6623 EVERGREEN WAY UNION BANK 2018-10-12

PERMIT APPLICATion BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 OL (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJE T SITE ADDT.,SS: PROPERTY TAX#: 6623 ver reen a 00392900500501 LEGAL for new construction: Short Plat subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Union Bank TENANT NAME(If Commercial): Union Bank OWNER MAILING ADDRESS: STREET PO Box 7788 CITY Ne=ort BeachSTATE CA ZIP 92658 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME; Johansen Mechanical Inc. CONTRACTOR ADDRESS: STREET 20109 144th Ave NE CITY woodinvillSTATE WA zip 98072 CONTRACTOR PHONE: CONTRACTOR EMAIL: iv 1 johansenmech.com CONTRACTOR LICENSE#(REQUIRED): JOHANMI173PK I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024276 PRIMARY CONTACT: ❑OWNER Ig CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-481-2266 Ivy LeVangie CONTACT EMAIL: ivyl@johansenmech.com BUILDING PERMIT APPLICATION Existing Use of Building: Bank lContract Price of Work: $ 75,691 Proposed Use of Building: Same Heat Source: aGaS ERElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: MCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair INT.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove/replace 2 existing packaged units with 1 new 10 ton packaged heat pump/AC, install new VAV's,new ductless split unit, replace 1 exhaust fan, replace heater, grds &accessories, modify ductwork per plans ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures 1 A/C—Air Handling Units I Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems 3Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range I Ducting Dishwasher Roof Drains Clothes Dryer Hookups 7 Other: Clothes Washer Medical Gas Range Hood Grilles Water Heater Other: 1 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT.'/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./am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only PERMIT# Owner/Aut ized A igna ure Date (Revised 10/12/2015) Z