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

4277- PERMIT APPLICATION BUILDING / 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 North Broadway 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 BUSINESS NAME(Commercial): H. C. S. OWNER MAILING ADDRESS: STREET TWO NEWTON PL 255 WASHINGTON ST CITY Newton STATE MA ZIP 02458-1634 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Heattransfer Co. CONTRACTOR ADDRESS: STREET P.O. Box 1268 CITY Carnation STATE WA ZIP 98014-1268 CONTRACTOR PHONE:425-885-3247 CONTRACTOR EMAIL:heattransfer1@aol.com CONTRACTOR LICENSE#(REQUIRED):HEATT"20600 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 023094 PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-885-3247 Richard Sinnema CONTACT EMAIL:heattransfer1@aol.com BUILDING INFORMATION Existing Use of Building:Office Contract Price of Work: $16,540.00 Proposed Use of Building:Office Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition L1Remodel LJ Repair ❑T.I. ❑Sign Sprinkler ❑Demolition Change of Use DESCRIPTION OF WORK: Rework ductwork and diffusers to accommodate new floor plans. All equipment and trunk ductwork existing. Install and vent 1 exhaust fan for server room. 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 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 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) 1 Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 1 Exhaust Fans(Residential) Commercial Ventilation 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 WAC. City of of Everett Official Use Only PERMIT# I i 1 O S O(01j/ Owner Authorized Agent Signaei£rg Date (Revised 0/10/2018) • lz;