221 SE EVERETT MALL WAY FARMERS INSURANCE 2023-02-06

; IP • L um MECHANICAL PERMIT APPLICATION 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)426.257.8810 I(E)everetteps@evereilwa.gov I(W)everetiwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Chl PROJECT SITE A ESS: MEET 221 se everett mall way PARCEL#: 00480201201200 cOrlyEverett ajxi WA !Az 98208 r SUITEIUNI #:M5 ll FLOOR#: ADDITIONAL LOCATION INFORMATION;M TENANTIB SINES8 NA E(if non•resider;ilal);Farmer`s Insurance CONTACT INFORMATION OWNER NAME; SHILLA INCORPORATEDfi OWNER MAILING ADDRESS: STREET PO BOX 997,WA 98065 crry SNOQUALMIE STATE WA ZIP 98085 li OWNER PHONE: 'OWNER EMAIL: it CONTRACTOR COMPANY NAME:Comfort Mechanical ) k It r WA STATE CONTRACTOR LICENSE#(REQUIRED),COMFOMS804B7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE �ji I.7 l f ii P. CONTRACTOR ADDRESS; smesr32O2 C St NE a E> MY Auburn STATE WA zip 980 Il x CONTRACTOR PHONE:42362519840 CONTRACTOR EMAIL: 1 PRIMARY CONTACT: D OWNER I I CONTRACTOR Cl OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2069633883 R >��s � (�`•'�u �'� CONTACTEMAIL:Jasse@comfortmach.com g MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$8237 IAS$QCIATED PERMIT#Of applicable): ; If Arc whether 1 I:(Valvalfon shall Include the erevallleg rair market value of at labor,materials,and equ meat needed(o complete the work, a er aotue�paid ornoi.) L BUILDING TYPE: DSFR DTownhouse DDupiex ❑ADU DMuiti-Family-#Units: 11Commerclal DAccessory Structure t DESCRIPTION OF WORK: i. Ir: Replace (1) 3-ton roof mounted packaged heat pump like for like. MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) : Fixture Fixture 1 Count List of Fixtures Count List of Fixtures 1 PQty) (Qly) 1 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 baokflow prevention)** Gas Fireplace,insert,and/or Log(*for commercial bldts) Commercial Refrigeration(Walk-in coolers,VRF,VRV,eta.) Gas-Other(List Type):, ** Commercial Ventilation(corridors,*Await,proseurization,eta.) i Heat Pump(attach plan with location of outdoor unit) y Comp►essora/Generators(building permit maybe required)** Hoot Pump Ductless(attach plan with location of outdoor unit) Clothes Dryer Exhaust Hydronlo Piping Duct System(additions,alterations) Unit heater(commercial Use) ( Exhaust Fan/residential or commercial use) Water Heater(gas or electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert t Exhaust Hood Type I*** Other(List Type): Exhaust Hood Type II*** Other(List Type)' Furnace(residential) OtherjList Tyee_):-,..1, abW * 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 shalt be on a stand atone Mechanical Permit application and requires plan review.Please submit the required documents as described in the associated Checklists online at evereitwa.g9ov/permits under the Checklists&Handouts tab. ACKNOWLEDOEME! r.I have reviewerlhie application and confirm the Information contained-herein Is true and correct.Work done pursuant to this permit must comply with Ii ourrent federsl,state,and fooal law.The granting of a permit only authorizes approved work and no deviations therefrom,Oevlatlone must first be authorized In writing from the Budding gala!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!co ply wl tale Contractors Law 19.27RCW and 298.200A WAG 1 City of Everett O/ficlef Use Only P PERMIT# O 7 Z I. 7f30/21 M Z� 0 _ F 0 ner prised Agent Signature Date (Revised 2/8/2021) ii ii. 11