1700 13TH ST 2020-08-28 - Laserfiche WebLink

PERMIT APPLICATION #11:--i 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:1700- 13th St., Everett,WA 98201 PROPERTY TAX#:00438524702102 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Providence Health and Services-Washington TENANT BUSINESS NAME(Commercial): Providence Regional Medical Center Everett OWNER MAILING ADDRESS: STREET 1321 Colby Ave cI-- Everett STATE WA ZIP 98201 OWNER PHONE: 425-261-4563 OWNER EMAIL:james.grafton@providence.org CONTRACTOR NAME:Mortenson Construction CONTRACTOR ADDRESS: STREET 10230 NE Points Dr. CITY Kirkland STATE WA ZIP 98033 CONTRACTOR PHONE:425-497-7092 CONTRACTOR EMAIL:holly.shoubridge@mortenson.com J CONTRACTOR LICENSE#(REQUIRED):MAMORC*190N6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 021465 1 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) k.bob LioV (Q-b2-- CONTACT CONTACT NAME: CONTACT PHONE:425-497-7092 Holly Shoubridge CONTACT EMAIL:holly.shoubridge@mortenson.com BUILDING INFORMATION Existing Use of Building:hospital(unfinished warm shell) Contract Price of Work: $3,596.532 Proposed Use of Building:hospital Heat Source: OGas OElectric ❑Other BUILDING USE: ❑SFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial Accessory Structure Type of Project: New Addition ❑Remodel Repair ZT.I. Sign Sprinkler Demolition ❑Change of Use DESCRIPTION OF WORK: Construction of three operating rooms, a hallway, 10 patient pre op/post op rooms, a nurse station, and associated support facilities within an existing warm shell. 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) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT / — ep-2,7, 10 ....... D-50 S '•r/Author' ed A• t Signature Date (Revised 10 10/2018)