2930 MAPLE ST KAISER PERMANENTE 2019-11-06

PERMIT APPLICATION '41P411 .-- BUILDIN_ECHANICAL/ PLUMBING /SIGN - =RINKLER/ 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 orBlackeInk OnlyPleasej Pt OJECT SITE INF.ORMA`IIION PROJECT SITE ADDRESS: 2930 Maple St, Everett, WA 98201 PROPERTY TAX#: 00439069505800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: Randy Olsen TENANT NAME(If Commercial): Kaiser Permanente OWNER MAILING ADDRESS: STREET 1200 SW 27th St cily Renton STATE WA ZIP 98057 OWNER PHONE: 206.658.5279 OWNER EMAIL: Randy.E.OIsen@kp.org CONTRACTOR NAME: M.A. Mortenson Company CONTRACTOR ADDRESS: STREET 10230 NE Points Drive Suite 300 CITY Kirkland STATE WA ZIP 98033 CONTRACTOR PHONE: 646.483.6483 CONTRACTOR EMAIL: Bryan.Maggio@mortenson.com CONTRACTOR LICENSE#(REQUIRED): MAMORC*190N6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 021465 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR v OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE: 206.223.5141 Pete Lorimer CONTACT EMAIL: plorimeranbbj.com BUILDING1PERMIT APPLICATIOhl Existing Use of Building: Medical Office Contract Price of Work:$ 721,885 Proposed Use of Building: Medical Office Heat Source: ❑Gas giElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: VCommercial ❑Industrial Type of Project: El New ❑Addition ❑Remodel ❑Repair ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Cosmetic upgrades to Level 1 and 2. Minor demolition and new construction included. ASSOCIATED BUILDING PERMIT#(if applicable): :MECHANICAL PERMIT'APPLICATION,; , "°j ;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 #°f 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.lam the owner,or lam 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 POga‘ fligf.206:1L. ��©� �� Owner/Authorized ent SignPERMIT Signature Date (Revised 9/23/2016) 6i;