6133 LAKE CHAPLAIN RD 2021-09-24

y ` BOLDING PERMIT APPLICAON CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425.257.88101 (E)everetteps©everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6133 Lake Chaplain Rd PARCEL#: 28080600100100 clry Sultan STATE WA ZIP 98294 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Everett Water Filtration Plant- City of Everett LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Attached Lot No.: See Attached (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:City of Everett OWNER MAILING ADDRESS: STREET 3200 Cedar St CITY Everett STATE WA zip 98201 j OWNER PHONE:N/A OWNER EMAIL: N/A / CONTRACTOR COMPANY NAME:Forma Construction WA STATE CONTRACTOR LICENSE#(REQUIRED) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54396 CONTRACTOR ADDRESS: STREET 1016 1st Ave S,Suite 400 CITY Seattle STATE WA ZIP 98134 CONTRACTOR PHONE:(206)573-5150 CONTRACTOR EMAIL:robw©formacc.com PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) CG Engineering/Structural Engineer CONTACT NAME: CONTACT PHONE:(425) 778-8500 Mike M aech I e r CONTACT EMAIL:mikem@cgengineering.com BUILDING INFORMATION VALUATION OF WORK: $111,890.38 ASSOCIATED LAND USE PROJECT#(if applicable):N/A (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Everett Water Filtration Plant PROPOSED USE OF BUILDING:Everett Water Filtration Plant HEAT SOURCE: ❑Gas ❑Electric ❑Other N/A BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof El Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑✓Other:Adding Sraircase on Second Floor DESCRIPTION OF WORK: This project involves the addition of steel stairs inside the Operations Building at the City of Everett's Water Filtration Plant at Lake Chaplain, near Sultan, Washington. The stairs will be installed on the second-floor level and provide access to the top of Soda Ash Bins, which are located at the northwest corner of the building, approximately 20-ft above the second floor. The purpose of the stairs is to provide safer and easier access to the top of the bins. 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# 03.03.2021 1 o. I e 3f , Owner/Authorized Agent Signature Date (Revised 2/8/2021)