3025 LOMBARD AVE 2017-06-13 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/PLUMBING / SIGN / SPRINKLER/ 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 iInk Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3025 Lombard Avenue Everett,WA 98201 PROPERTY TAX#: 00439071300900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: City of Everett(Attn.Ruben Sanchez) TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3002 Wetmore Avenue circ Everett STATE WA Zip 98201 OWNER PHONE: 425-257-8896 OWNER EMAIL: rsanchez@everettwa.gov CONTRACTOR NAME Auburn Mechanical CONTRACTOR ADDRESS: STREET 2623 West Valley Hwy N cir• Auburn STATE WA zip 98071 CONTRACTOR PHONE: 253-838-9780 CONTRACTOR EMAIL: aleks@auburnmechanical.com CONTRACTOR LICENSE#(REQUIRED): AUBURNMI163BA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER N,CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Aleks Kazadayev CONTACT PHONE: 206-730-1198 CONTACT EMAIL: aleks@auburnmechanical.com BUILDING PERMIT APPLICATION Existing Use of Building: Senior Center Contract Price of Work: $ 57,560 Proposed Use of Building: Unchanged from above Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: commercial ❑Industrial Type of Project: DNew ❑Addition IIXemodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Restroom remodel/re-pipe. Update fixtures. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New Addn Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump 11 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub 1 Urinal Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower 2 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 2 Other:Point of use el.water heater Exhaust Fan. Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Number 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 47; �r/ PERMIT# ( (`1OwnerfAuthor' e /Mature Date (Revised 5/20/22016) t,