10121 EVERGREEN WAY JIMMY PEPPERS 2023-04-06

• PERMIT APPLICATION / ' rTrifilvd:LiBUILDING / MECHANICAL/ PLUMBING / SIGN /SPRIN LER'/'D M e e. CITY OF EVERETT PERMIT SERVICES q. `r 3200 CEDAR STREET,EVERETT,WA 98201 (' 2 i (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I ww.e.tver ttwa.gov/permi`(49 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION J &13 n Z1 PROJECT SITE ADDRESS: 10121 EVERGREEN WAY , EVERETT,WA 98204-3885 PROPERTY TAX#: 28042400200 '< W`� LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) SEE ATTACHED CONTACT INFORMATION OWNER NAME: SOUTH POINT PLAZA LLC TENANT NAME(If Commercial): Jimmy Peppers OWNER MAILING ADDRESS: STREET 14205 SE 36TH ST SUITE 215, crry BELLEVUE, STATE WA ZIP 98006 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Performance Mechanical Group CONTRACTOR ADDRESS: STREET 1012 Central Avenue South cm' Kent STATE WA ZIP 98032 CONTRACTOR PHONE: 425-251-0356 CONTRACTOR EMAIL: eric.o@pmghvac.com CONTRACTOR LICENSE#(REQUIRED): PERFOHA15ORT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57268 PRIMARY CONTACT: 0 OWNER W CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-251-035---'— Eric O'Keefe CONTACT EMAIL: eric.o@ �ac.com %, BUILDING PERMIT APPLICATIO Existing Use of Building:Medical Offices Contract Price of Wo'k:$ $12,000.00 1 Proposed Use of Building: na Heat Source: ❑Gas ®Electric liOther heat pump Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Reommercial El Industrial Type of Project: ❑New ❑Addition ❑Remodel ORepair ❑T.I. OSign ❑Sprinkler ition ❑Change of Use DESCRIPTION OF WORK: Replace existing roof top package unit with new unit of same capacity. New roof top package unit to be installed in same location. ASSOCIATED BUILDING PERMIT#(if applicable): NA MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration ✓Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units 1 Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Package Unit Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Chemical or Water I 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 /./"2-47 J---- ----- C 4/1 I PER T# :„\oc.6._(:::+ k _____. Owner/Authorized Agent Signature Date (Revised 9/23/2016)