2119 LOMBARD AVE 2023-05-30 - Laserfiche WebLink

• PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WAS HINGTON (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:2119 Lombard Avenue PROPERTY TAX#:00439143901000 LEGAL for new construction: Short Plat/subdivision EVERETT PLAT OF BLK 439 D-00-LOTS 10&t t Lot No.io a i i (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Dwyane and Kasidee Youngblut TENANT BUSINESS NAME(Commercial): N/A OWNER MAILING ADDRESS: STREET 2119 Lombard Avenue cIr' Everett STATE WA ZIP 98201 OWNER PHONE: 425-387-5588(Kasidee)/425-418-5631 (Dwayne)OWNER EMAIL:kkyoungblut@gmail.com and dmyoungblut@gmail.com Chris Muscolo,CFM C uction CONTRACTOR NAME: rcT4ev ��jn.. CONTRACTOR ADDRESS: STREET PO Box 1031 CIS Stanwood STATE WA ZIP 98292 CONTRACTOR PHONE:425-508-7206 CONTRACTOR EMAIL:chris.muscolo@gmail.com CONTRACTOR LICENSE#(REQUIRED):CFMC 43B2 JCITY OF EVERETT BUSINESS LICENSE#(REQUIRED):(Z CO PRIMARY CONTACT: CI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Permit Specialist CONTACT NAME: CONTACT PHONE:425-299-1140 cell Christi Schmidt CONTACT EMAIL:christischmidt@gmail.com BUILDING INFORMATION Existing Use of Building:N/A-New construction Contract Price of Work:$ -570 ' ' Soc) t A- Proposed Use of Building:DADU 800 sf(with shop 100sf and garage 800sf) Heat Source: ❑✓Gas ElElectric ❑Other c..jA \_ BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑✓ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ✓❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: A new DADU that is two stories. Ground floor is comprised of a 800 sf garage and 100 sf shop. Second floor is the ADU with 800 sf living space. One parking stall in the garage is to be allocated for the ADU. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixtur Fixture Fixture Fixture Count List of Fixtures count List of Fixt s Count List of Fixtures Count List of Fixtures —Air Handling Units 1 Gas P. ng Backflow Preventer(Inside Bldg) 1 Shower,Tub,or Combo Boile _ s Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) _ 1 Clothes D Heat Pump&Ductless 1 Dishwasher 1 Sink-Residential(kitchen,bath,bar) Duct System(R odel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 2 Exhaust Fans(Resid ' I) Commercial Ventilation Floor Drain 1 Toilet Exhaust Hood(T I) (Not Heat/AC system) 1 Hose Bibb Urinal Exhaust Hoo ype II) 1 Water Heater Interceptor-Grease Waste/Water Piping Repair 1 Exhaust od(Residential) Stove Interceptor-Sand/Oil Water Service(behind meter) For Air Systems Other: Medical Gas Water Valves or Fixtures s Fireplace/Insert/Log N Roof Drains Water Heater eK. � RINKLER/SUPPRESSION SYSTEM `1 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!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PE I # dbi�9y��d q cma smmam Christi Schmidt 'onaus.E•WIN�m�nQyn:',., .....sc'c 3-17-21 Dili'.2011.W.11 19'�0 A0U1 tp' Owner/Authorized Agent Signature Date (Revised 10/10/2018) 2 �3-052