5001 23RD AVE W 2022-07-21 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ 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 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:5001 23rd Ave W PROPERTY TAX#:00644500002200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Neal and Lani Prindle TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET5001 23rd Ave W ciTy Everett STATE WA ZIP 98203 OWNER PHONE: 425-239-5659 OWNER EMAIL:teampne@frontier.COm CONTRACTOR NAME:R&R Foundation Specialist LLC CONTRACTOR ADDRESS: STREET3409 McDougall Ave Ste 204 cry Everett STATE Wa ZIP 98201 CONTRACTOR PHONE:425-760-5077 CONTRACTOR EMAIL:Info@rrspeclaliSt.net CONTRACTOR LICENSE#(REQUIRED):RRFOUFS829DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58143 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Project Coordinator CONTACT NAME: CONTACT PHONE:425-248-881 3 Lauren Chapman - rLa L\-- ki„ul ;;;'twCONTACT EMAIL:lauren©rrspecialist.net BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$7,678.00 Proposed Use of Building:SFR Heat Source: EIGas DElectric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ESign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install (3) helical piles to lift the North end of the foundation of the garage to practical ma imum n recovery. vJ AS SOCIATED 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(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial 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-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 YerD....A-1 P IT( c'#' la �-� 15/10/19 O /Authorized Agent Si ature Date (Revised 10/10/2018)