2320 CALIFORNIA ST T MOBILE ANTENNA 2022-01-25

w • PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 i FAX 425-257-8857 1 (E) everetteps@everettwa.gov i wvvw.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2320 California St Everett, WA 98201 1PROPERTY TAX #: 00437866000000 LEGAL for new construction: Short Plat/subdivision see legal sheet A-1 dwgs Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Public Utility District 1 Sno Co TENANT NAME (If Commercial): T-Mobile OWNER MAILING ADDRESS: STREET 2320 St _California CITY Everett STATE WA zip 98201 OWNER PHONE: 425-783-1000 OWNER EMAIL: JointUse@SNOPUD.com CONTRACTOR NAME: TBD - OUT TO BID CONT RACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 4 OTHER (Please Specify) Authorized Agent CONTACT NAME: Christine Contreras, on behalf of T-Mobile CONTACT PHONE: O: 206-523-1941 / M: 425.351.3392 CONTACT EMAIL: ccontreras@rykaconsulting.com BUILDING PERMIT APPLICATION Existing Use of Building: Unmanned Wireless Communications Facility Contract Price of Work: $ 20,000 Proposed Use of Building: Unmanned Wireless Communications Facility Heat Source: ❑Gas ❑Electric ❑Other N/A Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi -Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ORemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: T-Mobile is proposing to replace (3) antennas, add (3) antennas and add and replace ancillary equipment and associated cabling on their existing rooftop facility. Additionally, T-Mobile will be replacing cabinets in their existing lease area. No increase in the number of cabinets. T-Mobile is not proposing an increase in height, projection, or ground disturbance. ASSOCIATED BUILDING PERMIT # (if applicable): B16 - 32 MECHANICAL PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair -- PLUMBING PERMIT APPLICATION Type of Project: _New Addn __Alteration _Repair # of Fixtures List of Fixtures # of Fixtures List of Fixtures # of Fixtures List of Fixtures # of Fixtures List of Fixtures A/C —Air Handling Units Heat Pump Toilet Backflow Preventer (Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer _ Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: SPRINKLER / SUPPRESSIO TEM I Number of Heads I N/A ACKNOWLEDGEMENT. 1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit trust 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 / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. '9/Z-7 Owner." uthorized Ageni Signature City of Everett Official Use Only PE;S #^ _La _ a2_�. (P,evised 912312016)