2829 RUCKER AVE 2021-01-04 - Laserfiche WebLink

„ma PERMIT APPLICATIO BUILDINGGECHANICAL/ PLUMBING /SIGN RINKLER/ DEMOLITION E1V E R E T T 32 CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Bluó Or Black Ink Only Please)'; PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1401 HEWITT AVE PROPERTY TAX#:00439166900902 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: HOBAN REALTY INTERESTS LLC TENANT BUSINESS NAME(Commercial): HOBAN BUILDING OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:PSR MECHANICAL CONTRACTOR ADDRESS: STREET3132 NE 133RD ST Cm, SEATTLE STATE WA ZIP 98125 CONTRACTOR PHONE:206-367-2500 CONTRACTOR EMAIL:daniel.kim@pSrmeChaniCal.Com CONTRACTOR LICENSE#(REQUIRED):PSRMEML809C6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 018564 PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-427-6160 Daniel Kim CONTACT EMAIL:daniel.kim@psrmechanical.com BUILDING.INFORMATION, Existing Use of Building:Office Contract Price of Work:$ 13011 Proposed Use of Building:same Heat Source: ❑Gas ElElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove and replace one (1)4-ton split system heat pump serving the 2nd floor office area. ASSOCIATED BUILDING PERMIT#(if applicable): NA r , MECHANICALPERMIT APPLICATION PLUMBING.PERMIT APPLICATION ”' Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures 1 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 Ventilatior 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. p n City of Everett Official Use Only Daniel Kim Di9e20200909Y6513Kim PE #7 c i`Dsge:2ozo.os.b+Da iel -oroo• 9/9/20 (/s/(�j�eaJ Owner/Authorized Agent Signature Date (Revised 10/10/2018)