2610 HILLSIDE LN 2023-10-26 - Laserfiche WebLink

PERMIT APPLICATIOO BUILDING /MECHANICAL 1 PLUMBING /SIGN /SPRINKLER /DEMOLITION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/perrnits Blue or Black Ink Only Please PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2610 Hillside Lane PROPERTY TAX #: 00567900200,404 LEGAL for new construction: Short Plat/subdivision _Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Alka Atal-Barrio TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET2610 Hillside Lane cITY Everett STATE WA zip 98203-1408 OWNER PHONE: 425-327-2635 OWNER EMAIL: abarrio@frontier.com CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE zip CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR L7 OTHER (Please Specify) Russ Weiser, Designs Northwest Architects CONTACT NAME: Russ Weiser, Designs Northwest Architects CONTACT PHONE: 360-629-3441 CONTACT EMAIL: Russ@designsnw.com BUILDING INFORMATION Existing Use of Building: Single Family Residential Contract Price of Work: $ Proposed Use of Building: Single Family Residential Heat Source: []Gas ❑Electric ❑Other BUILDING USE ❑SFR ❑Townhouse ❑Duplex LADU ❑Multi -Family - # Units: ❑Commercial [JAccessory Structure Type of Project. ❑New ZAddition URemodel [:]Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Additions to existing House including expanded Master Bedroom and Expanded Deck on Main level, and Exercise Room Addition on Lower level. Interior remodel of Master Bedroom, Master Bathroom, Master Bathroom and Laundry on Main Level, Relocation of Existing Stair and Remodel of Lower Level Bedroom, Closet and Bath. ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture count List of Fixt s Fixture Count List of Fixtures Fixture Count Lisi of FiJ�tUres � /VC — Air Handling Units Gas P# Backflow Preventer (Inside Bldg) 1 Shower, Tub, or Combo Bo r Gas Range 1415IQthes Washer Sink -Commercial (3-comp,prep, floor) 1 Clothes,Dryer Heat Pump&Ductless Dishwasher 5 Sink -Residential (kitchen, bath, bar) 1 Duct SystN.Ti (Remodel) Refrigeration Drinking Fountain 1 Sink -Utility, laundry, mop 6 Exhaust Fans (Residential) Commercial Ventilatior (Not Heat/AC system) Floor Drain 2 Toilet Exhaust Hood (Type 4, Hose Bibb Urinal Exhaust Hood (Type II) Water Heater Interceptor -Grease Waste/Water Piping Repair Exhaust Hood (Resid ial) 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 Sump Pump Other: Water Suppression stem I lNo. of Heads Chemical Suppr sior System I INo. of Heads ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this perrnit 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. 1 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 PERUIT Owner/Authorized Agent Signature Date (Revised 1011012018) / j 1