906 SE EVERETT MALL WAY CHILD STRIVE 2022-04-28

PERMIT APPLICATIO BUILDIN•MECHANICAL / PLUMBING / SIGI PRINKLER / DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:906 SE Everett Mall Way Everett, WA 98208 PROPERTY TAX#:28051800308500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: John Baush @ Colliers/Rems TENANT BUSINESS NAME(Commercial): ChildStrive OWNER MAILING ADDRESS: sTREET6500 Harbour Heights Parkway, Suite 107 c,Ty Mukilteo STATE WA zrP 98275 OWNER PHONE: 425.315.1354 OWNER EMAIL:john.baush@colliers.com CONTRACTOR NAME:Ken Beavin @ Refino CONTRACTOR ADDRESS: STREET9706 4th Ave NE#401 CITY Seattle STATE WA ZIP 98115 CONTRACTOR PHONE:206.206.1509 CONTRACTOR EMAIL:kenb@refinoservices.com CONTRACTOR LICENSE#(REQUIRED):REFINSL901 C6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 049411 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR El OTHER(Please Specify) Irene Connor p Ware Malcomb CONTACT NAME: CONTACT PHONE:425.670.6706 x2004 Irene Connor CONTACT EMAIL:iconnor@waremalcomb.com BUILDING INFORMATION Existing Use of Building:B-Office Contract Price of Work:$7,500 Proposed Use of Building:B-Office Heat Source: ❑Gas ❑Electric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: The scope of this project is a second generation TI (10,498 SF) of office space. Construction to included of interior partitions/doors & electrical; new construction to include interior partitions/doors and electrical. 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,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/ 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 Owne Authorized Age ' Signature Date (Revised 10/10/2018)