1700 13TH ST 3RD FLOOR 2022-05-16

PERMIT APPLICATION• MIll BUILDING/MECHANICAL/ PLUMBING/SIGN /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.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1700 13th St- Everett,WA 98201 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT'.INFORMATION OWNER NAME: Providence Regional Medical Center TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1700 13th Street cm' Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Bums Fire Protection Systems, Inc. CONTRACTOR ADDRESS: STREET PO Box 1110 ow Granite Falls STATE WA ZIP 98252 CONTRACTOR PHONE:360-691-2235 CONTRACTOR EMAIL:audra@burnsfire.com CONTRACTOR LICENSE#(REQUIRED):BURNSFP841 DU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54660 PRIMARY CONTACT: 0 OWNER ❑� CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-905-5780 Keith Kyle CONTACT EMAIL:keith@burnsfire.com BUILDING INFORMATION Existing Use of Building:Medical Contract Price of Work:$4500 Proposed Use of Building:Medical Heat Source: ❑Gas DElectric ❑Other 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: Burns to modify existing sprinkler system to meet new shell space layout, and replace all sprinkler heads in work area.There are no changes to the hydraulic calculations 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 NC—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 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 10 No.of Heads Chemical Suppression System I 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 0er . Ifiiiik...----------- PERMIT# ��4- �Q� 04/20/2021 /Authorized Agent Signature Date (Revised 10/10/2018) 1