2610 HILLSIDE LN 2023-10-26 - Laserfiche WebLink

PERMIT APPLICATION 10 EVERETT WASHINGTON BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (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 0 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: $ f~ a� Proposed Use of Building: Single Family Residential Heat Source: ❑Gas ElElectric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ©Addition ❑✓ Remodel ❑Re air ❑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 F' ures Fixture Count List of Fixtures Fixture Count List of Fixtures A/C — Air Handling Units Gas Piping Backflow Preventer (Inside Bldg) 1 Shower, Tub, or Combo Boiler Gas Range 1 Clothes Washer Sink -Commercial (3-comp, prep, floor) 1 Clothes Dryer Heat Pump&Ductless Dishwasher 5 Sink -Residential (kitchen, bath, bar) 1 Duct System (Remodel) Refrigeration Drinking Fountain 1 Sink -Utility, laundry, mop 6 Exhaust Fans (Residential) 01(Not Commercial Ventilatior Heat/AC system) Floor Drain 2 Toilet Exhaust Hood (Type 1) Hose Bibb Urinal Exhaust Hood (Typek Water Heater 1 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 INo. 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. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. 7 City of Everett Official Use Only PERnn" _CUB Owner/Authorized Agent Signature Date (Re vi c1 1011012018)