4600 BAKER DR 2025-03-28 - Laserfiche WebLink

A. 4:77- PERMIT APPLICATION' BUILDING , ,MECHANICAL / PLUMBING / SIGN / aPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (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:4600 Baker Drive PROPERTY TAX#:00417400001400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tom Jones TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET4600 Baker Drive CITY Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL:twjones3@gmail.com CONTRACTOR NAME:TBD B t L� lkkt.'1/t-i,,t Ct i r1 w o(Occtrucy f F--S 1 c.,C CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): B LIi1 tM Nl i I(p ,M A- CITY OF EVERETT BUSINESS LICENSE#(R UIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect /~ CONTACT NAME: CONTACT PHONE:425-242-0369 J3 Architects- Neil Jorgensen CONTACT EMAIL:neil@j3-Ilc.co BUILDING INFORMATION Existing Use of Building:Residential Contract Price of Work: $50,000 Proposed Us Buildin :Residential Heat Source: OG s ❑Electric ❑Other BUILDING SE: DSFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of o • ❑✓Addition ❑✓Remodel ❑Repair ❑T.l. ❑Sign ❑Sprink er 1:Demolition ❑Change of Use _ DESCRIPTION OF WORK: ADDITION: 214 SF ADDITION TO EXIST. SINGLE FAMILY RESIDENCE, 290 SF COVERED DECK SOtAf, .0•-TA--In\SL( F.J-s ,ttrleQ,c ? ASSOCIATED BUILDING PERMIT#(if applicable): k (°��_S � 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 A/C—Air Handling Units Gaping Backflow Preventer(Inside Bldg) 1 Shower,Tub,or Combo Boiler 1 • s Range 1 Clothes asher Sink-Commercial(3-comp,prep,floor) 1 Clotbps Dryer Heat Pump&Ductless 1 Dishwasher 2 Sink-Residential(kitchen,bath,bar) Duct Systrdt-(Remodel) Refrigeration Drinking Fountai 1 Sink-Utility laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain 1 Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type lir Water Heater Interceptor-Grease Waste/Water Piping Repair 1 Exhaust Hood(R idential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) `Forced Air Syst(ms Other: Medical Gas Water Valves or Fixtures IGas Fireplace/Insert/Log Roof Drains 1 Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage r or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System I IN o.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 l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Id 01.26.21. PER T# ;1110 210 2.----DO2--- .. Owner/Authorized Agent ignature Date (Revised 10/10/2018) l Isi