1110 BROADWAY 2020-01-21 - Laserfiche WebLink

PERMIT APPLICATIO BUILDINOMECHANICAL / PLUMBING / SIG*PRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1 110 Broadway PROPERTY TAX#: 29051700205500 LEGAL for new construction: Short Plat/subdivision see drawing sheet G03 Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Williams Investments, LLC TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET 1020 W CASINO ROAD CITY EVERETT, STATE WA zip 98204 OWNER PHONE: 425 750 7926 OWNER EMAIL: ryan@williamsinvest.com CONTRACTOR NAME: KIRTLEY COLE ASSOCIATES CONTRACTOR ADDRESS: STREET 2820 OAKES AVENUE, SUITE B CITY EVERETT STATE WA zip 98201 CONTRACTOR PHONE: 425 609 0400 CONTRACTOR EMAIL: tnelson@kirtley-cole.com CONTRACTOR LICENSE#(REQUIRED): KIRTLAL951 BC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ® OTHER(Please Specify) ARCHITECT CONTACT NAME: Doug Hofius, Dykeman Architects CONTACT PHONE: 425 259 3161 CONTACT EMAIL: dough@dykeman.net BUILDING PERMIT APPLICATION 7„2 Lo Lo Existing Use of Building: Retail Contract Price of Work: Proposed Use of Building:Office Heat Source: ❑Gas El Electric ®Other heat pump Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial Type of Project: ❑New ®Addition ®Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Renovation to existing 7,448 s.f. single story building, with addition of 2,973 s.f. second story, and associated sitework. Sprinkler system, mechanical, plumbing, electrical, and fire alarm to be deferred submittals. 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 A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit 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 Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: 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 most 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. 1 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# DW(10- 0,74 Ll Owner/Authorize gent Signatu'e Date (Revised 5/20/2016)