1800 41ST ST 2023-04-10 - Laserfiche WebLink

•E MECHANICAL PERMIT APPLICfION EVERETT SUBMITTAL CITY OF EVERETT PERMIT SERVICES 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 1800 41ST STREET PARCEL#: 00620800000002 CITY EVERETT STATE WA ZIP 98203 SUITE/UNIT#:310 FLOOR#: 3RD ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Volunteers Of America CONTACT INFORMATION OWNER NAME: 1800 41ST STREET LLC OWNER MAILING ADDRESS: STREET 1800 41ST STREET STE 210 CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:PACIFIC AIR CONTROL WA STATE CONTRACTOR LICENSE#(REQUIRED):PAC I FAC23OP8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 1 1 347 CONTRACTOR ADDRESS: 5TREET1916 220TH ST SE M101 CITY BOTHELL STATE WA ZIP 98021 CONTRACTOR PHONE:2066826393 CONTRACTOR EMAIL:bobbyr@pacifiCaircontrol.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:BOBBY RO D G E RS CONTACT PHONE:2065129807 CONTACT EMAIL:bobbyr@pacificaircontrol.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $22270 ASSOCIATED PERMIT#(if applicable):M2202-082 (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: ESFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure DESCRIPTION OF WORK: Relocation of 18 linear diffusers and addition of 17 return grilles for new office spaces.Some duct work to new diffuser locations. 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 alteration 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*** Other(List Type):return grilles(17) Exhaust Hood Type II*** Other(List Type):relocate suooly diffusers(181 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: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 j j/_\ ?/ PERMIT# /4�2 U 2.. —/ 2 ?y/ef-2 Ow*/Authorized Agent Signature ,,{{��ate (Revised 2/8/2021) //7