305 SE EVERETT MALL WAY VISION WORKS 2022-06-28

FIRE StPPRESSION PERMIT APPLATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. 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 305 SE Everett Mall Way,Suite 21 PARCEL#: 28051800304300 crry Everett STATE WA ZIP 98208 SUITE/UNIT#: 21 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Visionworks CONTACT INFORMATION OWNER NAME:ACF Property Management, Inc OWNER MAILING ADDRESS: STREET 12411 Venura Boulevard clTv Studio City STATE CA ZIP 91604 OWNER PHONE:818.505.6777 EXT 212 OWNER EMAIL:tbrown@acfpm.com CONTRACTOR COMPANY NAME:Crown Fire Protection, Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):CROWNFPO44LL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 031397 CONTRACTOR ADDRESS: STREET PO BOX 12113 cm' Mill Creek STATE WA ZIP 98082 CONTRACTOR PHONE:425.481.7669 CONTRACTOR EMAIL:cristie@crownfp.com PRIMARY CONTACT: ❑OWNER Cl CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.481.7669 C ri sti e Og l a n d CONTACT EMAIL:cristie@crownfp.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK:$4500 ASSOCIATED PERMIT#(if applicable): B y oct�G4 y- (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: Add 5 pendent fire sprinkler heads and relocate 35 fire sprinkler heads for a tenant improvement for Visionworks. TYPE OF INSTALLATION: ❑New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: [Water Suppression System-#of Heads:40 ❑Chemical Suppression System-#of Heads: NOTE:Application must be submitted with 2 sets of plans,calcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. 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 1 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 �(/� i Ci./ z Da PERMIT# \.<. �o 11 — o a (� wner/ uthorized Agent ignat re / -ate (Revised 2/8/2021) V 1f Z