1707 RUCKER AVE 2022-05-10 - Laserfiche WebLink

1111111 PERMIT APPLICATIO BUILDINPMECHANICAL / 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: 1707 Rucker Ave PROPERTY TAX#: 00438034500300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Shannon & Lorena Olsen TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1707 Rucker Ave ciTy Everett STATE WA ZIP 98201 OWNER PHONE: 425-257-3287 OWNER EMAIL: spolsen56008©msn.com CONTRACTOR NAME: Pacific Garages Inc CONTRACTOR ADDRESS: STREET 1311 Potlatch Beach Rd ciTv Tulalip STATE WA ZIP 98271 CONTRACTOR PHONE: 425-508-4752 CONTRACTOR EMAIL: ed.olson@paclficgarages.corn CONTRACTOR LICENSE#(REQUIRED)::,,PACIFGIO88.JN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 2-5-2-5-13 9 / PRIMARY CONTACT: ❑OWNER I�CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-508-4752 Ed Olson CONTACT EMAIL: ed.olson@pacificgarages.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $38,000.00 Proposed Use of Building: Garage Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure 1 Type of Project: ✓❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct a new 624 sq ft detached, unheated 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 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( e d Refrigeration Drinking Fountain Sink-Utility,laundry, mop Exhaust Fans( i e tial) Commercial Ventilation 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-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: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 PERMI-ame2_— 0 ,°1, (-----'C-----:-(-------' .... E-'..------\- ,—,::..1/ /2_(-_-\ Owner/Authorized Agent Signature Date (Revised 10/10/2018) ---j__D