2919 PINE ST 2020-12-23 - Laserfiche WebLink

• • PERMIT APPLICATION BUILDING 1 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)everettepsii everettwa.gov I www.everettwa,gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2919 Pine Street PROPERTY TAX#: 00439069503100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Kaiser Permanente TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET2715 Neches Ave SW crry Renton STATE WA zip 98057 OWNER PHONE:206-630-3905 OWNER EMAIL: Iauren.a.hilger@kp.org CONTRACTOR NAME: NorthStar CG, LP CONTRACTOR ADDRESS: sinEET8160 304th Ave SE my Issaquah STATE WA ZIP 98027 CONTRACTOR PHONE: 425-881-0623 CONTRACTOR EMAILdSChuster@northstar.com CONTRACTOR LICENSE#(REQUIRED): northc1852je CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 44505 PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-510-2594 John Schuster CONTACT EMAIL:jsehuster@nonhstar.com BUILDING INFORMATION Existing Use of Buiiding:abandon Contract Price of Work:$37k Proposed Use of Building: demo Heat Source: OGas ClElectric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units:_ ❑Commercial ❑Accessy Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DT.I. ❑Sign OSprinkler ®Demolition ❑Cha •e of Use DESCRIPTION OF WORK: building being levelled. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fbrture FIxtuno Fixture fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boller 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 Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type it) 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 1-% of-Heads Chemical Suppression System } t'o.of—Heads ACKNOWLEDGEMENT:I have reviewed this application end 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.1 am the owner,or lam authorized by the owner of this property to perform the work for which application Is made, and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 1 Li OwnerIAu i d Age`hnature Date (Revise 10/10/2018)