9028 EVERGREEN WAY JOHN FLUKE MFG 2022-04-28

NNE ME•IANICAL PERMIT APPLIC•ION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425.257.8810 1(E)everetteps@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 9028 Evergreen Way PARCEL#: 00392300000500 CITY Everett STATE WA Zip 98204 SUITE/UNIT#: FLOOR#: Roof ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Fluke Electronics Corp CONTACT INFORMATION OWNER NAME: Fluke Electronics Corp OWNER MAILING ADDRESS: STREET PO Box 9090 MS 233C CITY Everett STATE WA ZIP 98206 OWNER PHONE:425 347-6100 OWNER EMAIL: CONTRACTOR COMPANY NAME:University Mechanical Contractors,Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):UNIIVMC*343N9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6726 CONTRACTOR ADDRESS: STREET 11611 49th Place West cn-v Mukilteo STATE WA Zip 98275 CONTRACTOR PHONE:206 794-5703 CONTRACTOR EMAIL:bhiggins@umci.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206 794-5703 Brittney Higgins CONTACT EMAIL:bhiggins@umci.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$25,000.00 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: ❑✓Commercial ❑Accessory Structure DESCRIPTION OF WORK: Replacing one (1) - 15 ton gas pack. New unit is Trane model GBC180A4ELC on rooftop. MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) 1 NC Unit(attach plan with location of outdoor unit) Gas Piping-List#of outlets in fixture count Air Handling Unit** Gas Appliance** Boiler(most require backflow prevention)** Gas Fireplace,Insert,and/or Log(*for commercial bldgs) Commercial Refrigeration(Walk-in coolers,VRF,VRV,etc.) Gas-Other(List Type): ** Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(building permit may be required)** Heat Pump Ductless(attach plan with location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping Duct System(additions,alterations) Unit heater(commercial use) Exhaust Fan(residential or commercial use) Water Heater(gas or electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type I *** Other(List Type): Exhaust Hood Type II*** Other(List Type): Furnace(residential) Other(List Type): * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. ** Under Description of Work,please include Type of Equipment,model#'s,ad detailed description of work,and the location of the equipment. Type I hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review.Please submit the required documents as *** described in the associated Checklists online at everettwa.gov/permits under the Checklists&Handouts tab. 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 WAG. City of Everett Official Use Only PERMIT# v l 2 l' 0 90 Brittney Higgins E0,,,,,,, Owner/Authorized Agent Signature Date (Revised 2/8/2021) f'