2500 HEWITT AVE LUTHERAN COMMUNITY SERVICES 2023-04-24

E FIRE SSPRESSION PERMIT APPLIITION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 l(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2500 Hewitt Ave 1st Floor Suite 300,400 PARCEL#: 000437869300900 cIT, Everett STATE WA Zip 98011 SUITE/UNIT#: 300&400 FLOOR#: 1st. ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Lutheran Community Services CONTACT INFORMATION OWNER NAME:H & L Petersen, LLC OWNER MAILING ADDRESS: STREET2325 79th Ave SE CITY Lake Stevens STATE WA zip 98258 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:Commercial Fire Protection, Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):COMMEFP132MM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 34661 CONTRACTOR ADDRESS: STREET 17199 Bennett Rd. CITY Mount Vernon STATE WA zip 98273 CONTRACTOR PHONE:360 848-9093 ext 113 CONTRACTOR EMAIL:della@cfirepro.com PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360 848-9093 EXT 113 Della Dellinger CONTACT EMAIL:della@cfirepro.com FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK:$3,898 ASSOCIATED PERMIT#(if applicable): ] D1 - 7 I (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: DCommercial ❑Accessory Structure DESCRIPTION OF WORK: Extend the existing fire sprinkler system to address missing fire sprinkler coverage TYPE OF INSTALLATION: ❑New Suppression System ❑✓Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: ❑✓Water Suppression System-#of Heads:3 ❑Chemical Suppression System-#of Heads: NOTE:Application must be submitted with 2 sets of plans,talcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. 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# e ta. 1�e,eer n, e�, 11/22/22 I.0 2 Z I 1 - 0 ( 0 Owner/Authorized Agent Signature Date (Revised 4/21/2022)