1507 RUCKER AVE B 2022-07-21 - Laserfiche WebLink

PERMIT APPLICATIO BUILDIN ECHANICAL / PLUMBING / SIGN RINKLER / 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:1507 Rucker Ave PROPERTY TAX#:00475330700300 LEGAL for new construction: Short Plat/subdivision_ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Shirley Whitkanack TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1507 Rucker Ave cITY Everett STATE WA ZIP 98201 OWNER PHONE: 206-340-8259 OWNER EMAIL:sfwhitkanack@gmail.com CONTRACTOR NAME:Carriage Houses Northwest CONTRACTOR ADDRESS: STREET4000 88th St NE CITY Marysville STATE zip WA98270 .i, CONTRACTOR PHONE:20691 01 81 3 CONTRACTOR EMAIL:info@chnwbuilds.com CONTRACTOR LICENSE#(REQUIRED):CC CARRIHN821 OE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 604-001-012 PRIMARY CONTACT: ❑OWNER CI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2143353990 Micah Diamond CONTACT EMAIL:micand@chnwbuilds.com BUILDING INFORMATION Existing Use of Building:Single Family Residential Contract Price of Work: $ 12000 Proposed Use of Building:Mother-in-law suite Heat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ZADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install Diamond Pier and beam foundation. Trench and run piping for DWV connection, potable water supply connection, construction of deck/landing at entrance, installation of fuel piping and connection of fuel burning appliances, construction of front door overhang structure. 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) 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 �f 1 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain . \ Sink-Utility, laundry,mop 1 Exhaust Fans(Residential) .Commercial Ventilatior Floor Drain , . 1 Toilet Exhaust Hood(Type I) - (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) 1 Water Heater Interceptor-Greas 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 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 of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature Date (Revised 10/10/2018)