840 N BROADWAY A 2020-08-27 - Laserfiche WebLink

477- PERMIT APPLICATIO BUILDINL /-MECHANICAL / PLUMBING /SIGN / 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: 840 N Broadway Bldg A, HCS PROPERTY TAX#: 00551300001900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: GPT Properties Trust TENANT NAME(If Commercial): HCS OWNER MAILING ADDRESS: STREET Two Newton PI 255 Washington St cITy Newton STATE MA ZIP 02458 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: PULCON CONTRACTOR ADDRESS: STREET 12045 LAKESIDE PL NE an, SEATTLE STATE WA ZIP 98125 CONTRACTOR PHONE: 206-306-9080 ( ,CONTRACTOR/ EMAIL: PULCON@COMCAST.NET CONTRACTOR LICENSE#(REQUIRED): J (�bG�C�1 K( CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): SRIe74-1,C) PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR p OTHER(Please Specify) Designer/Architect CONTACT NAME: CONTACT PHONE: 425-885-4300 Clover Schuler CONTACT EMAIL: clover@magellanarchitects.com BUILDING PERMIT APPLICATION Existing Use of Building: B Contract Price of Work: $ 17,800 Proposed Use of Building: B Heat Source: ❑Gas ❑Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: WCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair T.I.O ❑Sign ❑Sprinkler ['Demolition OChange of Use DESCRIPTION OF WORK: 4,300 total S.F. interior office remodel for existing tenant space including demolition of walls, new walls,doors and windows on the first and third floors. 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/comply with the State Contractors La 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# to/ / i o Owner/Authorized Agent Sigriatu�r Date (Revised 9/23/2016) I,o