1010 N BROADWAY STARBUCKS 2025-07-30

u MECHANICAL PERMIT APPLICATIR EVERETT SUBMITTAL INSTRUCTIONS: OF EVERETT PERMIT SERVICES Drop off hard copy paper application & plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue"or Blau Ink'Or►1y Please) PROJECT SITE INFORMATION • " PROJECT SITE ADDRESS: STREET 1010 N. BROADWAY PARCEL #: 29051700200200 CITY EVERETT STATE WA ZIP 98201 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): STARBUCKS #22817 - BROADWAY & 1 OTH CONTACT INFORMATION" OWNER NAME: , STARBUCKS CORPORATION OWNER MAILING ADDRESS: STREET 2401 UTAH AVENUE SOUTH, MS STOP:S-SDS10 CITY SEATTLE STATE WA Zip 98134 OWNER PHONE: 206-318-1575 OWNER EMAIL: CONTRACTOR COMPANY NAME: TBD WA STATE CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) ARCHITECT CONTACT NAME: I M F I EG E CONTACT PHONE: 585-313-8007 CONTACT EMAIL: GDG.STARBUCKS@GRAPHITEDESIGNGROUP.COM MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $ 20,000 ASSOCIATED PERMIT # (if applicable): ,3:1 (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: Remodel of space. Revision of ductwork and air distribution for new room areas and layout. MECHANICAL�PERMIT'FIXTURE COUNT (SCOPE OF WORK) Fixture Count (Qty) List of Fixtures Fixture Count (Qty) List of Fixtures A/C 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 with location of outdoor unit) Clothes Dryer Exhaust Hydronic Piping 2 Duct System (additions, alterations) Unit heater (commercial use) 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. y �'1 '•.- ** Under Description of Work, please include Type of Equipment, model #'s, ad detailed description of work, and the loJQi of the e�u n .. " � Type I hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review. Pleas si�i1,114 Q (idAtAi ents as *** described in the associated Checklists online at everettwa.gov/permits under the Checklists & Handouts tab. AUKNUWLLVULMbN 1: 1 nave revlewea MIS application ana contVm me Intormatlon contamea nereln Is true ana correct. worth aone pursuant to mis permit must Comply wim 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Owner/Authorized City of Everett Official Use Only 10/30/23 PERMIT #� ^ t/ )ate (Revised 412112022)