3501 COLBY AVE 2019-08-07 - Laserfiche WebLink

414.7-1- 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 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3501 Colby Ave PROPERTY TAX#: 010638001 0200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Lee White TENANT NAME(If Commercial): Grenwich Building OWNER MAILING ADDRESS: STREET 1057 134th Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-214-4742 OWNER EMAIL: leewhite3@gmail.com CONTRACTOR NAME: Rainier Industries CONTRACTOR ADDRESS: STREET 18375 Olympic Ave S crry Tukwila STATE WA ZIP 98188 CONTRACTOR PHONE: 425-981-1214 CONTRACTOR EMAIL: lukew@rainier.com CONTRACTOR LICENSE#(REQUIRED): RAI N I I LO33QP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):023736 PRIMARY CONTACT: ❑ OWNER IX) CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Luke Walker CONTACT PHONE: 425-981-1214 CONTACT EMAIL: lukew@rainier.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 15,715.53 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units:_ ElCommercial ❑Industrial Type of Project: ❑New ®Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 1 ea Half Round Canopy - Dims - 11' 6" (long) x 12' (w) x 4' (h) with 1' (truss) 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 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. /f City of Everett Official Use Only 161/4(7. l 6(6 PE #r ( D� r Owner/Authorized Agent Signature Date (Revised 9/23/2016) il 7