4400 CRESCENT AVE 2025-08-21 - Laserfiche WebLink

'MIE 11: 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. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits WASHINGTON (Blue or Black Ink Only Please) PROJECT SITE INFORMATION ,CRESCENT AVE(lot 3) PARCEL#: 00605501500600 �iC� PROJECT SITE ADDRESS: s ;;Ir! EVERETT ST„TE WA 7,, 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): CONTACT INFORMATION OWNER NAME: AMA VENTURES LLC OWNER MAILING ADDRESS: STREET PO BOX 271 ciry LAKE STEVENS STATE WA Z P 98258 OWNER PHONE:4255082465 OWNER EMAIL:pavelgpa@gmail.com CONTRACTOR COMPANY NAME: GPA ENTERPRISES INC WA STATE CONTRACTOR LICENSE#(REQUIRED): GPAENEI853D5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62284 CONTRACTOR ADDRESS: STREET PO BOX 271 a-, LAKE STEVENS STATE WA zlp 98258 CONTRACTOR PHONE:4255082465 CONTRACTOR EMAIL:pavelgpa@gmall.Com PRIMARY CONTACT: ®OWNER Lii CONTRACTOR 1 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: MECHANICAL PERMIT INFORMATION VALUATION OF WORK: $ ,u i 1 ASSOCIATED PERMIT#(if applicable):RB2307-001 (Valuation shall include the prevailing fair mtarket value of all labor,materials,and equipment needed to complete the work.whether actually paid or not) BUILDING TYPE: ❑✓SFR __]Townhouse ._:Duplex -JADU L!Multi-Family-#Units_ Commercial Accessory Structure DESCRIPTION OF WORK; sq ft SFR I Lief 7 MECHANICAL PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qfy) _(QM A/C Unit(attach plan with location of outdoor uniti _ Gas Piping-List II 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 maybe required)** i Heat Pump Ductless(attach plan with location of outdoor unit) r1_ Clothes Dryer Exhaust Hydronic Piping Duct System(additions alterations) Unit heater(commercial use) t.l Exhaust Fan(residential or commercial use) f) Water Heater(gas or electric) Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type I *** Other(List Type). a —. Exhaust Hood Type II*** Other(List Type4 .L- q�i�,jt _Furnace(residential) .Other(List Type);�c,. tt9 ' ".---' * For commercial gas fireplaces.please attach plans and manufacturer's l 4.J bon manual ** Under Description of Work, please include Type of Equipment. model#'s. �.J etailed description(of�and th ton of the equipment. Type I hood and Type II hoods shall be on a stand alone Mechanical Per i licatikAIkki rlaqulre review. ase submit the required documents as *** described in the associated Checklists online at everettwa.gov/permits un V Checklists&Handouts tab • �d n pursuant to this permit must comply with ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true ttor(yd�-1(1rQ►$-�� current federal.state,and local law. The granting of a permit only authorizes approved work and .rt-ly iolas rEfrom.b mq its must first be authorized in writing from the Building Official before being authorized under any circumstance lam the owner.or I am authoriM 0 61, kr Self rr� y to perform the work for which application is made. and 1 compl with the State Contractors Law 18 27 RCW and 296 200A WAC. C City of Everett Official Use Only - �� j .�-A PERMIT# `(ncl .- t.o Owner/Authorized Agent Signature Date (Revised 4/21/2022)