10210 EVERGREEN WAY 2021-12-22 - Laserfiche WebLink

• PERMIT APPLICATION • 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: 10210 Evergreen Way, EVERETT,WA 98204-3861 PROPERTY TAX#:00535200000601 LEGAL for new construction: Short Plat/subdivision Section 24 Township 28 Range 04 Quarter NW Lot No.1 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: EVERETT INNS LLC TENANT BUSINESS NAME(Commercial): BEST WEST NAVIGATOR INN&SUIT OWNER MAILING ADDRESS: STREET3500 188TH ST SW STE 121 can. Lynnwood STATE WA ZIP 98037 OWNER PHONE: 425- - 0 OWNER EMAIL:tim.cordodor@360hotelgroup.com CONTRACTOR NA :TBD CONTRACTOR AD RESS: ' STREET CITY STATE ZIP CONTRACTOR PHONE: /� _CONATRRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): [ E,`,�0�-- 465 ;" CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6 (5 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Owner's Representative CONTACT NAME: CONTACT PHONE:206.582.2573 Michael Chen CONTACT EMAIL:mchen@mcknze m BUILDING INFORMATION J Existing Use of Building:BEST WEST NAVIGATOR INN&SUIT Contract Price of Wqk: $30 ' 1'05 G Proposed Use of Building:Utility/Carport Heat Source: ❑G s ❑Electric,/ OOther none BUILDING USE: ❑SFR ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑Cmercial ❑✓Accessory Structure Type of Project: ❑✓New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Spri klkler�lemolition ❑Change of Use DESCRIPTION OF WORK: Construction of a—150sf enclosure located in the parking`7ot of the Best Western Navigator Inn &Suit. The enclosure will be unoccupied and non-conditioned to house distribution mechanisms. Permanent power will be pulled to the enclosure under a separate design/build permit. 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 NC—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. City of Everett Official Use Only PERMIT# V3t—( Tim Cordodor Dig1a1021.02.12:02.50-WOO' Owner/Authorized Agent Signature Date (Revised 10/10/2018)