3430 16TH ST 2022-05-11 - Laserfiche WebLink

IPIPPI 2 � PERMIT APPLICATIO ' 11 BUILDINGIIECHANICAL / PLUMBING / SIGN RINKLER/ 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 Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:3430 16TH ST PROPERTY TAX#:29051600301200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: CARR FAMILY TRUST TENANT BUSINESS NAME(Commercial): WA MARINE CLEANING OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:PSR MECHANICAL LLC CONTRACTOR ADDRESS: STREET3132 NE 133RD ST CITY SEATTLE STATE WA ZIP 98125 CONTRACTOR PHONE:206-367-2500 CONTRACTOR EMAIL:daniel.kim@pSrmechanlcal.com CONTRACTOR LICENSE#(REQUIRED):PSRMEML809C6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 018564 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:20-427-6160 Daniel Kim CONTACT EMAIL:daniel.kim@psrfnechanial.com @psrfnechanial.com BUILDING INFORMATION ( I Existing Use of Building:OFFICE Contract Price of Wor : $46,529 Proposed Use of Building:SAME Heat Source: ❑Gass ❑Electri DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓C mercial ❑Accessory Structure Type of Project: New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler Demolition ❑Change of Use DESCRIPTION OF WORK: INSTALL (2) EXHAUST FANS SERVING LAB HOODS. INSTALL 2.5 TON SPLIT SYSTEM HEAT PUMP TO PROVIDE MAKE-UP AIR. a' --` lnuio< 6n11 ASSOCIATED BUILDING PERMIT#(if applicabl ): BB2009-03A MECHANICAL PERMIT APPLICATION / PLUMBING PERMIT APPLICATION Fixture Fixture Fixture 1 Fixture Count List of Fixtures Count List tu Fix s 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 1 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) 2 (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 1 Other: Heat Coil 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 P E' I? # t( CA(c7 Daniel Kim °'9"�'"signcdbyDan1e1Ki ��/ 1`°ai":zozoiz zz is.issz-os�oo� 12/22/2020 Owner/Authorized Agent Signature Date (Revised 10/10/2018) /�