2202 100TH ST SW TOOLLESS PLASTIC SOLUTIONS 2022-10-07

MECHANICAL PERMIT APPLICATTN 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 I(E)everetteps©everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) = PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2202 100th St SW PARCEL#: 00538200004300 CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Toolless Plastic Solutions CONTACT INFORMATION OWNER NAME: Airport 100 LLC OWNER MAILING ADDRESS: STREET PO Box 1243 cry Edmonds STATE WA zip 98020 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:Evergreen Refrigeration WA STATE CONTRACTOR LICENSE#(REQUIRED):EVERGRL954R2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044350 CONTRACTOR ADDRESS: STREET 727 S Kenyon St crry Seattle STATE WA ZIP 98108 CONTRACTOR PHONE:206-763-1744 CONTRACTOR EMAIL:alexb@evergreenhvac.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:Alex Burkhart L CONTACT PHONE:206-763-1744 ext.247 CONTACT EMAIL:alexb@evergreenhvac.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$48,000.00 ASSOCIATED PERMIT#(if applicable):B2202-012 (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: Installation of two(2)spilt system heat pumps,one(1)energy recovery ventilator,one(1)electric duct heater,one(1)gas unit heater,too(2)exhaust fans,two(2)ceiling fans,ductwork,gdlles/dHWsers,and one(1)gas plpIng outlet MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) i Fixture Fixture Count List of Fixtures Count List of Fixtures (QtY) (Qt') A/C 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 Refria--ration(Walk-in molars,VRF,VRV etr.) Gas-Other(List Type): ** Commercial Ventilation(corridors,stairwell,pressurization,etc.) 2 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 3 Duct System(additions,alterations) 1 Unit heater(commercial use) 2 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):Enemy Recovery Ventilator Exhaust Hood Type II*** Other(List Type):Electric Duct Heater Furnace(residential) 2 Other(List Type):...Fan * 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 WAC. City of Everett Official Use Only PERMIT# . LO — b rGvt/"� 4/25/22 Owner/Authorized Agent Signature Date (Revised 2/8/2021) lam.