1717 PINE ST 2024-02-12 - Laserfiche WebLink

PERMIT APPLICATIOkk BUILDIN( 1AECHANICAL / PLUMBING / SIGN PRINKLER/ 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1717 Pine Street, Everett, WA 98201 PROPERTY TAX#: 00605400500500 LEGAL for new construction: Short Plat/subdivision VICTORY ADO TO EVERETT ELK 005 D-00-LOT 5 Lot No.5 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Edward Heidel TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1717 Pine Street cry Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:James Serres, BELFOR CONTRACTOR ADDRESS: STREET4320 S 131st PI#100 CITY Seattle STATE WA ZIP 98168 CONTRACTOR PHONE:206-308-5983 CONTRACTOR EMAIL:james.serres@us.belfor.com CONTRACTOR LICENSE#(REQUIRED):BELFOUG99OBJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 039176 PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) Lisette Terry, PE CONTACT NAME: CONTACT PHONE:206-790-7594 Lisette Terry CONTACT EMAIL:LTERRY@degenkolb.com BUILDING INFORMATION Existing Use of Building:Single-Family Residential Contract Price of Work: $75,000 Proposed Use of Building:Single-Family Residential Heat Source: ❑Gas DElectric DOther BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓JRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: A fallen tree damaged a majority of the roof framing and sheathing. The entire roof framing and sheathing will be removed and replaced in like-kind. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture List of Fixtures Fixture Fixture Fixture Count Count List of Fixtures Count List of Fixtures Count List of Fixtures A/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 Ventilation 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/SUPPRESSION SYSTEM 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# � �I O� - �/7 Lisette Terry P"�`rrii mew:�mm c�.�.,.�r*>., 06/28/2021 O ( 6 Owner/Authorized Agent Signature Date (Revised 10/10/2018)