2930 MAPLE ST 2025-03-27 - Laserfiche WebLink

BI• EVERETT WASHINGTON PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING 1 SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@evereitwa.gov I www.everettwa.gov/permits Blue or Block Ink Only Please PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2930 Maple Street, Everett, WA 98201 PROPERTY TAX #: Federal TaxlO—B1 05-11770 Parcal Number-00439008505800 LEGAL for new construction: Short Platisubdlvlsion N/A Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Kaiser Permanente / Gretchen Benzin TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET 1200 SW 27th Street cry Renton STATE WA zip 98057 OWNER PHONE: 206-630-6726 OWNER EMAIL: Gretchen. L.Benzin@kp.org CONTRACTOR NAME-Mortensos � CONTRACTOR ADDRESS: STRE�r-1-0230-NE Points Drive, Suite 300 cnv Xfkland .- STATE WA ZIP.-98033 CONTRACTOR PHONE: (425) 895-9990 CONTRACTOR EMAIL4amara:HaTtrler@mortenson:ttm CONTRACTOR LICENSE #(REQUIRED):-MAMORC"190N&VA ( jgtM CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): fliZA,j5 ) PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR IZI OTHER (Please Specify) Architect CONTACT NAME: Levi Rippy CONTACT PHONE: (206) 493-1781 CONTACT EMAIL: levi.rippy@hok.com BUILDING INFORMATION Existing Use of Building: Medical Ofnce Building i Contract Price of Work: $-$39;856-- ODD . Proposed Use of Building: No change Heat Source: []Gas []Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ✓❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓ Remodel ❑Repair ✓❑T.l. ❑Sign ❑Sprinkler ❑Demolition []Change of Use DESCRIPTION OF WORK: oil _ . % SSOCiATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count Lit of Fixtures Fixture count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures A/C — Air Handling Units Gas Piping Backftow Preventer (inside Bldg) Shower, Tub, or Combo Boller Gas Range Clothes Washer Sink -Commercial (3-comp,pre p, floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink -Residential (kltohen,bath,bar) Duct System (Remodel) Refrigeration Drinking Fountain Slnk-Utliity, laundry, mop Exhaust Fans (Residential) Commerclai Ventilatlor (Not HeatlAC system) IFloor Drain Toilet Exhaust Hood (Type I) Hose Bibb Urinal Exhaust Hood (Type 11) Water Heater Interceptor -Grease Waste/Water Piping Repair Exhaust Hood (Resldential) Wood Stove Interceptor-Sand/Oil Water Service (behind meter) Forced Air Systems .jrKtNKLER / SUPPRESSION Other: Medical Gas lWater Valves or Fixtures - SYSTEM Roof Drains Water Heater Sewage Ejector or Sump Pump Other: Water Suppression System I No. of Heads Chemical Suppression System I No. of Heads v -- - ' `-•.- reviewed this application and confirm tha rnr—mauon contained herein Is true and correct. Work done pursuant to this permit must comply with curre, __ . _ _ Wed work and no deviations therefrom. Deviations must first be authorized in writing from the Building Official before _- a„,vucau„moo, ., rm 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 Ilia State Contractors Law 18,27 RGW and 296.200A WAC. ° Levi RIPPY off c t e4'L� .o•w w•r usw�acx.0 a y 03/2612020 h15 S➢iW]S SS33UO7aO Owner/Authorized Agent Signature Date City ofEvereft Official Use Only PERM (Revised 10/10/2 o -��