15 SW EVERETT MALL WAY HOTWORX 2024-07-03

FIRE SUPPRESSION PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 1 (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 15 SW Everett Mall way PARCEL#: 28042400100300 CITY Everett STATE WA ZIP 98204 SUITE/UNIT#: D FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Hot Works CONTACT INFORMATION OWNER NAME:ROSEN BEL-KIRK ASSOCIATES LLC OWNER MAILING ADDRESS: STREET 1800 112TH AVE NE STE 310 CIT, BELLEVUE STATE WA ZIP 98004-2993 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:VIKING AUTOMATIC SPRINKLER WA STATE CONTRACTOR LICENSE#(REQUIRED):VI-KI-NA-S373NT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 2729 CONTRACTOR ADDRESS: STREET 3434 1 st Avenue S CITY Seattle STATE WA ZIP 98134 CONTRACTOR PHONE:206-622-4656 CONTRACTOR EMAIL:MICHAEL.YOUELL@VIKINGSPRINKLER.NET PRIMARY CONTACT: ❑OWNER F/I CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:661-537-4714 MIKE YO U E LL CONTACT EMAIL:MICHAEL.YOUELL@VIKINGSPRINKLER.NET FIRE SUPPRESSION PERMIT INFORMATION VALUATION OF WORK: $9000 ASSOCIATED PERMIT#(if applicable):82312-037 (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:VIKING TO MODIFY THE EXISTING WET SYSTEM TO FACILITATE NEW WALLS AND CEILINGS IN T.I. SPACE. -RELOCATING 9 SPRINKLER -DEMO AND PLUG 5 SPRINKLERS -ADDING 1 SPRINKLERS TYPE OF INSTALLATION: ❑New Suppression System ❑Additions/Alterations to existing suppression system ❑Other-Describe above TYPE OF SUPPRESSION: Water Suppression System-#of Heads: 10 ❑Chemical Suppression System-#of Heads: NOTE:Application must be submitted with 2 sets of plans,calcs,cut sheets,etc.See submittal checklist at everettwa.gov/permits for further information. ACKNOWLEDGEMENT:l 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 1 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# Owner/Authorized Agent Signature Date (Revised 4/21/2022)