1712 W MARINE VIEW DR 2023-12-07

MEC ANICAL PERMIT APPLICigION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425.257.88101 (E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) A I PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1.740 W.MARINE VIEW DR. PARCEL#: 2951800400500 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential):WOODS COFFEE CONTACT INFORMATION OWNER NAME: TAYLOR HERMAN-WOODS COFFEE OWNER MAILING ADDRESS: STREET 191 18TH ST CITY LYNDEN STATE WA ZIP 98264 OWNER PHONE:360.393.7553 OWNER EMAIL:TAYLORH@WOODSCOFFEE.COM CONTRACTOR COMPANY NAME:CebilIBACT HA Nf1T RF I. WA STATE CONTRACTOR LICENSE#(REQUIRED):a .:itmt, .6s b CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (`) ®C f CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: 'CONTRACTOR EMAIL: y(y1 CD am .e., ' . «.>vt PRIMARY CONTACT: ❑✓ OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME:TAY I R H E R M A N CONTACT PHONE:360.393.7553 CONTACT EMAIL:TAYLORH@WOODSCOFFEE.COM MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $15,000 ASSOCIATED PERMIT#(if applicable): , � ( J , ' (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: DRYER VENTING, RTU DISTRIBUTION, FIRE PLACE, EXHAUST FAN PER ENGINEERED PLANS MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Q1Y) (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)** n 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)Dr electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert _ Exhaust Hood Type I *** Other(List Type): Exhaust Hood Type II *** Other(List Type): Furnace(residential) Other(List Type):�T�_�__ * For commercial gas fireplaces, please attach plans and manufacturer's installation manual. 5)'411/t/( 7— % 6 7 ** 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.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. / 1`/ City of Everett Official Use Only PERMIT# ],n 1/4%2023 I ;4 —1 Owner/Autzed Agent Signature Date (Revised 2/8/2021)