1000 SE EVERETT MALL WAY BASE FILE 2022-02-25

MWHANICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1000 SE EVERETT MALL WAY PARCEL #: 28051800305400 CITY EVERETT STATE WA ZIP 98208 SUITE/UNIT #: 204 AND 305 FLOOR #: FLOOR 2 AND 3 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): EVERETT MALL OFFICE PARK CONTACT INFORMATION OWNER NAME: COLLIERS OWNER MAILING ADDRESS: STREET 601 UNION ST SUITE 5300 CITY SEATTLE STATE WA ZIP 98101 OWNER PHONE:425-404-1710 OWNER EMAIL: CONTRACTOR COMPANY NAME: ALLSTAR HEATING WA STATE CONTRACTOR LICENSE #(REQUIRED): ALLSTHA044JK CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 34555 CONTRACTOR ADDRESS: STREET PO BOX 70 cln, FALL CITY STATE WA ZIP 98024 CONTRACTOR PHONE:425-766-1941 CONTRACTOR EMAIL: PATRICK@ALLSTAR-HVAC.COM PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: PATRICK CONVERSE CONTACT PHONE: 425-766-1941 CONTACT EMAIL: PATRICK@a ALLSTAR-HVAC.COM MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $12,562.0o 1ASSOCIATED PERMIT # (if applicable): (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure DESCRIPTION OF WORK: REPLACE 2 WATER HEAT PUMPS WITH NEW SAME SIZE MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Count (Qty) List of Fixtures Fixture Count (Qty) List of Fixtures A/C Unit (attach plan with location of outdoor unit) Gas Piping - List # of outlets in fixture count 2 Air Handling Unit ** Gas Appliance ** Boiler (most require backflow prevention) Gas Fireplace, Insert, and/or Log (11r for commercial bldgs) Commercial Refrigeration (walk-in coolers, VRF, VRV, etc.) Gas - Other (List Type): �kilr Commercial Ventilation (corridors, stairwell, pressurization, etc.) Heat Pump (attach plan with location of outdoor unit) Compressors/Generators (building permit may be required) Heat Pump Ductless (attach plan with location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping Duct System (additions, alterations) Unit heater (commercial use) Exhaust Fan (residential or commercial use) Water Heater (gas or electric) Exhaust Hood (residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type 1 1 Other (List Type): Exhaust Hood Type II JOther (List Type): Furnace (residential) 1 Other (List Type): �k For commercial gas fireplaces, please attach plans and manufacturer's installation manual. 1t iF Under Description of Work, please include Type of Equipment, model #'s, ad detailed description of work, and the location of the equipment. Type I hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review. Please submit the required documents as *** described in the associated Checklists online at everettwa.gov/permits under the Checklists & Handouts tab. 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 authod 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 Late Co ctors L w 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # I V sn sizozl Owner/Authorized Agent Signature Date (Revised 21812021) i�