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BLD2021-1242+Application+9.7.2021_10.57.45_AM+2395011CITY OF EDMONDS MyBuildingPermit.com Mechanical Application #1015767 - 421047 Sunrise Edmonds Applicant First Name Last Name Company Name Misty Pomada Comfort Systems USA Northwest Number Street Apartment or Suite Number E-mail Address 18702 North Creek Parkway 110 misty. pomada(cD-comfortsystemsusa.com City State Zip Phone Number Extension Bothell WA 98011 4258839224 1215 Contractor Company Name Comfort System Northwest Number Street 18702 North Creek Pkwy Suite 110 City State Zip BOTHELL WA 98011 State License Number License Expiration Date COMFOSU842LB 6/20/2022 Project Location Number Street 750 EDMONDS WAY City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street 1920 MAIN ST City IRVINE Apartment or Suite Number 2109 Phone Number Extension 4258839224 UBI # E-mail Address 600517946 MISTY.POMADA@COMFORTSYSTEMS County Parcel Number 27032500306200 Tenant Name Sunrise of Edmonds Last Name or Company Name HCP INC PROPERTY TAX DEPT State Zip CA 92614 Certification Statement - The applicant states: Floor Number Suite or Room Number roof & lower level none Apartment or Suite Number 1200 I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 9/7/2021 Submitted By: Misty Pomada Page 1 of 2 CITY OF EDMONDS MyBu;laingPerrnit.com Mechanical Application #1015767 - 421047 Sunrise Edmonds Project Contact Company Name: Comfort Systems USA - Northwest Name: Doug Frohardt Email: dfrohardt@csusanw.com Address: 187702 North Creek Pkwy Suite Phone #: 4254450904 10 Bothell wa 98011 Project Type Nonresidential Activity Type Repair or Replacement Scope of Work Mechanical Project Name: 421047 Sunrise Edmonds Description of Like for Like replacement of a Mitsubishi ductless split ac system, serving the Elevator Work: machine room. Outdoor unit is located on roof, indoor AH in lower lever mech. room. This is a heat pump system. Project Details Scope of Work Installation of equipment HVAC Systems HVAC - Roof Mounted Under 400 Ibs Work Location Work Description/Location (example: 1st floor, Master Bath, Garage) 1 Outdoor unit on Roof, indoor air handler in Elevator machine room on lower level. Mitsubishi ductless split system. Page 2 of 2