2930 MAPLE ST KAISER PERMANENTE 2020-12-31

MINI PERMIT APPLICATIO BUILDIN( ECHANICAL / PLUMBING / SIGN RINKLER / 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2930 Maple St. PROPERTY TAX#:00439069505800 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): Kaiser Permanente OWNER MAILING ADDRESS: STREET2930 Maple Street CITY Everett STATE WA zip 98201 OWNER PHONE: 425-261-1500 OWNER EMAIL: CONTRACTOR NAME:McKinstry Co. LLC CONTRACTOR ADDRESS: STREET 5005 3rd Ave S CITY Seattle STATE WA Zip 98134 CONTRACTOR PHONE:206.762.3311 CONTRACTOR EMAIL:Permits@mckinstry.com CONTRACTOR LICENSE#(REQUIRED):MCKINCL942DW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 49226 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206.762.3311 Robert Fix CONTACT EMAIL:permits@mckinstry.com BUILDING INFORMATION Existing Use of Building:Commercial Contract Price of Work: $8150.00 Proposed Use of Building:Medical Heat Source: ❑Gas ❑Electric DOther 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: Relocation of 4 Fire Sprinkler Heads. 118994-001 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 NC—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 .of Heads Chemical Suppression System 4 INoNo.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 PERM T 202.0 F2 03/20/2020 3_ � Owner/Authorize zozo.os.zon:ao:ae-o 00 d Agent Signature Date (Revised 10/10/2018)