Wood Stove Interceptor-Sand/Oil Water Service (behind meter) Forced ystems I Other. Medical Gas Iwater Valves, or Fixtures Gas-F,replace/lnserULog Roof Drains Water HeaterJSP\ RINKLER / SUPPRESSION SYSTEM Sewa jector 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. Ci Agent Signature I ,Cti�ty of Everett Offiiciall Use Only PERMt2-0 Date (Revised 1011012018)