1130 SE EVERETT MALL WAY BEST BUY 2023-06-12

Bt*DING PERMIT APPLICAT40N CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 1130-D SE Everett Mall way PARCEL #: 28051800402200 CITY Everett STATE WA ZIP 98208 SUITE/UNIT #: unit"ID" FLOOR M ADDITIONAL LOCATION INFORMATION (if applicable): former BedBath&Beyond TENANT/BUSINESS NAME (if non-residential): Everett Village LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: PAPF Everett, LLC OWNER MAILING ADDRESS: STREET 101 Larkspur Landing Circle, Suite 120 CITY Larkspur STATE CA ZIP 94939 OWNER PHONE: 415-413-0713 OWNER EMAIL: bmcnamara@argoinvest.com CONTRACTOR COMPANY NAME: TCL Partners WA STATE CONTRACTOR LICENSE #(REQUIRED): TCLPAPC919QD CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 049073 CONTRACTOR ADDRESS: STREET 16000 Mill Creek Blvd, Suite 103 clrY Mill Creek STATE WA ZIP 98012 CONTRACTOR PHONE: 425-316-3515 CONTRACTOR EMAIL: rcaton@tclpartners.com PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Architectural Project Manager CONTACT NAME: Melinda Ve rM ee r CONTACT PHONE: 503-546-1609 CONTACT EMAIL: melindav@baysingerpartners.com BUILDING. INFORMATION" VALUATION OF WORK: $ 90,000 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: M - Mercantile (former tenant Bed Bath & Beyond) PROPOSED USE OF BUILDING: M - Mercantile (return space to warm shell condition in preparation for future retail tenant) HEAT SOURCE: ❑✓ Gas ❑Electric ❑Other 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 ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑✓ Other: Interior demolition DESCRIPTION OF WORK: Interior demolition in preparation for future tenant build -out, returning space to 'warm -shell' condition. Work includes removal of prior tenant's finishes, light fixtures, mezzanine, partitions, ceilings, restrooms, offices & elevator. No exterior work under this permit. No occupancy under this application. former shell permit: B0501-013 former tenant TI permit: B0502-010 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. 1 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. Digitally signed by Melinda VerMeer 9/27/2021 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT# to, O© (Revised 21812021) t/ z