2102 BROADWAY SHELL STATION 2023-07-28

EVERETT WASHINGTON 0 PERMIT APPLICATION• BUILDING i MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits flue or Black Ink Only Pleas® PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2320 CALIFORNIA STREET, EVERETT, WA 98201 PROPERTY TAX #: LEGAL for new construction: Short Plat/subdivision N/A Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ADELA SANTISTEBAN TENANT BUSINESS NAME (Commercial): SNOHOMISH PUD OWNER MAILING ADDRESS: STREET2320 CALIFORNIA STREET CITY EVERETT STATE WA zIP 98201 OWNER PHONE: (425) 359-8818 OWNER EMAIL: AMSantisteban@Snopud.com CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ED OTHER (Please Specify) Architect CONTACT NAME: GARY SCOTT (OWNER REPRESENTATIVE) CONTACT PHONE: (206) 624-4222 or cell (206) 229-6184 CONTACTEMAIL:gary@rolludaarchitects.com BUILDING INFORMATION Existing Use of Building ( ) g g: OFFICE NO CHANGE Contract Price of Work: $ �1'93. �;c) Proposed Use of Building: SAME AS EXISTING Heat Source: []Gas ❑Electric []Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ✓❑Repair ❑T.I. ❑Sin ❑S rinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ROOF REPLACEMENT AND ASSOCIATIVE ITEMS. REMOVAL & REPLACEMENT OF SELECTIVE WALL PANELS & INSTALLATION OF FALL PROTECTION EQUIPMENT. ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures A/C —Air Handling Units Gas Piping Backflow Preventer (Inside Bldg) Shower, Tub, or Combo Boiler Gas Range Clothes Washer Sink -Commercial (3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink -Residential (kitchen, bath, bar) Duct System (Remodel) Refrigeration Drinking Fountain Sink -Utility, laundry, mop Exhaust Fans (Residential) Commercial Ventilatior (Not Heat/AC system) Floor Drain Toilet Exhaust Hood (Type I) Hose Bibb Urinal Exhaust Hood (Type II) Water Heater Interceptor -Grease Waste/Water Piping Repair Exhaust Hood (Residential) Wood Stove Interceptor-Sand/Oil Water Service (behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace(Insert/Log Roof Drains Water Heater SPRINKLER i SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No. of Heads Chemical Suppression System 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 1 comply with the State Contractors law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ' PERMIT # OwnerfAuthorized Agent Signature Date (Revised 10/10/2018) f t..,