1319 100TH PL SE 2018-08-01 - Laserfiche WebLink

fi7D V t PERMIT APPLICATIOIM , BUILDING J II CHANICAL/PLUMBING /SIGN rliiitiNKLER/ DEMOLITION vita 1- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps(geverettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1300 100th PI SE A, Everett, WA 98208 PROPERTY TAX#: 28051 9001 01 700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Trailside Preservation LP TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 21515 Hawthorne BLVD. Suite 390 cm Torrance STATE WA ZIP 90503 OWNER PHONE: 310-802-6682 OWNER EMAIL: Nick@Preservationpartners.org CONTRACTOR NAME: Holmberg Company CONTRACTOR ADDRESS: STREET 1 128 8th St crrr Kirkland STATE WA ZIP 98033 CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): HOLMBC*066ME CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0510'D3 PRIMARY CONTACT: 0 OWNER Gil CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-602-7370 Jacob Klein CONTACT EMAIL: JacobK@holmbergco.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 4200 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use I DESCRIPTION OF WORK: Duct Work from range hoods only. New exhaust Fans not Provided or installed by US. ASSOCIATED BUILDING PERMIT#(if applicable): 1 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn x 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 12 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 12 Bathtub Urinal Gas Piping Boiler 12 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration 12 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 — 12 Range Hood 12 Water Heater 2 Other: Hose Bibs 12 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM 'Chemical or Water ' No.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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only A /1--�y • 6/7/9 P....Ti `t ` v 3 _ 0( 2 Owner/Authorized Agent Signature Date (Reviseed`9/23/2016)