3015 9TH ST BLDG 4 2025-11-06 - Laserfiche WebLink

MEr'AANICAL PERMIT APPLIU-ION CITY OF EVERETT PERMIT SERVICES -- EVERETT SUBMITTAL INSTRUCTIONS: 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 Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SiTE ADDRESS: STREET 3015 9th Street Building 4(NE) PARCEL#: 29051700102300 cl.ry Everett STATE WA ziP 98201 SUITEIUNIT#: 133.233.333 FLOOR#: 1.2.3 ADDITIONAL LOCATION INFORMATION (if applicable): Bldg.4 TENANTiBUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME:GJJ Williams Investments LLC OWNER MAILING ADDRESS: STREET 2517 Colby Avenue Cam, Everett STATE WA ZIP 98201 OWNER PHONE:425-355-0353 OWNER EMAIL: ryan@williamsinvest.com CONTRACTOR COMPANY NAME:Exxel Pacific WA STATE CONTRACTOR LICENSE#(REQUIRED):EXXELP1073KN CiTY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52885 CONTRACTOR ADDRESS: srREET 323A Telegraph Rd Cry Belfingham STATE WA ZIP 98226 CONTRACTOR PHONE:(425)299-1077 CONTRACTOR EMAIL:mattt@exxelpacific.com PRIMARY CONTACT: ❑OWNER Z CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Matt Tilton CONTACT PHONE:425299 1077 CONTACT EMAIL:Mattt@exxelpacific.com MECHANICAL.PERMIT INFORMATION VALUATION OF WORK:$6,000 ASSOCIATED PERMIT#(if applicable):B2211-013 (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:3 El Commercial ❑Accessory Structure DESCRIPTION OF WORK: New ductwork, fans, etc. at residential unit repairs. Main building permit is B2211-013 MECHANICAL PERMIT FIXTURE COUNT d(SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (QtY) - (Qhr) 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,efc-1 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) 3 Clothes Dryer Exhaust Hydronic Piping Duct System(additions,alterations) Unit heater(commercial use) 6 Exhaust Fan(residential or commercial use) 3 Water Heater(gas or electric) 3 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. ** Under Description of Work,please include Type of Equipment,model#'s,ad detailed description of work,and the location of the equipment. Type I hood and Type II hoods shall be on a stand alone Mechanical Permit application and requires plan review.Please submit the required documents as *** described in the associated Checklists online at everettwa.gov/permits under the Checklists&Handouts tab- ACKNOWLEDGEMENT.l 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.l 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. City of Everett Official Use Only 2 ? PERMIT# ....,I 2 ' O ner/ t rize gen natu Date (Revised 412112022) t