4208 RUCKER AVE AT YOUR LEISURE 2022-11-22

MEtANICAL PERMIT APPLIC41#ION 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 4208 Rucker Ave PARCEL#: 00582202300801 city Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): At Your Leisure Services, LLC CONTACT INFORMATION OWNER NAME: Charmae, LLC OWNER MAILING ADDRESS: STREET 3815 Colby Ave cry Everett STATE WA ZIP 98201 OWNER PHONE: 425-339-4158 OWNER EMAIL: Iisa@atyourleisure.net CONTRACTOR COMPANY NAME: New Heating &Cooling, LLC WA STATE CONTRACTOR LICENSE#(REQUIRED): NEWHEHC842B0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61275 CONTRACTOR ADDRESS: STREET 8425 219th St. SE. Suite 102 cry Woodenville STATE WA ZIP 98072 CONTRACTOR PHONE: (425) 280-1734 CONTRACTOR EMAIL: newhcsystems@gmail.com PRIMARY CONTACT: El OWNER El CONTRACTOR El OTHER(Please Specify) CONTACT NAME: M C�I"V I I"I C O ill Pi I I CONTACT PHONE: 425-280-0527 CONTACT EMAIL: newhcsystems@gmail.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$ 1,000 ASSOCIATED PERMIT#(if applicable): (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: On the wool well vendng wil be out tlaweat wellfor each dryer.Gee piping wil be installed and reeled to oathdryer.Oryero are UMmeo model UT076N end the Ironer to model CMVGF1200e120. MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) MY) A/C Unit(attach plan with location of outdoor unit) 6 Gas Piping-List#of outlets in fixture count Air Handling Unit** 6 Gas Appliance** Boiler(most require backflow prevention)** Gas Fireplace,Insert,and/or Log(*for commercial bldgs) Commercial Refrigeration(Walk-in coolers,VRF,VRV,etc.) Gas-Other(List Type): ** Commercial Ventilation(corridors,stairwell,pressurization,etc.) 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) 5 Clothes Dryer Exhaust Hydronic Piping Duct System(additions,alterations) Unit heater(commercial use) Exhaust Fan(residential or commercial use) 2 Water Heater(gas or electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type I tk*tk Other(List Type): Exhaust Hood Type II*** Other(List Type): Furnace(residential) Other(List Type): * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. half Under Description of Work,please include Type of Equipment,model It'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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#. t M V?o -(N 0 ner/ uthorized Age t Si at re Date (Revised 2/8/2021) yz_