4526 FEDERAL AVE COMPASS HEALTH 2026-01-05

MECF NICAL PERMIT APPLICAr- 7)N E CITY OF EVERETT PERMIT SERVICES R 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 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits {Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 4526 Federal Ave PARCEL* Cry Everett STATE WA ZIP 98203 SUITElUN[T M FLOOR#: Rooftop ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Compass Health CONTACT INFORMATION OWNER NAME: Compass Health OWNER MAILING ADDRESS: STREET 4526 Federal Ave CITY Everett STATE WA Zip 98203 OWNER PHONE:(425)349-8353 OWNER EMAIL:lisa.swisher@compassh.org CONTRACTOR COMPANY NAME:Hermanson Company WA STATE CONTRACTOR LICENSE#(REQUIRED):HERMACLO05BJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 37262 CONTRACTOR ADDRESS: STREET 1221 2nd Ave N CITY Kent STATE Wa ZIP 98032 CONTRACTOR PHONE:(206)638-6961 CONTRACTOR EMAIL:kwilliams@hermanson.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-638-6961 Kennedy W i l l i a m s CONTACT EMAIL:kwilliams�-@hermanson.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$34,000,00 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: Like for like replacement of (5) rooftop package units. MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) A/C 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)ir* 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 is is dF 5 Other(List Type):Roonao naoka duniU Exhaust Hood Type ll Other(List Type): Furnace(residential) Other(List Type): * For commercial gas fireplaces,please attach plans and manufacturer's installation manual. *it 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 If 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 Officlal 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 RC and 296.200A WAC. City of Everett Official Use Only ....- PERMIT# A 2_ 7-O — 0 q Kennedy Williams _ .,..,w....,..a.,.....,�....,,P�A, 3128122 �14 Owner/Authorized Agent Signature Date Date (Revised 21812021) V Z ....................