1315 PACIFIC AVE LUMEN APARTMENTS 2022-01-20

• MINI • 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 Pam) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1315 Pacific Ave PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: CL Potala L.P. a Delaware limited partnership TENANT BUSINESS NAME(Commercial): Lumen Apartment Lobby OWNER MAILING ADDRESS: STREET 1315 Pacific Ave crre Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Burns Fire Protection Systems, Inc CONTRACTOR ADDRESS: STREET 15214 116th St NE cmT' Arlington STATE WA ZIP 98223 CONTRACTOR PHONE:425-905-5780 CONTRACTOR EMAIL:audra@burnsfire.com CONTRACTOR LICENSE#(REQUIRED):BURNSFP841 DU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-905-5780 Keith Kyle CONTACT EMAIL:keith@burnsfire.com BUILDING INFORMATION Existing Use of Building:Apartments Contract Price of Work: $4900.00 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ©Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: New ❑Addition ❑Remodel ❑Repair CIT.!. ❑Sign ©Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Burns to install new upright and pendant sprinkler heads in remodel space ASSOCIATED BUILDING PERMIT#(if applicable): 1 `u l t) 1 't) O .21 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 "I U 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. RCW and 296.200A WAC. ' City of Everett Official Use Only 02/13/2020 � PERMIT97!fir,- Cc 5- _ Owner/Authorized Agent Signatu Date (Revised 10/10/2018)