2235 LAKE HEIGHTS DR 2023-08-23 - Laserfiche WebLink

MECHANICAL PERMIT APPLICATION EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plan to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everetlwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION is PROJECT SITE ADDRESS: STREET 2235 Lake Heights Dr PARCEL #: 28052900204900 CITY Everett STATE AAA ZIp 98208 SUITEIUNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): BETHANY AT SILVER LAKE CONTACT INFORMATION OWNERNAME: BETHANY AT SILVER LAKE OWNER MAILING ADDRESS: STREET PO BOX 5128 CITY EVERETT STATE WA ZIp 98206 OWNER PHONE: 425-338-3000 OWNER EMAIL: CONTRACTOR COMPANY NAME: MacDonald Miller Facility Solutions WA STATE CONTRACTOR LICENSE #(REQUIRED): 602 254 260 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 040665 CONTRACTOR ADDRESS: STREET PO Box 47983 CITY Seattle STATE WA ZIP 98146 CONTRACTOR PHONE: 206-768-4062 CONTRACTOR EMAIL: permits@macmiller.com PRIMARY CONTACT: ❑ OWNER ✓❑ CONTRACTOR ❑✓ OTHER (Please Specify) Penn Special i CONTACT NAME:AmmOne Bembry CONTACT PHONE: 206-768-4062 CONTACT EMAIL: permits@macmiller.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $49500 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 ❑ADU ❑Multi -Family -# Units: ❑✓ Commercial ❑Accessory Structure DESCRIPTION OF WORK: Replacing 250-gallon hot water storage tank. MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Count MW List of Fixtures Fixture Count (Qty) List of Fixtures A/C Unit (attach plan with location of outdoor unit) 1 Gas Piping - List # of outlets in fixture count Air Handling Unit ** Gas Appliance ** Boiler (most require backfiow 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): Hm Saga, s,aaaa tank 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 #is, ad detailed description ofwork, and the location of the equipment. Type 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. 1 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. 1 am the owner, or 1 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 12/06/2022 PERMIT # Owner/Authorized Agent Signature Date (Revised 4121/2022)