1528 GRAND AVE 2022-04-01 - Laserfiche WebLink

47-7- PERMIT APPLICATIO / PLUMBING / SIGN /SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROTECT SITE ADDRESS:1528 GRAND AVENUE, EVERETT, WA 98201 PROPERTY TAX#:00553632501000 LEGAL for new construction: Short Plat/subdivision REMINGTONS 1ST ADD BLK 325 Lot No.1 o/t 1 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: CHRIS AND TERRIE RAE ANDERSON TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 12911 SE 228TH PLACE crw KENT STATE WA ZIP 98031 OWNER PHONE: 253.886.0638 OWNER EMAIL:canderso32@yahoo.com CONTRACTOR NAME:TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR O OTHER(Please Specify) ARCHITECT CONTACT NAME: CONTACT PHONE:206.931.0990 GARIN SCHENK CONTACT EMAIL:GARIN@ARCHSTUDIOEVERETT.COM BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work: 2$ 8.0,,o . o 2 Proposed Use of Building:SFR Heat Source: ❑Gas '❑Electric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial LJAccessory Structure Type of Project: ❑New ❑✓Addition EIRemodel ❑Repair T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ADDITION AND REMODEL TO EXISTING SINGLE-FAMILY RESIDENCE. REWORK EXISTING DRIVE AND ADD GAS SERVICE. ASSOCIATED BUILDING PERMIT#(if applicable): 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 1 A/C—Air Handling Units 2 Gas Piping Backflow Preventer(Inside Bldg) 4 Shower,Tub,or Combo Boiler 1 Gas Range 2 Clothes Washer Sink-Commercial(3-comp,prep,floor) 2 Clothes Dryer Heat Pump&Ductless 1 Dishwasher 6 Sink-Residential(kitchen,bath,bar) 1 Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 6 Exhaust Fans(Residential) Commercial Ventilation 1 Floor Drain 4 Toilet Exhaust Hood(Type I) (Not Heat/AC system) 2 Hose Bibb Urinal Exhaust Hood(Type II) 1 Water Heater Interceptor-Grease Waste/Water Piping Repair 1 Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil ater Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures 1 Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM 1 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 0 ,u1. PE r G� 9.�j.ZDt1 �I:1_ O0l OwneriAuthorized gent Signature Date (Revised 10/10/2018) Z