2930 MAPLE ST KAISER PERMANENTE 2025-05-12

EVERETT WASHINGTON PERMIT APPLICATION BUILDING i=CHANICAL / PLUMBING / SIGN / 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 JNKLER / DEMOLITION www.everettwa.gov/permits Blue or Black Ink Only Pleases PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2930 Maple Street, Everett, WA 98201 PROPERTY TAX #: FeaeraITax ID-si-05-11770 Parcel Number-00439069505800 LEGAL for new construction: Short Plat/subdivision 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 Cn Renton STATE WA Zip 98057 OWNER PHONE: 206-630-6726 OWNER EMAIL: Gretchen.L.Benzin@kp.org CONTRACTOR NAME: 11Mon L CONTRACTOR ADDRES STREET 10230 NE Poin s Drive, Suite 300 CITY Kirkland STATE WA ZIP 98033 CONTRACTOR PHONE: (425) 895-900000NTRACTOR EMAI : Tamara.Hartner@mortenson.com CONTRACTOR LICENSE #(REQUIRED): 190N6 ftjb4IgG J�/q� I OF EVERETT BUSINESS LICENSE #(REQUIRED):Olt—`'q PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑� 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 Office Building Contract Price of Work: $ $39,856 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.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: t :AAA qa ilk 1N 'fY SSOCIATED 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 II) Water Heater Interceptor -Grease Waste/Water Piping Repair Exhaust Hood (Residential) Wood Stove Interceptor-Sand/Oil Water Service (behind meter) Forced Air Systems Other: f--- - orKINKLER / SUPPRESSION SYSTEM Water Suppression System No. of Heads Medical Gas Water Valves or Fixtures Roof Drains Water Heater Sewage Ejector or Sump Pump Other: Chemical Suppression System No. of Heads - reviewed this application and confirm th. i f rr a on 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 „you , ,. m 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 the State Contractors Law 18.27 RCW and 296.200A WAC. °t'f ,.., Levi RiPPY _ ��rm��m•,o•xo",ovP�,,.,,�.,,�en,crrn.�"w,r 03/26/2020 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMI U�� (Revised 10/10/ /2