2930 MAPLE ST KAISER PERMANENTE 2025-05-12

M] PERMIT APPLICATIOr BUILDING. AECHANICAL / PLUMBING / SIGN i oPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.evereftwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS. 2930 MAPLE STREET, EVERETT, WA 98201 PROPERTY TAX #: 00439069505800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: KAISER PERMANENTE (ATTN:RANDY OLSEN) TENANT BUSINESS NAME (Commercial): KAISER PERMANENTE OWNER MAILING ADDRESS: STREET 1200 SW 27TH STREET C,Ty RENTON STATE WA Zip 98057 OWNER PHONE: 206-658-5279 OWNER EMAIL: Randy.E.Olsen@kp.org CONTRACTOR NAME: MORTENSON CONSTRUCTION (ATTN: HOLLY SHOUBRIDGE) CONTRACTOR ADDRESS: STREET 10230 NE POINTS DRIVE, SUITE 300 CITY KIRKLAND STATE WA Zip 98033 CONTRACTOR PHONE: 425-497-7092 CONTRACTOR EMAIL: holly.shoubridge@mortenson.com CONTRACTOR LICENSE #(REQUIRED): CC MAMORC"190N6 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 021465 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ED OTHER (Please Specify) ARCHITECT CONTACT NAME: DOUGLAS MCNUTT CONTACT PHONE: 206-957-1906 CONTACT EMAIL: dou91aS.rnpnutt@saIus.archi BUILDING INFORMATIO Existing Use of Building: MEDICAL OFFICE BUILDING Contract Pricer6i Work: $ 60,000 Proposed Use of Building: MEDICAL OFFICE BUILDING Heat Sourc ❑Gas ❑Electric ;. '❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # its j Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓ T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Removing existing furniture system from the open office space area, partially demolish RCP ceiling; building new walls which will divide the existing open office into two new offices, installing new doors in new offices new infill ceiling grid and tiles.aPreshafini lbases.in new offir pc =- see-flalark� ASSOCIATED BUILDING PERMIT # (if applicable): 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 11) 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 No. of Heads Chemical Suppression System No. of Heads ACKNOWLEDGEMENT. 1 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. 07/02/2019 City of Everett Official Use Only I PERMIT4 ��0^ I Date (Revised 1011012018) Y Z