10200 19TH AVE SE 2023-06-23 - Laserfiche WebLink

E MLHANICAL PERMIT APPLICA-T'ION 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 10200 19th Ave SE PARCEL#: co-v Everett STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Costco Wholesale CONTACT INFORMATION OWNER NAME: Costco Wholesale OWNER MAILING ADDRESS: STREET 999 Lake Drive co-v Issaquah STATE WA zip 98027 OWNER PHONE: OWNER EMAIL:skbrewer@costco.com CONTRACTOR COMPANY NAME:Refrigeration Unlimited WA STATE CONTRACTOR LICENSE#(REQUIRED):REFRIUL826NH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 2 i g CONTRACTOR ADDRESS: STREET5102 20th Street East#102 ciTr Fife STATE WA Zip 98424 CONTRACTOR PHONE:(253)474-3100 CONTRACTOR EMAIL:mafdem@ru-inc.com PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(253)392-5883 Mackenzie Afdem CONTACT EMAIL:mafdem@ru-inc.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$68,000.00 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 EADU ❑Multi-Family-#Units: ❑✓Commercial Accessory Structure DESCRIPTION OF WORK: Extend 2 meat islands and 3 multideck deli islands 8ft each. Relocate 1 island approx 2ft for wider aisle. MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (QtY) (Qty) NC 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*** Other(List Type): 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 PERMIT#■ ,�� 7-�2� Mackenzie Afdem Digitally e:202signed 7.15 8:2:°7-°A00' I� Date:zozi.ozi s oe:zz:n m•oo� 7/15/21 Owner/Authorized Agent Signature Date (Revised 2/8/2021) /7