1312 BALLEW AVE 2019-06-18 - 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 1(E)everetteps@everettwa.gov i www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1312 Ballew Ave PROPERTY TAX#:00394100300400 LEGAL for new construction Short Plat/subdivision BEVERLY VIEWLANDS Lot No.4 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Deedee Roberts TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1312 Ballew Ave c, EVERETT STATE WA ZIP 98203 OWNER PHONE:(425) 220-9498 OWNER EMAIL: CONTRACTOR NAME:HOME DEPOT USA INC CONTRACTOR ADDRESS: sTREET2455 PACES FERRY RD CITY ATLANTA STATE GA ZIP 30339 CONTRACTOR PHONE:800-381-5699 CONTRACTOR EMAIL:HD@NWPERMIT.COM CONTRACTOR LICENSE#(REQUIRED):HOMED**088RH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57001 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR N OTHER(Please Specify) CONTRACTOR'S AGENT CONTACT NAME: CONTACT PHONE:360-945-2787 CHLOE BARKER/ NW PERMIT INC CONTACT EMAIL:HD@NWPERMIT.COM BUILDING PERMIT APPLICATION Existing Use of Building:SFR Contract Price of Work: $9188.67 Proposed Use of Building:SFR Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached Duplex ❑Multi-Family-#of Units: ❑Commercial Elndustrial Type of Project: New ❑Addition ❑Remodel NRepair ❑T.I. ESign ❑Sprinkler ❑Demolition ❑Change of Use S RIPTIO OF WORK: ep acing 0 squares of comp and 5 squares/sheets of decking; 1/2" CDX, 6/12 nail pattern, 4' staggered, 24" OC. (No plywood unless found at time of install.) 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 NC—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 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.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. r City of Everett Official Use Only Chloe B 1 �e r Digitally signed by Chloe Barker PERMI #. Date:2018.05.30 134747-0700' 06/18/2018 ..,;( (C)-�Olt I Owner/Authorized Agent Signature Date (Revised 9/23/2016) l/