2115 39TH ST ENCORE CABINETS 2023-08-02

MECINICAL PERMIT APPLICAT N 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 2115 39th Street PARCEL#: 005760-023-000-05 clry Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: middle of bldg TENANT/BUSINESS NAME(if non-residential): Encore Doors CONTACT INFORMATION OWNER NAME: GKR,LLC(Greg Tisdel) OWNER MAILING ADDRESS: STREET PO Box 1078 are Everett STATE WA ZIP 98206 OWNER PHONE: OWNER EMAIL: greg.tisdel©gmail.com CONTRACTOR COMPANY NAME: H&R Mechanical Systems(Michael Hunsberger) WA STATE CONTRACTOR LICENSE#(REQUIRED):HRMECSI101 MP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): -Call- 1110 t CONTRACTOR ADDRESS: STREET PO Box 5486 city Everett STATE WA zip 98206 CONTRACTOR PHONE: 425.259.5026 CONTRACTOR EMAIL: mike@hrmechanical.com PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.259.5026 Michael Hunsberger CONTACT EMAIL:mike@hrmechanical.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$15,000 (ASSOCIATED PERMIT#(if applicable): B2107-062 (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: fire damage repairs to ex door shop, repl blower unit & associated ductwork 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) i 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# , A dWlmb sired by Jeffrey Gilliland o pp3 Jeffrey Gilliland Dale:2021.07.26 102241-0TDO' 7/26/21 Owner/Authorized Agent Signature Date (Revised 2/8/2021)