1908 113TH PL SE 2019-08-14 - Laserfiche WebLink

477- PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN I SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov i www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1908 113th pl se PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Karin Ryan-Lang TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET1908 113th pl se CrTi Everett STATE WA zip 98208 OWNER PHONE: 206 852 2840 OWNER EMAIL:krI41@hotmail.com CONTRACTOR NAME:BalanCe Point Cooling and Heating CONTRACTOR ADDRESS: STREET 1010 State st. PO Box 1455 CITY Marysville STATE WA ZIP 98270 CONTRACTOR PHONE:425 508 0124 CONTRACTOR EMAIL:jameS@balanCepOintSerVICeS.Com �CONTRACTOR LICENSE#(REQUIRED):BALANPS912DP / 4 '1"TY OF EVERETT BUSINESS LICENSE#(REQUIRED): 50604 PRIMARY CONTACT: ❑OWNER El CONTRACTOR LI OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425 508 0124 James Mason CONTACT EMAIL:james@bala ,epointservices.com BUILDING INFORMATION Existing Use of Building:TownhoUse Contract Price of Work.$12000 Proposed Use of Building:Dwelling Heat Source: ❑Gas ❑� Electrics DOther i BUILDING USE: ❑SFR ✓ITownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New CiAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler IOemolition ❑Change of Use DESCRIPTION OF WORK: Installation of a Daikin ductless 2 ton, 3 zone heat pump system ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures 3 A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry, mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 WAG City of Everett Official Use Only PERM # / w �.r- • 2 .' 90q SO( R-- 11 Owner/Cy(thorized Agent Signature Date (Revised 10/10/2018) �� I'�