8411 E XAVIER WAY 2023-10-16 - Laserfiche WebLink

�: MECHANICAL PERMIT APPLICATION EVERETT SUBMITTAL CITY OF EVERETT PERMIT SERVICES INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. wasHINoraN 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 8411 E Xavier Way PARCEL It: 061-00394200000101 cm, Everett STATE WA Zip 98208 SUITE/UNIT#: FLOOR#: 2 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME: Kevin Deng OWNER MAILING ADDRESS: STREET 7188 169TH AVE SE - CITY Bellevue STATE WA ZIP 98006 OWNER PHONE:425-598-8888 OWNER EMAIL:kedo1009@gmail.com CONTRACTOR COMPANY NAME: WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR Z OTHER(Please Specify) Owner assistant CONTACT NAME: ��+ CONTACT PHONE:206-227-3768 ay t CONTACT EMAIL:rey@evergrandholding.com )Q MECHANICAL. PERMIT INFORMATION VALUATION OF WORK/$ n/a- previous owner did the we�rk 5 3 ASSOCIATED PERMIT#(if applicable); (Valuation shall include the prer{aliing fair market value of at labor,mat rtats,and equipment needed to complete the work,whether acluaily paid or not.) BUILDING TYPE: [DSPR ❑Townhouse DDuplex DADU ❑Multi-Family-#Units: DCommerciat DAccessory Structure DESCRIPTION OF WORD;--.. _.------- Basement duct work -- MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture ' ¢ixture , Cq(int List of Fixtures iCount List of Fixtures , A/C Unit(attach plan with location of outdoor unit) 1 1 Gas Piping-List#of outlets in fixture count ; Air hfandling Unit ** t Gas Appliance** Boiiar(most require backflow prevention)** / 1 Gas Fi}eplace,insert,and/or Log(*for commercial bldgs) 7 Commercial Refrigeration ��yy g (Walk-in coolers,VRF,VRV,etc.) / Gas- then(List Type): ** f Comr`hercial Ventilation(corridors,stairwell,pressurization,etc.)/ Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(building permit may be required)*If Heat Pump Ductless(attach plan with location of outdoor unit) Cloths Dryer Exhaust [ Hydronic Piping Ducts/System(additions,alterations) Unj(heater(commercial use) Exhaust Fan(residential or commercial use) I • ,Water Heater(gas or electric) ExtZaust Hood(residential over stove) I Wood/Pullet Stove or Insert Exhaust Hood Type I *** ;t 'Other(List Type): Eixhaust Hood Type II *** s F 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 atone 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 ‘.. ,L.. Z'. iq P R T# (A ----0 e4:—.4. Owner/Authorized Agent Signature Date (Revised 2/812021)