11031 19TH AVE SE 2023-01-05 - Laserfiche WebLink

• • NEIN PERMIT APPLICATION 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:11031 19th Ave SE Everett,WA 98208 PROPERTY TAX#:00056 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Cathy Ikeuchi TENANT BUSINESS NAME(Commercial): Albertons Companies, Inc OWNER MAILING ADDRESS: STREET250 E Parkcenter Blvd crnr Boise STATE ID ZIP 83706 OWNER PHONE: 925-226-5860 OWNER EMAIL:cathy.ikeuchi@albertsons.com CONTRACTOR NAME:EC Electric Seattle CONTRACTOR ADDRESS: STREET981 Powell Ave SW,Suite 200 CITY Renton STATE WA ZIP 98057 CONTRACTOR PHONE:206-375-3367 CONTRACTOR EMAIL:bill.wythes@ecpowerslife.com CONTRACTOR LICENSE#(REQUIRED):ECCOM**148BA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 051774 PRIMARY CONTACT: ❑OWNER D CONTRACTOR 2 OTHER(Please Specify) Engineer CONTACT NAME: CONTACT PHONE:669-800-1982 Kari Nelson CONTACT EMAIL:kari.nelson@kimley-horn.com BUILDING INFORMATION Existing Use of Building:Commercial Contract Price of Work:$58,000 Proposed Use of Building:Commercial Heat Source: OGas 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: Installation of two (2) electric vehicle charging stations in parking lot. 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#r _by.NOW O 1-1/ Kan Nelson aa�°�o,nom�a��++��.oN=wnN� 4/15/2020 Owner/Authorized Agent Signature Date (Revised 10/10/2018) /Z