8115 XAVIER WAY 2023-08-08 - Laserfiche WebLink

• • NM PERMIT APPLICATION Ira 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 I www.everettwa.gov/permits (Bina or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:8115 Xavier Way PROPERTY TAX#:00394100201900 LEGAL for new construction: Short Platlsubdivision Beverly Viewlands Div 1 Blk 2 Lot No. 19 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Garrett Johnson TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 8115 Xavier Way crry Everett STATE WA ZIP 98203 OWNER PHONE: 425.232.8862 OWNER EMAIL:Grjjohnson@gmail.com CONTRACTOR NAME:MSJ Construction Inc. CONTRACTOR ADDRESS: STREET 515 72nd St SE CITr Everett STATE WA ZIP 98203 CONTRACTOR PHONE:206.228.2944 CONTRACTOR EMAIL:msjconst@gmail.com CONTRACTOR LICENSE#REQUIRED:MSJCOCL865J2 Q 11 ( ) CITY OF EVERETT BUSINESS LICENSE#(REQUI _� (� • +6 PRIMARY CONTACT: DOWNER ❑CONTRACTOR 0 OTHER (Please Specify) Designer Z9012i1 CONTACT NAME: CONTACT PHONE:206.348.4483 Aaron Dupont CONTACT EMAIL:akd.archdesign@gmail.com BUILDING INFORMATION Existing Use of Building:Single Family Residence Contract Price of Work: $ 4•> -_ Proposed Use of Building:Single Family Residence Heat Source: F11Gas ❑Electric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial EAccessory Structure Type of Project: ❑New EAddition ❑Remodel Li Repair ❑T.I. LISign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New 1,108 s.f. addition to existing residence 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) t Shower,Tub,or Combo Boiler Gas Range / Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher 2 Sink-Residential(kitchen,bath,bar) /� Duct System(Remodel) Refrigeration Drinking Fountain S Sink-Utility,laundry,mop I Exhaust Fans(Residential) Commercial Ventilation Floor Drain I Toilet Exhaust Hood(Type I) (Not Heat/AC system) �t 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 I 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 S e Contractors Law 1 CW and 296.200A WAC. City of Everett Official Use Only PERMIT# V n ,w 0,--) 00, 06/ 2_3 / 2_6 net horized gen nature Date (Revised 10/10/2018)