408 ROCKEFELLER AVE 2022-07-27 - Laserfiche WebLink

PERMIT APPLICATIONAk BUILDING 011ECHANICAL/ PLUMBING /SIGN /1FRINKLER/ 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:408 Rockefeller Ave. PROPERTY TAX#:00438610502900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) -CONTACT INFORMATION OWNER NAME: David and Patricia Lee TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET408 Rockefeller Ave. CITY Everett STATE WA zIP 98201 OWNER PHONE:4255-232-1842 OWNER EMAIL:pjlee434@mSn.com CONTRACTOR NAME:OWner is contractor CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: m OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$20,000.00 Proposed Use of Building:SFR Heat Source: ❑Gas (Electric ❑Other BUILDING USE: IZISFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ONew ❑Addition ORemodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Interior remodel per plan. Replace existing windows. No new floor area or structural modifications. 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 NC—Air Handling Units Gas Piping Ba ow Preventer(Inside Bldg) 3 Shower,Tub,or Combo Bo Gas Range 1 Clothes r Sink-Commercial(3- prep,floor) 1 Clothes D Heat P p&Ductless 1 _Dishwasher ` 3 Sink-Resiq ti<kitchen,bath,bar) Duct System(Rem I) Igeration Drinking Fountain 1 Sipketlfility,laundry,mop 3 Exhaust Fans(Resident) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Un Exhaust Hood(Type II) Water Heater _Interceptor-Grease Waste/VVate-flaipiag Repair 1 Exhaust Hood(Re • ential) d Stove Interceptor-Sand/Oil Water Service(behin�?netec)✓ Forced Air S ms Other: Medical Gas Water Valves or Fixtures Gas Fire ce/Insert/Log Roof Drai : Water Heater SPKLER/SUPPRESSION SYSTEM Se =ge 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 PERM( # ,� /-z8 ZOO) �02. O2D Owner/ uthorized Agent Si ture Date (Revised 10/10/2018) /Z