901 W CASINO RD 2021-05-10 - Laserfiche WebLink

MIMI 0 PERMIT APPLICATION • IZI 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:901 W. Casino Rd PROPERTY TAX#:2804-1200-3004-00 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: BP Products North America, Inc. TENANT BUSINESS NAME(Commercial): Arco OWNER MAILING ADDRESS: STREET 14016 116th Ave. E CITY Puyallup STATE WA zii 98374 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Architect/Applicant CONTACT NAME: CONTACT PHONE:707-236-8952 Melissa Spooner - PM Design Group, Inc CONTACT EMAIL:mspooner@pmdginc.com BUILDING INFORMATION Existing Use of Building:Service Station Contract Price of Work:$20,000.00 Proposed Use of Building:Service Station (No Change) Heat Source: ❑Gas DElectric DOther BUILDING USE: DSFR ❑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: Readily Achievable Barrier Removal/ADA upgrades: repaving/restriping accessible parking; provide accessible route and accessible entry; adjust door closers 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 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 1 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 PEIT# \7/b^ l 11/5/2020 j/lJ IXJ l Owner/Authorized gent Signature Date (Revised 10/10/2018) 1