8411 E XAVIER WAY 2023-10-16 - Laserfiche WebLink

gn' PERMIT APPLICATIOtft BUILDING ECHANICAL/ PLUMBING /SIGN rrpRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (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:8411 E.Xavier Way Everett WA 98208 PROPERTY TAX#:00394200000101 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TITAN REAL ESTATE HOLDING LP TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 7188 169TH AVE SE - CITY BELLEVUE,WA 98006 STATE WA zip 98006 OWNER PHONE: Kevin Dong:425 598 8888 OWNER EMAIL:kedo1009@gmaii.com CONTRACTOR NAME:Owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR UCENSE#(REQUIRED): CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): -PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR O OTHER(Please Specify) Kesh Design Lines LLC CONTACT NAME: CONTACT PHONE:435 344 9906 Kesh Chavda CONTACT EMAIL:kesh@keshdesignlines.com BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$6,500 Proposed Use of Building:SFR Heat Source: ❑Gas DElectric DOther BUILDING USE: DSFR ❑Town use ❑Duplex ❑ADU ❑Mufti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑A ition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: , Convert existing Garage over basement into additional bedroom ,2. Finish existing basement to living area and bedroom . Construct new second level deck and shed above ' (Note: Stop work order has been placed) ASSOCIATED BUILDING P IT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture FlzWre Fixture Fbxture List of Fixtures court List of Fixtures Count List of Fixtures Court List of Fixtures CountA/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 I 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 State Contractors Law 18.27 RCW and 298.200A WAC. City of Everett Official Use Only �j� 'p// PERMIT# , y� /� /l2Qi to 02.20.20 .5 LL° MO 0'S OwneNAuthorized Agent Signature Date ( ew / _ — ©k. 3 fue