1902 VIRGINIA AVE 2017-10-05 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES EV 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 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: 0043843863101 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: DC Compound, LLC (Jesse D. Lozano) TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3733 Juanita May Ave. crrr North Las Vegas STATE NV zIR 89032 OWNER PHONE: 702-521-0859 OWNER EMAIL: wagmorebarkless@hotmail.com CONTRACTOR NAME: Owner- Jesse D. Lozano CONTRACTOR ADDRESS: STREET 3733 ,Juanita May Ave. CITY North Las Vegas STATE NV ZIP 89032 CONTRACTOR PHONE: 702-521-0859 CONTRACTOR EMAIL: wagmorebarkless@hotmail.com CONTRACTOR LICENSE#(REQUIRED): N/A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ® OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 702-521-0859 Jesse D. Lozano CONTACT EMAIL: wagmorebarkless@hotmail.com BUILDING PERMIT APPLICATION Existing Use of Building: Residential Contract Price of Work: $ 0.00 Proposed Use of Building: Heat Source: INGas L2�Electric ❑Other _ Building Type: ❑SFR-Detached ❑SFR-Attached ®Duplex ❑Multi-Family-#of Units:_ ❑Commercial ❑Industrial Type of Project: El New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Inspect existing zero clearance gas stove in living room of Unit B and inspect existing 5' of flex gas conduit located in kitchen ceiling of Unit B. Both were installed in mid 80's with permit. Please confirm the existing installation is safe. 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 IShower 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 1 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads 11 1 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. l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERM)T# 3etfe D Lozairo 1/18/16 Owner/Authorized Agent Signature Date (Revised 10/12/2015)