2131 LAKE HEIGHTS DR 2021-09-07 - Laserfiche WebLink

PERMIT APPLICATION BUILDIN.ECHANICAL / PLUMBING / SIGN WRINKLER / 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:2131 Lake Heights Dr. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tim Platt TENANT BUSINESS NAME(Commercial): Bethany of the Northwest OWNER MAILING ADDRESS: STREET P.O. Box 13700, Millcreek CM' Everett STATE WA ZIP 98208 OWNER PHONE: (425)258-9174 OWNER EMAIL:timp@bethanynw.org CONTRACTOR NAME:Viking Automatic Sprinkler Co. CONTRACTOR ADDRESS: STREET 3434 1st Ave S. crry Seattle STATE WA ZIP 98134 CONTRACTOR PHONE:(206)622-4656 CONTRACTOR EMAIL:donald.koval@vikingsprinkler.net CONTRACTOR LICENSE#(REQUIRED):VIKINAS373NT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024704 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(206)622-4656 Donald Koval CONTACT EMAIL:donald.koval@vikingsprinkler.net BUILDING INFORMATION Existing Use of Building:I-1,A-2,S-2 Contract Price of Work: $ 17,000.00 Proposed Use of Building:I-1,A-2,S-2 Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: _ ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. OSign ❑✓Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Add/relocate sprinklers to provide proper protection of the tenant improvement space. Demo existing CPVC piping and install new steel pipe in kitchen remodel area. Add small anti-freeze system for new coolers. 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 11 b 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. f City of Everett Official Use Only � PEr Lit/ } 1 ,...,02_, Donald Koval -�_--= --•--- —•- ,.,,�� „, 11/4/2020 Owner/Authorized Agent Signature Date (Revised 10/10/2018) 7Z_