1505 112TH ST SW UNITED METHODIST CHURCH 2023-12-27

PERMIT APPLICATIO EVERETT WASHINGTON BUILDINI.. MECHANICAL / PLUMBING / SIGN I SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 i FAX 425-257-8857 i (E) everetteps@everettwa.gov i www.everettwa.gov/permits (BIW* or Black Ink Only Pleas.) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1505 1 12th St. SW I PROPERTY TAX #: 00442900301400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Pacific NW Annual Conf. of Unit. Methodist Church TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET 816 S 216th c,TY Des Moines STATE WA zip 98198 OWNER PHONE: (206) 870-6832 OWNER EMAIL: bhenshaw@pnwumc.org (Treasurer) CONTRACTOR NAME: Ryan General Contractors CONTRACTOR ADDRESS: STREET 14680 NE North Woodinville Way #120 CITY Woodinville STATE WA ZIP 98072 CONTRACTOR PHONE: (425) 354-4781 CONTRACTOR EMAIL: drmcintosh@ryangc.com CONTRACTOR LICENSE #(REQUIRED): RYANGC1930PC CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 44347 PRIMARY CONTACT: ILZI OWNER ❑ CONTRACTOR❑ OTHER (Please Specify) BPH Architects CONTACT NAME: Steve Hammer CONTACT PHONE: (425) 774-4701 CONTACT EMAIL: steve@bpharch - BUILDING INFORMATION Existing Use of Building: Emission Testing Facility Contract Price of Wor $ 1,044,860 Proposed Use of Building: Church Heat Source: ❑r Gas ❑Electri ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Du lex ❑ADU ❑Multi-Famil - # Units: mmercial FlArcessory Structure Type of Project: ❑New ❑Addition ❑✓ Remodel ❑Repair ❑T.I. ❑Sin ❑S rinkler ❑Demolition ❑✓ Chan a of Use DESCRIPTION OF WORK: Remodel existing building office space and existing vehicle test space into a church building. Portion of new church building to be infill under existing canopy structure. Reconfigure parking lot to have 30 parking spaces and an additional 495 SF of pervious landscape area. ASSOCIATED BUILDING PERMIT # if applicable): 500 �o - Q 5 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures A/C — Air Handling Units Gas Piping Backflow Preventer (Inside Bldg) Shower, Tub, or Combo Boiler Gas Range Clothes Washer Sink -Commercial (3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink -Residential (kitchen,bath,bar) Duct System (Remodel) Refrigeration Drinking Fountain Sink -Utility, laundry, mop Exhaust Fans (Residential) Commercial Ventilatior (Not Heat/AC system) Floor Drain Toilet Exhaust Hood (Type 1) Hose Bibb Urinal Exhaust Hood (Type II) Water Heater Interceptor -Grease Waste/Water Piping Repair Exhaust Hood (Residential) Wood Stove Interceptor-Sand/Oil Water Service (behind meter) Forced Air Systems Other: Medical Gas lWater Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER / SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System I lNo. of Heads Chemical Suppression System I lNo. of Heads 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. q - ---n _ 2U2A Owner/Authorized Agent Signature Date City of Everett Official Use Only PERM �b � _ r O f (Revised 1011012018) / 1�