2221 COLBY AVE 2024-02-09 - Laserfiche WebLink

PERMIT APPLICATIO4110 1111.111 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2221 Colby Ave. PROPERTY TAX#:004391 47901 1 00 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 2221 Colby LLC do James&Cynthia Thompson TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET2221 Colby Ave. CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-210-9209 OWNER EMAIL:cthompsonj5@yahoo.com CONTRACTOR NAME:Jessica Robinson - McBride Construction Resources CONTRACTOR ADDRESS: STREET 15100 8th Ave. S.W. CITY Burien STATE WA ZIP 98166 CONTRACTOR PHONE:206-432-3159 CONTRACTOR EMAIL:jessicar@mcbrideconstruction.com CONTRACTOR LICENSE#(REQUIRED):MCBRICD099JZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑r OTHER(Please Specify) Agent CONTACT NAME: CONTACT PHONE:206-281-7500 Chris Bacus - Pacific Engineering Tech. CONTACT EMAIL:cbacus@pacengtech.com BUILDING INFORMATION Existing Use of Building:Single Family Residence Contract Price of Work:$45,000 Proposed Use of Building:No Change Heat Source: DGas DElectric ❑Other BUILDING USE: ✓❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign DSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Vandalism Repair: Remove and replace interior finishes as required to provide access for plumbing, mechanical and electrical repairs&provide insulation as required by code due to finish removal 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 NC—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 1 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 296.200A WAC. City of Everett Official Use Only PERMIT#7/24/19 I (L, o 7 -o 33 Owner/Authorized Agent Signature Date (Revised 10/10/2018) i Z