1708 ROCKEFELLER AVE 2017-06-29 - 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 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECTSITEADDRESS: 1708 Rockefeller Ave. PROPERTYTAX#: 00438034802900 LEGAL for new construction: Short PlaUsubdivision S22 Attached Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: David Chrisman TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer 2 O112 VIA CELLINI crrv PORTER RANCH srare CA ziP 913 2 6 oWNER PHONE: 4 2 5-2 5 2-2 0 9 7 OWNER EMAIL: CONTRACTOR NAME: BELFOR PROPERTY RESTORATION CONTRACTORADDRESS: sTREEr 4320 South 131st Place, Suite 100 ci7v Seattle srnrE wA ziP 98168 CONTRACTOR PHONE: 2 0 6-4 3 7-6 811 CONTRACTOR EMAIL:�e f f .pOWe 11@us .b21 f OY. COiri CONTRACTOR LICENSE#(REQUIRED): BELFOUG9 9 OBJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): � � PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR �OTHER(Please Specify) Agent CONTACT NAME: Chr i s BaCus CONTACT PHONE: 2 0 6-2 81-7 5 0 0 Pacific Engineering Tech. coNTACTEnnai�: cbacus@pacengtech. com BUILDING PERMIT APPLICATION ExistingUseofBuilding: Single Family Residence ContractPriceofWork: $ � � 000 Proposed Use of Building: 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: TY'22 Strike repair, Repairing roof framing and removing and replacing an existing wood framed ramp . 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 #�f List of Fixtures #of List of Fixtures #of List of Fixtures Fintures Fintures Fi�ures 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 information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and local law. The granting oi a permit only authonzes approved work and no deviations therelrom.Deviations must lirst 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 p�operty ro perform Ihe 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# �,�l,v,�-- 6/2/16 Owner/Authorized Agent Signature Date (Revised 10/12/2015) \( 13