910 SE EVERETT MALL WAY PEARLE VISION 2024-06-21

MEOIANICAL PERMIT APPLIC.ON 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)425.257.8810 I (E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 910 SE Everett Mall Way PARCEL#: 28051800306100 CITY Everett STATE WA Zip 98208 SUITE/UNIT#: 103 FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Pearle Vision CONTACT INFORMATION OWNER NAME: Rand's 910 Center LLC OWNER MAILING ADDRESS: STREET 15015 Main St,Suite 203 CITY Bellevue STATE WA ZIP 98007 OWNER PHONE:425-746-6066 OWNER EMAIL:blake@pfinvestments.com CONTRACTOR COMPANY NAME:Evergreen Refrigeration WA STATE CONTRACTOR LICENSE#(REQUIRED):EVERGRL954R2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044350 CONTRACTOR ADDRESS: STREET 727 S Kenyon St CITY Seattle STATE WA zip 98108 CONTRACTOR PHONE:206-763-1744 CONTRACTOR EMAIL:alexb@evergreenhvac.com PRIMARY CONTACT: ❑OWNER II''C CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME:Alex Burkhart CONTACT PHONE:206-763-1744 ext.247 CONTACT EMAIL:alexb@evergreenhvac.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $50,000.00 ASSOCIATED PERMIT#(if applicable):B2204-058 (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: ESFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure DESCRIPTION OF WORK: Installation of three (3) rooftop units, one (1) exhaust fan, ductwork, and grilles/diffusers. MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (QtY) (CRY) 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)** Heat Pump Ductless(attach plan with location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping 3 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 *** Other(List Type): Exhaust Hood Type II*** 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 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#M� 7D4� 7/1/22 Owner/Authorized Agent Signature Date (Revised 2/8/2021) I