5700 23RD DR W 2018-06-28 - Laserfiche WebLink

V IIIIII"UPI* H PERMIT APPLICATIC BUILDINMECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or,Black Ink Only'Please)„ PROJECT SITE INFORMATIONr, y;.,; 'µms j.. „ 'M PROJECT SITE ADDRESS: 5700 23rd DRIVE W, EVERETT, WA 98203 PROPERTY TAX#: 28040200200800&28040200200801 LEGAL for new construction: Short Plat/subdivision Section 02 Township 28 Range 04 Lot No. (attach copy of long legal description) CONTACT.INFORMATION ,; OWNER NAME: Northshore Christian Church TENANT NAME(If Commercial): Northshore Christian Academy OWNER MAILING ADDRESS: STREET 5700 23RD DRIVE W CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: (425) 322-2301 OWNER EMAIL: CONTRACTOR NAME: KIRTLEY COLE CONTRACTOR ADDRESS: STREET 2820 OAKES AVE., SUITE Bwn crn' EVERETT STATE WA ( 98201 C. CONTRACTOR PHONE: (425) 609-0400 �t a/: C antz Kirtlerl QC - CONTRACTOR EMAIL: RRantz@Kirtley-Cole.com CONTRACTOR LICENSE#(REQUIRED): KI RTLAL951 BC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):042968 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ZI OTHER(Please Specify) DESIGNER CONTACT NAME: CONTACT PHONE: (425) 252-2153 MANAL SHAWISH CONTACT EMAIL:manal@2812architecture.com h „ BUILDINGjPERMI APPLICATION '` , Existing Use of Building: N/A Contract Price of Work:$2,048,432.00 Proposed Use of Building: EDUCATIONAL Heat Source: (LIGas ❑Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached DDuplex ❑Multi-Family-#of Units: faCommercial ❑Industrial Type of Project: IZINew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: CONSTRUCTION OF A NEW 2-STORY EDUCATIONAL BUILDING WITH A CAFETERIA ON THE MAIN FLOOR AND CLASSROOMS IN THE LOWER FLOOR. 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 NC—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'/SUPP,RESSION`SYSTEM,; Number of Heads 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 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 PERMI ,a/ t (/,�' t C y�� Owner/Authorized Agent Signature Date (Revised 9/23/2016)