2015 STATE ST 2023-11-30 - 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 i (F) PermitServices@everettwa,gov i (W) everettwa.gov/permits (Blue orBlack Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2015 State Street PARCEL M 00563241000800 clry Everett sTATE WA zip 98204 SUITE/UNIT #: FLOOR M ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): CONTACT INFORMATION OWNER NAME: Abdelouahed Oudani OWNER MAILING ADDRESS: STREET 2015 State Street clTy Everett STATE WA zip 98204 OWNER PHONE:425-308-5203 1OWNER EMAIL:Oudanlst@gmall.com CONTRACTOR COMPANY NAME:Arlington Electric, Inc. WA STATE CONTRACTOR LICENSE #(REQUIRED):ARLINEI822BJ ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 3d u- V CONTRACTOR ADDRESS: STREET13310 240th Stree NE cITY Arlington STATE WA ZIP 98223 CONTRACTOR PHONE:366-403-0515 I CONTRACTOR EMAIL: arlingtOnelectrlC@msrl.COm PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT EI2CifIC Inc. CONTACT PHONE:360-403-0515 CONTACT EMAIL: arlingtonelectric@msn.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $11624.86 1ASSOCIATED 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: 10kW Generator Installation and connection to existing natural gas line. MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Count (Qty) List of Fixtures Fixture Count (aty) List of Fixtures A/C Unit (attach plan with location of outdoor unit) i Gas Piping - List # of outlets in fixture count Air Handling Unit bib 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): �rak Commercial Ventilation (corridors, stairwell, pressurization, etc.) Heat Pump (attach plan with location of outdoor unit) Compressors/Generators (building permit may be required) dirk 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 1 t Other (List Type):1QkW Generac Generator Exhaust Hood Type II Other (List Type): Furnace (residential) Other (List Type): dlr 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.govlpermits 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 l am authorized by the owner of this property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Agent Signature City of Everett Official Use Only PERMIT # Date (Revised 412112022)