11400 EVERGREEN WAY 2019-02-06 - Laserfiche WebLink

PERMIT APPLICATION OffilBUILDING -CHANICAL/ PLUMBING /SIGN / INKLER/ DEMOLITION "4441CITY OF EVERETT PERMIT SERVICES W1'7'.., l' 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 IE everette s everettwa. ov Iwww.eyerettwa.goy/pernn4 (Blue or Black, Ink Only P ease)„ ., PRO.JEC';1'SITE INFO;R1111i ,T40N, PROJECT SITE ADDRESS: 11400.16.44-99• te_j—t Ccc, tttkf PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ,,t` ;91ia CONTACT INFORMATION ;fik ' '"1 OWNER NAME: WALMART EVERETT STORE#2195 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11400 WA-99 ciTY EVERETT STATE WA ZIP 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: FIRESTOP COMPANY CONTRACTOR ADDRESS: STREET 3203 NE 65TH ST SPACE 2 CITY VANCOUVER STATE WA ZIP 9867 CONTRACTOR PHONE: 360-718-8604 CONTRACTOR EMAIL: martin.morales@firestopco.com " CONTRACTOR LICENSE#(REQUIRED): WA FIRESCL9220H CITY OF EVERETT BUSINESS LICENSE#(REQUIR-;•): Sgt PRIMARY CONTACT: ❑OWNER I CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-718-8604 MARTIN MORALES CONTACT EMAIL: martin.morales@firestopco.com BUILDING'PERMITAPPL A lTION ' . Existing Use of Building: RETAIL Contract Price of Work:$ 50,000 Proposed Use of Building: RETAIL STORE Heat Source: ❑Gas ❑Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: IaCommercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ftSprinkIer ❑Demolition ❑Change of Use DESCRIPTION OF WORK: TENNANT IMPROVEMENT.SPRINKLER HEAD UPGRADE.SPRINKLER HEAD REPLACEMENT AND ADDITION TO EXISTING SYTEM. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMITAPPLICA , PLUMBi`NG_PER, APPLIC`'' ON' ' Type of Project: New _ Addn ✓Alter- '•n _Repal Type of Project: _New Addn : eration ._Repair #of List of Fixtures of Li •f Fixtures #of List of Fixture #of List of Fixtures Fixtures Fixtures ljixtures Fi es A/C—Air Handling its 145 Heat Pump 145 Toilet B. flow Preventer(Inside Bldg) 145 Forced Air Sy s 1 Unit r 145 Bathtub 145 rinal Gas Pipi 145 I er 145 Lavator (Wash Ba 145 Drinking Fountain Wate-`eater 1 Ref' eration 145 Sh..'er 14 Floor Drain 145 -s Fireplac- 145 ood Stove 145 • chen Sin ,:"Disposal 45 Grease Trap 145 Gas Ra -- 145 Ducting 145 ! :;E: riMopietc., 145 Other: 145 145 145 'SPRINKLER '' UPPRESSIONrySYSTEM;",5 145 145 145 Chemical or Water 1145 No.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 � 08-19-18 � PEk zS02.-(263 Owner/Authorized Agent Signatu - Date (Revised 9/23/2016) I c7172:1)