Laserfiche WebLink
' PERMIT APPLICATION <br /> BUILDING �CHANICAL/ PLUMBING /SIGN / INKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJE T SITE ADD €S Building A PROPERTY TAX#: 28040300400300 <br /> g3rii.SE fiJay H/1/(4 (Address not assigned) <br /> LEGAL for new construction: Short Plat/subdivision See attached legal Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Bertch Capital Partners (Greg Bertch) TENANT NAME(If Commercial):N/A <br /> OWNER MAILING ADDRESS: STREET 8201 164th Ave. NE, Suite 200 <br /> CITY Redmond STATE Washington ZIP 98052 <br /> OWNER PHONE: (425) 285-4322 OWNER EMAIL: gbertch@bertchcapital.com <br /> CONTRACTOR NAME: Sierra Construction (Bryan Ploetz) <br /> CONTRACTOR ADDRESS: STREET 19900 144th Ave. NE <br /> cm( Woodinville STATE Washington ZIP 98072 <br /> CONTRACTOR PHONE: (425) 487-5200 CONTRACTOR EMAIL: bryanp@sierraind.com <br /> CONTRACTOR LICENSE#(REQUIRED): SIERRCC145N8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 023366 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ®OTHER(Please Specify) Architect <br /> CONTACT NAME: Todd Schutz (Craft Architects) CONTACT PHONE: (206) 720-7001 <br /> CONTACT EMAIL: todd@craftarchitects.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/A Contract Price of Work:$ 2,785,305 <br /> Proposed Use of Building: s-1 and B Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: IZINew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Construction of a new tilt-up concrete, semi conditioned shell building. Mechanical, electrical, plumbing, fire <br /> protection and tenant improvement permits will be permitted under a separate permit. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal _ Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number of Heads <br /> 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 <br /> 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 <br /> Building Official before being authorized under any circumstance.lam the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# f <br /> 5/3/16 f l O5 — ®lS 7i <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />