2115 39TH ST ENCORE CABINETS 2023-08-02

FIRE S4PRESSION PERMIT APPLtATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. 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 cry 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 clry Everett STATE WA ZIP 98206 OWNER PHONE: OWNER EMAIL: greg.tisdel@gmail.com CONTRACTOR COMPANY NAME: Wolfe Fire Protection, Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):WOLFEFP9006DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): -call-SO 17-1 CONTRACTOR ADDRESS: STREET 832 80th Street SW clrY Everett STATE WA ZIP 98203 CONTRACTOR PHONE: 360.794.8621 CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER l ]CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360.794.8621 Casey Yard ley CONTACT EMAIL: FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK:$50000 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 shop - replace sprinkler lines & heads per submitted plans. system to be inspected and tested in conjunction with City of Everett Fire Marshall TYPE OF INSTALLATION: ❑New Suppression System ©Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: IZiWater Suppression System-#of Heads:231 ❑Chemical Suppression System-#of Heads: NOTE:Application must be submitted with 2 sets of plans,calcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. 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.lam 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# �'1 t(),6 , 0 0 I Jeffrey Gilliland N% br.�mev oivaem Date 2021,071870.3810-OM 7/26/21 Owner/Authorized Agent Signature Date (Revised 2/8/2021)