3927 RUCKER AVE BASE FILE 2019-09-24

grr PERMIT APPLICATIOII 1 II' BUILDINECHANICAL/ 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: 3927 Rucker Ave PROPERTY TAX v:00411300501300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: The Everett Clinic, TENANT NAME(If Commercial): multiple OWNER MAILING ADDRESS: STREET 3901 Hoyt Ave . Everett , WA 98201 CITY STATE ZIP OWNER PHONE: 14257 660115 OWNER EMAIL: ]ajohnson@everettclinic . corn CONTRACTOR NAME: Aldrich and Associates - Construction Specialists CONTRACTOR ADDRESS: STREET 810 240th St SE, Bothell, WA 98021 CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): ALDRIA*2 0 2 RU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): III: PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) Architect CONTACT NAME: Ralph Allen CONTACT PHONE: 2063999467 CONTACT EMAIL: ralpha@evolutionarchitecture.net BUILDING PERMIT APPLICATION Existing Use of Building: Medical Offices Contract Price of Work:$ 1 . 2m Proposed Use of Building: No Change Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: .Remove existing EIFS cladding / and underlying gyp sheathing - Install new 5/8" densglas gold sheathing and Outsulation Plus MD by Dryvit and with metal cladding at slope window sill recesses ASSOCIATED BUILDING PERMIT#(if applicable): conforming to the WSEC. 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 Pr- er(Inside Bldg) Forced Air Systems Unit Heat-: Bathtub Urinal _ Gas Piping Boil; Lavatory(Wash Basin) I.. ' ing Fountain Water Heater -efrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains _ Clothes Dryer Hoo .s Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust F Sink(Sere'•-/Bar/Mop/etc.) Other: SP- KLER/SUPPRESSION SYSTEM Chemical or Water I No.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the informa .n 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 .- ..it only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official.: . e being a •orized under an irc - .e.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 comp, ith the State Cont ctors Law 1: 7- W and 2'6.200A WAC. /' City of Everett Official Use Only . , t a P TtSc — ai3 C .. •w -r/A thorized Ag nt Signature i Date (Revised 9/23/2016)