2301 RUCKER AVE 2017-09-22 - 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 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2301 Rucker Ave Everett, WA 98201 PROPERTY TAX#: 00439148800100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Joeseph Blandino TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 328 Pennsylvania Ave Apt 24 CST,, San Francisco STATE CA ZIP 94107 OWNER PHONE: 415.359.1331 OWNER EMAIL: joe@cityrentacar.com CONTRACTOR NAME: Cascadia Seismic Inc. CONTRACTOR ADDRESS: STREET 1322 238th PL SW CITY Bothell STATE WA ZIP 98021 CONTRACTOR PHONE: 206.409.5675 CONTRACTOR EMAIL: dave@cascadia-seismic.com CONTRACTOR LICENSE#(REQUIRED): CASCASI848KE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056345 PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: Dave Lane CONTACT PHONE: 206.409.5675 CONTACT EMAIL: lave@cascadia-selsmic.com BUILDING PERMIT APPLICATION Existing Use of Building: Cont act Price of Work: $_8,100 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ❑New ❑Addition . ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition El Change of Use DESCRIPTION OF WORK: Voluntary Earthquake Retrofit per plans 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 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 Chemical or Water I INo.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 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# Owner/Authorized Agent eture Date (Revised 9/23/2016) I A