3623 COLBY AVE 2017-01-13 - Laserfiche WebLink

PERMIT APPLICATION BUILDINC ECHANICAL / PLUMBING / SIGN RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVIC�� 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 36Z3 COIby AV@C1Ue PROPERTY TAX #: 0045'I4O1 OO'I ZOO LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) __-- --. _._ _ CONTACT INFORMATION OWNER NAME: DaVld HaC1S@Il TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReET3623 Colby Avenue ��T,, Everett STATE WA Z,P 98201 owNeR PHONE: 425-388-0106 / 425-231-3410 cell OWNER EMAIL: r h - r ,.,t�1. •�,� coNTRACTOR NaME: (Owner will self-perform work) CONTRACTOR ADDRESS: sTReeT CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: � OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: `!2 y � s� ��% i� ` („7 . r � ��1 � nl �i c� CONTACT EMAIL: �,/ � A�� - � 1 BUILDING PERMIT APPLICATION Existing Use of Building: R@SICIEC1Ce Contract Price of Work: $ � Proposed Use of Building: ReSldeflC@ Heat Source: ❑Gas ❑Electric ❑Other Building Type: �SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Improve fire-resistance rating of existing wall (portion of addition constructed in 1990s without permit) to 1-hour to suit distance to property line; documentation of structural adequacy of the addition. Related to NCB#15-041. ASSOCIATED BUILDING PERMIT # (if applicable): � ��G �� MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C — Air Handling Units Heat Pump Toilet Backflow Preventer (Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: SPRINKLER / SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT: I have reviewed this application and confirm the info�mation contained lierein 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 Of(icial before being authorized unde� any circumstance. I am the owner, or ! 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. Signature Date City of Everett Official Use Only PERMIT # �� _ (Revised 10/12/2015) v �