10 SE EVERETT MALL WAY BASE FILE 2025-04-14

• • ria MECHANICAL PERMIT APPLICATION 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 l(E)everetteps@everettwa.gov l(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 10 SE Everett Mall Way PARCEL#: 00396900003300 CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: D & E FLOOR#: 1 ADDITIONAL LOCATION INFORMATION: See Plans TENANT/BUSINESS NAME(if non-residential):Everett Mall Retail Shell - Suites D & E CONTACT INFORMATION OWNER NAME: Estvold Everett Rental LLC OWNER MAILING ADDRESS: STREET 4409 Shelby Court aTv Anacortes STATE WA ZIP 98221 OWNER PHONE:360-770-3994 Marc Estvold OWNER EMAIL:mestvOld@COmcast.net CONTRACTOR COMPANY NAME:D.K. Systems, Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):DKSYSI*982L1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 049744 CONTRACTOR ADDRESS: STREET PO Box 886/1355 Bouslog Road cm Burlington STATE WA ZiP 98233 CONTRACTOR PHONE:360-755-1555 CONTRACTOR EMAIL:dulCe@dksysterrlslrlc.corl1 PRIMARY CONTACT: ❑OWNER k CONTRACTOR OTHER(Please Specify) CONTACT NAME: D u ice Herrera CONTACT PHONE:36O_755_'I 555 CONTACT EMAIL:dUlCe@dksystemsinC.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $25,000.00 ASSOCIATED PERMIT#(if applicable):B2012-006 (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 LiAccessory Structure DESCRIPTION OF WORK: Install (1 ) Packaged Rooftop unit and (2) Exhaust Fans MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) 1 NC 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'wth location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping Duct System(additions.alterations) Unit heater(commercial use) 2 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:/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, a ply with th State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERN,�I 1 ( - f �(' Dulce Herrera 12-21-2021 Owner/Authorized Agent Signature Date (Revised 2/8/2021) /7