1130 W MARINE VIEW DR PORT OF EVERETT 2024-08-08

• MECHANICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1130 West Marine View Drive PARCEL#: 29051800102800 cm, Everett STATE WA ZIP 98201 SUITE/UNIT#:Suite 1130-B FLOOR#: First ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Port of Everett - Off Planet CONTACT INFORMATION OWNER NAME: Port of Everett OWNER MAILING ADDRESS: STREET PO Box 538 CITY Everett STATE WA ZIP 98206 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:D.K. Systems, Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):DKSYSI*982L1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 049744 CONTRACTOR ADDRESS: STREET PO Box 886/ 962 S. Spruce Street CITY Burlington STATE WA ZIP 98233 CONTRACTOR PHONE:360-755-1 555 CONTRACTOR EMAIL:dulCe@dkSyStemSInc.corn PRIMARY CONTACT: ❑OWNER CONTRACTOR ElOTHER(Please Specify) CONTACT NAME: D U ice Herrera CONTACT PHONE:360-755-1 555 CONTACT EMAIL:dulce@dksystemsinC.Com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $3,000.00 ASSOCIATED PERMIT#(if applicable):B21 01-057 (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure DESCRIPTION OF WORK: Install ( 1 ) Bathroom Exhaust Fan MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) A/C Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count Air Handling Unit** Gas Appliance** Boiler(most require backflow prevention)** Gas Fireplace, Insert,and/or Log(*for commercial bldgs) Commercial Refrigeration(Walk-in coolers,VRF,VRV,etc.) Gas-Other(List Type): ** Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(building permit may be required)** Heat Pump Ductless(attach plan with location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping Duct System(additions,alterations) Unit heater(commercial use) 1 Exhaust Fan(residential or commercial use) Water Heater(gas or electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type I *** Other(List Type): Exhaust Hood Type II *** Other(List Type): Furnace(residential) Other(List Type): * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. ** Under Description of Work, please include Type of Equipment,model#'s,ad detailed description of work,and the location of the equipment. Type I hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review. Please submit the required documents as *** described in the associated Checklists online at everettwa.gov/permits under the Checklists&Handouts tab. 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 Everett Official Use Only PERMIT# A Dupee Herrera 04/05/2021 2— 1 0 Owner/Authorized Agent Signature Date (Revised 2/8/2021)