3003 W CASINO RD BLDG 40-201 2018-09-24

PERMIT APPLI�ATIOhI- BUILDING ECHANICAL/ PLUMBING / SIGN ` RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-25 81 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits P�Q.��G�T S�TE�I�O�t1V��#T,I�N��'�,�� ,�,��- :A��,�.� �. PROJECT SITE�� .�� ADD12FeC; PROPERTY TAX#: 2g041000100200 3003 W Casino Rd 0-201 Ev rett,WA 98201 LEGAL for new constructior�: �I IVI l r IQV J444 �IJIVI I Lot No. (attach copy of long legal description) See attached N.-V��Vr��Y�l V^��'O�,Ita£' j� "h' t II,S�' C Y -: �; 4 _ .�� -�..t � OWNER NAME: Providence Health Center TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer 3003 W Casino Rd#40-201 Everett,WA 98201 ciT r Everett srAre WA ZiP 9 8 2 0 4-1910 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME; MacDonald Miller CONTRACTOR ADDRESS: sTReeT 7717 Detroit Ave SW cirv Seattle STATE WA ziP 98106 � � CONTRACTOR PHONE: (206)407-2614 CONTRACTOR EMAIL: joyce.copley@macmiller.com CONTRACTOR LICENSE#(REQuiR��): MACDOFS980RU CiTY oF eveRerT BusiNess�iceNse��rzeQu e . 040665 �__ ..,. .. 44 � , PRIMARY CONTACT: ❑OWNER X❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: . ,. �r � ��r�c��p��y�c�.ir� � u,. �"° V ��5=j �G�,,�� y ��r Existing Use of Building: Manufacturing Contract Price of Work:$ $1,005 Proposed Use of Building: Manufacturing Heat Source: ❑Gas Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: BCommercial ❑industrial Type of Project: ❑New ❑Addition �Remodel ❑Repair �T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Disconnect and remove existing liquid soap tank and associated piping at mechanical room. Provide and install new 210 gal storage tank,Aquafine UV System and Ziimet expansion tank and place where liquid soap tank was located. Replace(3)solenoid valve and check valves(at existing DWH-1,2 and 3)with three new Taco circulation pumps model#0013-SF3 and required fittings,valves and union. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL':RERMIT APPLICA'TION.�:� �� ,:' PLUMgI'NG PERMIT..APPLI�ATION ,�:' � > � �,. Type of Project: _New _ Addn _X Alteration _Repair Type of Project: _New _Addn X Alteration _Repair #of List of Fixtures #�f Lisf of Fixtures #�f List of Fixtures #of Lisf 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: VAV Clothes Washer Medical Gas Range Hood �ke�amPer Water Heater � Other: p Exhaust Fan Grilles Sink(Service/Bar/Mop/etc.) � Other: expansion tank 3 Other: solenoid valve SPRINKLER'/�SUPPRESSION SI�STEM i Number of Heads 6 Total ACKNOWLEDGEMENT.�I have reviewed this application and confirm the information contained herein is true and cor�ect. 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 therefiom.Deviations must first be authorized in wrifing fiom 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 I comply wifh the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only P �� 7/31/2016 � ..� 2 C� Owner/Authorized Agent Signature Date (Revised 10/12/2015)