11921 SILVER LAKE DR 2022-04-05 - Laserfiche WebLink

PERMIT APPLICATIO ' BUILDIN( , MECHANICAL / 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:11921 Silver Lake Drive, Everett, WA PROPERTY TAX#:00574900000200&00574900000302 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Duane and Mary Schireman TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET4838 Glenhaven Drive ciTy Everett STATE WA ZIP 98203 OWNER PHONE: 425-275-6790 OWNER EMAIL:mary.schireman@gmail.com & dpschireman@gmail.com CONTRACTOR NAME:Greg Romo, Romo Construction LLC CONTRACTOR ADDRESS: STREET 12112 2nd Dr. NE CITY Marysville STATE WA Zip 98271 CONTRACTOR PHONE:425-501-5100 CONTRACTOR EMAIL:gregromoconstruction@gmail.COIp_C CONTRACTOR LICENSE#(REQUIRED):GREGRRC961 QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED0�' PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:360 629 3441 Tom Rochon CONTACT EMAIL:Tom@designsnw.com, BUILDING INFORMATION Existing Use of Building:Single Family Residence Contract Price of WOrk: $237,30 4;3y ��CQLk Proposed Use of Building:Single Family Residence Heat Source: ❑� G DElectric DOther BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial ❑Accessory Structure Type of Project: ❑New DAddition [1Remodel ❑Repair ❑T.l. ❑Sign Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remodel of Existing Residence and Additions of Living Space and attached Garage 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 A/C—Air Handling Units 1 Gas Piping 1 Backflow Preventer(Inside Bldg) 1 Shower,Tub,or Combo Boiler 1 Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) 1 Clothes Dryer 1 Heat Pump&Ductless 1 Dishwasher 4 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain 2 Sink-Utility,laundry,mop 4 Exhaust Fans(Residential) Commercial Ventilation Floor Drain 3 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 Water Service(behind meter) 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures 1 Gas Fireplace/Insert/Log Roof Drains 1 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 (ofEverett Official Use Only -jam PER ri .!!—fE` _00� .2� Owner/Authorized Agent Signature Date (Revised 10/10/2018) 12_