5103 RUCKER AVE 2022-03-23 - Laserfiche WebLink

PERMIT APPLICATION EVERETT WASHINGTON BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / 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: 5103 Rucker Ave PROPERTY TAX #: 29053100402700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) -p CONTACT INFORMATION, OWNER NAME: Shawn Fettlg & Pavel Nikolashin TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET 5103 Rucker Ave c,T, Everett STATE WA zip 98203 OWNER PHONE: 303.579.3756 Ilve.cot71 1OWNER EMAIL: shawn.feftig@live.com CONTRACTOR NAME: Eric Miller / Jim LOvatt -Pacific Home Renovations CONTRACTOR ADDRESS: STREET 19811 136th PI SE CITY Monroe STATE WA Z,p 98272 CONTRACTOR PHONE:425-583-7536 1CONTRACTOR EMAIL:jimlovatt@hOtmail.com CONTRACTOR LICENSE #(REQUIRED): PAC I FH R855PH CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR r❑ OTHER (Please Specify) CONTACT NAME: Eric Miller CONTACT PHONE:206-618-5992 CONTACT EMAIL: emiller@vestus.com BUILDING INFORMATION Existing Use of Building: SFR Contract Price of Work: $50,000 Proposed Use of Building: Remodel Heat Source: []Gas ❑� Electric ❑Other BUILDING USE: EISFR ❑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: Remodeled existing structure, updated flooring, windows, roof, paint, cabinets, appliances, fixtures 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) 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 (Not Heat/AC system) Floor Drain Toilet Exhaust Hood (Type 1) 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.. 1 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. 1 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. 3/17/2020 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # J,?xcAZ 2- (Revised 1011012018)