2923 COLBY AVE 2024-10-24 - Laserfiche WebLink

PLUMBING PERMIT APPLICATION EVERETT SUBMITTAL INSTRUCTIONS: OF EVERETT PERMIT SERVICES S: Drop off hard copy completed paper application to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION:(P)425-257-8810 1(E)PermilServices@everettwa.gov i(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2923 Colby Ave PARCEL#: CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: Level 1 ADDITIONAL LOCATION INFORMATION: Expansion Into Laxer floor of existing bldg TENANT/BUSINESS NAME(if non-residential):The Irishman CONTACT INFORMATION OWNER NAME:Boyle Investments OWNER MAILING ADDRESS: STREET 339 NE 92nd st CITY Seattle STATE WA Zlp 98115 OWNER PHONE:425-374-5783 OWNER EMAIL: CONTRACTOR COMPANY NAME:Westrock Construction LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):WESTRCL814QK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61883 CONTRACTOR ADDRESS: STREET 5418 123rd ave NE CITY Lake Stevens STATE WA ZIP 98258 CONTRACTOR PHONE:2068508542 CONTRACTOR EMAIL:jon@westrockcon.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(206)850-8542 Jon G e bow CONTACT EMAIL:jon@westrockcon.com PLUMBING PERMIT INFORMATION VALUATION OF WORK: $ �l wo 1ASSOCIATED PERMIT# if applicable):B2208-005 (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure DESCRIPTION OF WORK: Expanding Restaurant to lower floor adding (x2) WC (x2) Lav (x1) Hand Sink (x1) Floor Drain PLUMBING PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Q(Y) Backflow Prevention Device(Inside Building)-select devices below: Shower,Tub,or Combo Fire Service:❑DCDA, Domestic Service:❑RPBA❑DCVA Commercial Sink(3-compartment,prep,floor) Clothes Washer Residential Sink(kitchen,bath,bar) Dishwasher Utility Sink(laundry,mop) Drinking Fountain 2 Toilet I Floor Drain Urinal Hose Bibb jUN 28 ZUZJ WastefWater Pipe Repair Ice Maker 0Water Service Line(Behind meter,private side) Grease Interceptor Water Valves/Fixtures Sand/Oil Interceptor Permit RiarvicaeWater Heater-Electric Medical Gas Water Heater-Gas Roof Drains Other(List Type): Sewage Ejector Pump/Sump Pump r-,Other(List Type): 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 t 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 C)( c Owner/Authoriz gent Signature Date (Revised 4/21/2022)