3421 TULALIP AVE 2025-11-03 - Laserfiche WebLink

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. WASHINGTON CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Tease) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3421 Tulalip Avenue PARCEL#: 004377-83001000 clTy Everett STATE WA zip 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME: David Morris/ Mary Jayne Wiles OWNER MAILING ADDRESS: STREET 18096 Peregrine Lane crry Mount Vernon STATE WA ZIP 98201 OWNER PHONE:360 540 5778 OWNER EMAIL:Wileswestern@gmaii.com CONTRACTOR COMPANY NAME: WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT. R1 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360 420 2055 MJWiles CONTACT EMAIL:Wileswestem@gmail.com/davidmorris424@msn.com MECHANICAL PERMIT INFORMATION VALUATION OF WORK:$10,000.00 1ASSOCIATED PERMIT#(if applicable):Bw2010-002 (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: New plumbing,new electrical, new mechanical,some new insulation,drywall, cabinets,appliances, windows,fix deck,porch,pathway pavers.,new ft MECHANICAL PERMIT FIXTURE COUNT(SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (QtY) (Qty) A/C Unit(attach plan with location of outdoor unit) 1 Gas Piping-List#of outlets in fixture count Air Handling Unit** 1 Gas Appliance** Boiler(most require backflow prevention)ikit Gas Fireplace,Insert,and/or Log(dr for commercial bldgs) Commercial Refrigeration(walk-in coolers,VRF,VRV,etc.) Gas-Other(List Type): ilnk Commercial Ventilation(corridors,stairwell,pressurization,etc.) Heat Pump(attach plan with location of outdoor unit) Compressors/Generators(building permit may be required)1k7Y Heat Pump Ductless(attach plan with location of outdoor unit) z IClothes Dryer Exhaust Hydronic Piping Duct System(additions,alterations) Unit heater(commercial use) 2 Exhaust Fan(residential or commercial use) 1 Water Heater(gas or electric) 1 Exhaust Hood(residential over stove) Wood/Pellet Stove or Insert Exhaust Hood Type I iF*t1r 1 Other(List Type):Bamroomh-te-p�w� Exhaust Hood Type It*irilc Other(List Type): Furnace(residential) Other(List Type): �t For commercial gas fireplaces,please attach plans and manufacturer's installation manual. irtlF Under Description of Work,please include Type of Equipment,model#'s,ad detailed description of work,and the location of the equipment. ** Type 1 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:I 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 l 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 W/— PERMIT# July 27, 2021 Owner/Authorized Agent Signature Date (Revised 412112022)