1502 SE EVERETT MALL WAY BASE FILE 2020-12-21

• PERMIT APPLICATION BUILDING/ MECHANICAL/PLUMBING /SIGN /SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE ADDRESS:1501 tv��tt Mall Way PROPERTY TAX#:28051800401100 or Black Ink OnlyPle PROJECT SITE,INFORMATION , „,, 100 LEGAL for new construction: Short Plat/subdivision _Lot No. (attach copy of long legal description) 'CO NTACT INFORMATION OWNER NAME: 3773 Investments, LLC TENANT BUSINESS NAME(Commercial): Shell Space OWNER MAILING ADDRESS: sTREET433 North Camden Dr., Suite 800 cm Beverly Hills STATE CA ZIP 90210 OWNER PHONE: (310)278-5333 OWNER EMAIL: CONTRACTOR NAME:FIRE SYSTEMS WEST, INC. CONTRACTOR ADDRESS: sTREET206 FRONTAGE RD N, SUITE C clT- PACIFIC STATE WA ZIP 98047 CONTRACTOR PHONE:253-833-1248 CONTRACTOR EMAIL:therond@FIRESYSTEMSWEST.COM CONTRACTOR LICENSE#(REQUIRED):FIRESWI 140B1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 022919 PRIMARY CONTACT: ❑OWNER I]CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-833-1248 Theron Davis CONTACT EMAIL:therond@FIRESYSTEMSWEST.COM BUILDING INFORMATION Existing Use of Building:COMMERCIAL Contract Price of Work:$10,000 Proposed Use of Building:COMMERCIAL Heat Source: OGas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑✓Sprinkler ❑✓Demolition ❑Change of Use DESCRIPTION OF WORK: Cap/safe off existing pipe and sprinkler heads to accommodate demo of existing ceilings and structure. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBINGPERMIT 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-cornp,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 220 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 Everett Official Use Only 04-01-20 PERMIT 0� 0 0� 7l Dam Owner/Authorized Agent Signature Date (Revised 10/10/2018)