3726 COLBY AVE 2019-08-07 - Laserfiche WebLink

..11.4577 PERMIT APPLICATIOF. BUILDIN( CHANICAL/ PLUMBING /SIGN mRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue,o Blau#nk Only P,,lease) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:3726 Colby Ave, Everett,WA 98201 PROPERTY TAX#:00451402402000 LEGAL for new construction: Short Plat/subdivision FRIDAYS 1ST ADD TO EVERETT BLK 024 0-00 Lot No.208: (attach copy of long legal description) . . `CONTACT INFORMATION , e f ti g , OWNER NAME: COLBY AVENUE LLC TENANT BUSINESS NAME(Commercial): The Everett Clinic OWNER MAILING ADDRESS: STREET 15720 MAIN ST,#242 cITY MILL CREEK STATE WA ZIP 98012 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:University Mechanical Contractors, Inc. CONTRACTOR ADDRESS: STREET 11611 49th Place West CITY Mukilteo STATE WA ZIP 98275 CONTRACTOR PHONE:206-794-5703 CONTRACTOR EMAIL:bhiggins@umci.com CONTRACTOR LICENSE#(REQUIRED):UNIVMC"343N9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 006726 PRIMARY CONTACT: ❑OWNER M]CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-794-5703 Brittney Higgins CONTACT EMAIL:bhiggins@umci.com f3 sv r. .r ', B L1 G-INFORMATION 5'� � y. >> k Existing Use of Building:Medical Clinic Contract Price of Work:$17,66200 Proposed Use of Building:Medical Clinic Heat Source: DGas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ENew ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installation of(1) 2 Ton outdoor heat pump unit and (2) 1 ton Ceiling ductless Cassette units. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANJCAL;P,ERMIT APPUcAT�ONI, ,h .r �,, �, PLUMBINGrtERM#APPLIICATIQN ' Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer + Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER%SUPPRESSION SYSTEM" Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 PERMIT# M l% 0q 4D Brittney Higgins � ", ""'"""°"""""°""'""""""'"'"'" 4/16/19 Owner/Authorized Agent Signature PnW� Date (Revised 10/10/2018) 1/2