5033 CLAREMONT WAY FABER CONSTRUCTION 2023-06-12

BQILDING PERMIT APPLICATI!N 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)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 5033 CLAREMONT WAY. PARCEL#: 00410200003200 CITY EVERETT STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):FABER CONSTRUCTION ,LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:BEN FABER OWNER MAILING ADDRESS: STREET 6951 HANNEGAN RD. CITY LYNDEN STATE WA ZIP 98264 OWNER PHONE: 360.354.3500 OWNER EMAIL: CONTRACTOR COMPANY NAME:JBH �d-5��. WA STATE CONTRACTOR LICENSE#(REQUIRED): t'f1r4,E1�Lc 3 Y OF EVERETT BUSINESS LICENSE#(REQUIRED): �t Z CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: 'CONTACT PHONE:425.252.2153 ADAM CLARK CONTACT EMAIL:adam@2812architecture.com BUILDING INFORMATION VALUATION OF WORK: $150,000 ASSOCIATED LAND USE PROJECT#(if applicable): (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:OFFICES PROPOSED USE OF BUILDING:OFFICES 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: DESCRIPTION OF WORK: 2,059sf PARTIAL TENANT IMPROVEMENT OF AN EXISTING 4,552sf BUILDING INTO OFFICES. 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# 06/2/2021 2k 006 Owner/Authorrized Agent Signature Date (Revised 2/8/2021) lZ