2000 TOWER ST PARKS STUDENT UNION 2022-04-05

• a PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER I DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 i FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION 1 f� PROJECT SITE ADDRESS:EvCC (2000 Tower Road); Parks Hall PROPERTY TAX#:Z617i 06 11 t I U `^)1 Ci LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Richard Radcliff TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 2000 Tower Street crry Everett STATE wa ZIP 98201 OWNER PHONE: 425 239-9346 OWNER EMAIL:rradcliff@everettcc.edu CONTRACTOR NAME:Everett Community College Facilities(Richard Radcliff) CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE:425 239-9346 CONTRACTOR EMAIL:rradcliff@everettcc.edu CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:206 920-6348 Jerry Osborn CONTACT EMAIL:josborn@oaips.com BUILDING INFORMATION Existing Use of Building:College Student Services Contract Price of Work:$$3,000 Proposed Use of Building:College Student Services Heat Source: OGas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New DAddition ✓❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler DDemolition ❑Change of Use DESCRIPTION OF WORK: Add partition wall to reduce size of Student Information Area and create a new Faculty Breakroom 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,floorl Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitcheri,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.l 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 J/J /C City of Everett Official Use Only NI� '[—f ) (j-L 7 ' 'E3 PERlJ "�� /Auth zed Agent Signature Date (Revised 10/10/2018)