2903 PACIFIC AVE 2022-01-25 - Laserfiche WebLink

• 40 PERMIT APPLICATION BUILDING/MECHANICAL I PLUMBING I SIGN I 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.govI www.everettwa.gov/permits (Blues or Black Ink Only Plsaas) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2903 Pacific Ave PROPERTY TAX#:00439069503800 LEGAL for new construction: Short Plat/subdivlsion Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Kaiser Permanente TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTReET2715 Naches Ave SW cnv Renton STATE WA zip 98057 OWNER PHONE:206-630-3905 OWNER EMAIL: Iauren.a.hiigertkp.org CONTRACTOR NAME: NorthStar CG, LP CONTRACTOR ADDRESS: STREET8160 304th Ave SE my Issaquah STATE WA ZIP 98027 CONTRACTOR PHONE: 425-881-0623 CONTRACTOR EMAIL:jSChUSter@nOrthStar.COm CONTRACTOR LICENSE#(REQUIRED): northc1852jc CITY OF EVERETT BUSINESS tJCENSE#(REQUIRED): 44505 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-510-2594 John Schuster CONTACT EMAIL: jschuster@northstar.com BUILDING INFORMATION Existing Use of Building:abandon Contract Price of Work:$85k Proposed Use of Building: demo Heat Source: ❑Gas ©Electric DOther BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessary Structure Type of Project: [New ❑Addition ❑Remodel ERepair ❑T.I. ❑Sign ❑Sprinkler ®Demolition ❑Change of Use DESCRIPTION OF WORK: building being levelled. ASSOCIATED BUILDING PERMIT#(If applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture FiktList of Fixtures ""v List of Fixtures Fixture List of Fixtures Ftxturrs List of Fixtures CountCount Count Count 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 Ventilation 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 I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: 'Water Suppression System -No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT.:1 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.lam the owner,or lam authorized by the owner of this property to perform the weir for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296,2004 WAC. City of Everett Official Use Only L ...._ \(-_) ,.- '�.S-. . MIT#f C-c —CC R Owner/Authorized ant Signature Date (Rev; i0J4012018) /�