2900 GRAND AVE GRAND AVENUE YOGA 2022-08-18

.... n. BIDING PERMIT APPLICATION 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)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2900 Grand Avenue PARCEL#: 00439167902301 miry EVERETT STATE WA zip 98201 SUITE/UNIT#: 13 FLOOR#: N(p„k ( t') ADDITIONAL LOCATION INFORMATION (if applicable): btw.Hewitt 8 Wall West Side of Street TENANT/BUSINESS NAME(if non-residential):Grand Avenue Yoga LEGAL DESCRIPTION for new construction: Short Plat/subdivision: EVERETT PLAT OF BLK 679 D-00 Lot No.: 21-40 (attach copy of long legal description) CONTACT INFORMATION — OWNER NAME:Cumberland Holdings -Scott Chernoff OWNER MAILING ADDRESS: STREET 904 Silver Spurs Rd. #244 CITY Rolling Hills Estates STATE CA ZIP 90274 OWNER PHONE: 1 OWNER EMAIL: sbc@cumberlandholdings.com CONTRACTOR COMPANY NAME:Turn-Key Repair& Maintenance Inc. rr -- WA STATE CONTRACTOR LICENSE#(REQUI E ( .(��S T �DEVERETT BUSINESS LICENSE#(REQUIRE ): 50571 CONTRACTOR ADDRESS: STREET 1691 9th Ave NE Suits 202 - cm, ARLINGTON STATE WA zip 98223 CONTRACTOR PHONE:425-514-8181 CONTRACTOR EMAIL:damon@turnkeyrepair.com, cathy@turnkeyrepair.com PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:425-252-2153 Adam Clark,Clinton Johnson[2812 Architecture] CONTACT EMAIL:clint@2812architecture.com, adam@2812architecture.com BUILDING INFORMATION VALUATION OF WORK: $25,000 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:Vacant PROPOSED USE OF BUILDING:Yoga Studio 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 CI TA. ❑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: REVISE INTERIOR OF YOGA STUDIO AREA ON MAIN FLOOR. AREA OF T.I. = 1,279 SF. 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 (1 ____--- c/6. (7._ ,z_ 1 ::;./11T# Owner/Authorized Agent gnature Date (Revised 2/8/2021) j