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210 W Division Street_BLD669_2026
BUILDING INSPECTION REPORT – MECHANICAL (COMMERCIAL) Permit No. 669 Address: 210 W Division Street Contractor: Evergreen State & Heat & AC Owner: La Hacienda, #1 Date: 5/8/2015 ☠APPROVAL ☒ PARTIAL APPROVAL ☠CORRECTION ☠OTHER APPLIANCE: 5 ton ducted gas pack RTU ECONOMIZER: ☒ DRIP LEG: ☒ HEAT PUMP/AC UNIT: ☒ SHUT0FF VALVE: ☒ DISCONNECT: ☒ GAS PIPING: ☒ SEISMIC: ☠BRACING: ☠3†PAD: ☒ DUCT DETECTOR: ☠INSULATION/PROTECTION: ☠SUPERVISION: ☠L&I Req’d: Yes Pending Date: 5/8/2015 Inspector: Kevin Olander Permit #: 669 Permit Date: 05/04/15 Permit Type: COMMERCIAL MECHANICAL Project Name: La Hacienda, #1 Applicant Name: Evergreen State & Heat & AC Applicant Address: 2120 Pacific Avenue Applicant, City, State, Zip: Everett, WA 98201 Contact: Mark Payne Phone: 425-252-3114 Email: mark@essmwa.com Scope of Work: Replace 5 ton ducted gas pack RTU on shoring Valuation: 9000.00 Square Feet: 0 Number of Stories: 0 Construction Type: Occupancy Group: ID Code: Permit Issued: 05/08/2015 Permit Expires: Form Permit Type: Status: COMPLETE Assigned To: Launa Black Property Parcel # Address Legal Description Owner Name Owner Phone Zoning 0233882 210 W Division Street La Hacienda, #1 Contractors Contractor Primary Contact Phone Address Contractor Type License License # EVERGREEN STATE CONSTRUCTION Mark Payne 425-252-3114 2120 Pacific Ave COA 601-724-357 HEAT & A/C CONTRACTOR EVERGREEN STATE CONSTRUCTION Labor & Mark Payne 425-252-3114 2120 Pacific Ave EVERGSS022OT HEAT & A/C CONTRACTOR Industries Inspections Date Inspection Type Description Scheduled Date Completed Date Inspector Status 05/08/2015 C10. Pending L&I Approval 05/08/2015 BUILDING Completed MECHANICAL ROUGH-IN Plan Reviews Date Review Type Description Assigned To Review Status COMMERCIAL 05/04/2015 BUILDING MECHANICAL Fees Fee Description Notes Amount Mechanical Fee (Enter Fixture Fee) $100.00 Mechanical Base Permit Fee $25.00 Mechanical Commercial Plan Review Table 4-1 $200.00 Total $325.00 Attached Letters Date Letter Description 05/05/2015 Building Permit Payments Date Paid By Description Payment Type Accepted By Amount 05/08/2015 Evergreen State Heat & A/C Mechanical Permit Check #28932 $325.00 Outstanding Balance $0.00 Uploaded Files Date File Name 05/18/2015 1097665-210 W Division Street.docx 05/04/2015 1075040-210_Commercial Mechanical Permit Application_response.pdf 05/04/2015 1075041-210_Stilly Sq. Map.pdf 05/04/2015 1075042-210_Stilly Square- old trane YC-IOM-5.pdf 05/04/2015 1075043-210_STILLY SQUARE Submittal.pdf