4920 24TH AVE W 2023-06-22 - Laserfiche WebLink

MERIANICAL PERMIT APPLICON 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)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 4920 24TH AVE.W. PARCEL#: 00567900400402 cln EVERETT STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):N/A CONTACT INFORMATION OWNER NAME: 4900 24th Ave. W., LLC OWNER MAILING ADDRESS: STREET 526 N. West Ave. #147 CITY Arlington STATE WA ZIP 98223 OWNER PHONE:360-631-5922 x 3 OWNER EMAIL:officemanager@fullwilerCOnstruction.COm CONTRACTOR COMPANY NAME:Fullwiler Construction Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):FULLWCI9O3M2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: sTREETSame as above CITY STATE ZIP CONTRACTOR PHONE:Same as above CONTRACTOR EMAIL:same as above PRIMARY CONTACT: []OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-631-5922 x 3 or 425-344-7803 Mallorie ey or Jerry Fullwiler CONTACT EMAIL:officemanager@fullwilerconstruction.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$25,000 i ASSOCIATED PERMIT#(if applicable):TBD (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: New construction of 2-story SFR, gas cooktop in kitchen - whirlpool WCG97US6HS MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (QtY) (QtY) o NC Unit(attach plan with location of outdoor unit) 6 Gas Piping-List#of outlets in fixture count o Air Handling Unit** i Gas Appliance** t! , o Boiler(most require backflow prevention)** 2 Gas Fireplace,Insert,and/or Log(*for commercial bldgs) o Commercial Refrigeration(Walk-in coolers,VRF,VRV,etc.) o Gas-Other(List Type): ** o Commercial Ventilation(corridors,stairwell,pressurization,etc.) t Heat Pump(attach plan with location of outdoor unit) o Compressors/Generators(building permit may be required)** 0 Heat Pump Ductless(attach plan with location of outdoor unit) i Clothes Dryer Exhaust o Hydronic Piping o Duct System(additions,alterations) o Unit heater(commercial use) 5 Exhaust Fan(residential or commercial use) Egasor-eieotncr i Exhaust Hood(residential over stove) o Wood/Pellet Stove or Insert o Exhaust Hood Type I *** Other(List Type): o 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: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 PVMT# ( I/1 eike‘k' L')/- L/1.7/?6-2 - t 2W(40 °CC Owner/Authorized Agent Sign ture Date (Revised 2/8/2021)