10217 19TH AVE SE 2023-04-28 - Laserfiche WebLink

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)425-257-8810 1 (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 10217 19th Ave SE PARCEL M clTy Everett STATE WA zip 98208 SUITE/UNIT#:201 FLOOR#:2 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Daryl BOekenOOgan CONTACT INFORMATION OWNER NAME: DARYL BOEKENOOGAN OWNER MAILING ADDRESS: STREET 10217 19th Ave SE#201 IfTy Everett STATE WA zip 98208 OWNER PHONE:425 327 6458 OWNER EMAILMA CONTRACTOR COMPANY NAME:ELEVATED MECHANICAL LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):ELEVAML792RC ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Receipt 2022 CONTRACTOR ADDRESS: ITIEET11509 26TH ST NE Iffy LAKE STEVENS STATE WA ZIP 98258 CONTRACTOR PHONE:425 530 7192 1CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME:,JAMIE CHRISTENSEN I CONTACT PHONE:425 530 7192 CONTACT EMAIL:ELEVATEDMECHANICALNW@GMAIL.COM MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $14,000 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•REPLACINGA LIKE FOR LIKE RTU HP FOR SUITE 201,UNIT SITS ON SW CORNER OF BUILDING,EXISTING MIN TRANE WSC036A3RBAIC NEW UNIT IS TRANE MIN WSCO36H3ROA,I WAS TOLD I JUST NEEDED TO ATTACH CUT SHEET OF NEW UNIT AS ITS A LIKE FOR LIKE,NEW UNIT NET W EIGHT IS 514LB5 MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) 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 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) Clothes Dryer Exhaust Hydronic 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 Exhaust Hood Type I *** 1 Other(List Type):RTU HID LIKE FOR LIKE Exhaust Hood Type II *** Other(List Type): Furnace(residential) Other(List Type): * 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:1 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)