330 ELM ST VIEW RIDGE ESTATES 2022-04-04

� PERMIT APPLICATIO BUILDING i ECHANICAL/ PLUMBING /SIGN / PRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (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 PROJECT SITE ADDRESS:330 ELM ST PROPERTY TAX#:00869533010100 LEGAL for new construction: Short Plat/subdivision State Addition to Everett No.3 Lot No. 1-10 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Port Gardner Management(Tom Gish) TENANT BUSINESS NAME(Commercial)v ,6,3 OWNER MAILING ADDRESS: STREET PO Box 1007 cny Everett STATE WA Zip 98203 OWNER PHONE: 425-508-8066 0 ER EMAIL:tgish@portgar nermgmt.com CONTRACTOR NAME: - y�Q� G/� � CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Rece p n e LI PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Structural Engineer in Training CONTACT NAME: CONTACT PHONE:425-778-8500 Ben James CONTACT EMAIL:benj@cgengineering.com BUILDING INFORMATION Existing Use of Building:Residential Contract Price of Work:$80,000 Proposed Use of Building:Residential Heat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ElDuplex ❑ADU ❑✓Multi Family-#Units:20 ❑Commercial EAccessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Stabilize existing foundation with piles. 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 L' t of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Sh er,Tub,or Combo Boiler Gas Rang- Clothes Washer ink-Commercial(3-comp,prep,floor) Clothes Dryer Heat P. p&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) R-. geration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) ommercial 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-San it Water Service(behind meter) Forced Air Systems Other: Medical Ga Water Valves or Fixtures Gas FireplacellnserU •g Roof D ' s Water Heater SPRINKLER/ PPRESSION SYSTEM Sew a Ejector or Sump Pump Other: Water Suppression Syste No.of Heads Chemical Suppression S stem 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. 21::CACity oof Everett OfficiallUse Only ©///3/202(9 - CIS(2,__ Offer/Autho ed Agent Signature Date (Revised 10/10/2018) �/ Z