1302 100TH PL SE 2019-08-19 - Laserfiche WebLink

` � PERMIT APPLICATION BUILDING I MECHANICAL I PLUMBING I SIGN I ::. itINKLER I DEMOLITION ,� CITY OF EVERETT PERMIT SERVICES `T ` . 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 ( !Awe or =lack Irak Only IPteas ) P'•OJECT SITE INFORMATION PROJECT SITE ADDRESS: 1 300 100th PI SE A, Everett, WA 98208 PROPERTY TAX#: 28051900101700 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 CITY Torrance STATE WA ZIP 90503 OWNER PHONE: 310-802-6682 OWNER EMAIL: Nick@Preservationpartners.org CONTRACTOR NAME: Holmberg Company CONTRACTOR ADDRESS: STREET 1128 8th st cTr Kirkland STATE WA ZIP 98033 , CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): HOLMBC*066ME CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 051 003 PRIMARY CONTACT: ❑ OWNER IE CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: Jacob Klein CONTACT PHONE: 425-602-7370 CONTACT EMAIL: JacobK@holmbergco...com BFl�LLEC ENC 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: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Duct Work from range hoods only. New exhaust Fans not Provided or installed by us. ASSOCIATED BUILDING PERMIT#(if applicable) e(�C,� _CC ?LU b i k ..- IV ECNIAMCCAL PERMIT tgPPUICATIOLY PLUMBING PERMIT APPLICATION 'Type of Project: New Addn X Alteration _Repair Type of Project: _New Addn _Alteration _Repair • #ofI #of #of #of List of Fixtures List of Fixtures List of Fixtures List of Fixtures Fixtures i Fixtures Fixtures . Fixtures A/C–Air Handling Units ' Heat Pump 12 Toilet i Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 12 Bathtub I Urinal Gas Piping Boiler 12 Lavatory(Wash Basin) I Drinking Fountain Water Heater Refrigeration 12 Shower Floor Drain Gas Fireplace I Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains —Clothes Dryer Hookups Other: Clothes Washer Medical Gas 12 Range Hood I 12 Water Heater 2 Other: Hose Bibs 12 Exhaust Fan Sink(Service/Bar/Mop/etc.)l Other: d ij SPRINKLER I SUPPRESSBON SY'STE6"itf' i 1 I Chemical or Water I� LNo_of Heads_ o f ACKNOWLEDGEMENT:l 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 1 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. City of Everett Official Use Only ,r;/ PERMIT# . /' , ' riD3 — DO Gl-/6..\(,)--(71 wner/Authorized Agent Signature Date ( vi d 9/23/2016)