2202 100TH ST SW TOOLLESS PLASTIC SOLUTIONS 2022-10-07

BBILDING PERMIT APPLICATTN EVERETT CITY OF EVERETT PERMIT SERVICES 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 2202 100TH ST SW PARCEL#: 00538200004300,00538200004400,00538200004500 CITY EVERETT STATE WA ZIP 98201 SUITE/UNIT#: - FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Toolless Plastic Solutions LEGAL DESCRIPTION for new construction: Short Plat/subdivision: PAINE FIELD 5 BLK 000 D-00 Lot No.: 43,44,45 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Stephens, Kelly OWNER MAILING ADDRESS: STREET 18315 NE 103rd Ct. CITY Redmond STATE WA ZIP 98052 OWNER PHONE: OWNER EMAIL: kandjstephens@msn.com CONTRACTOR COMPANY NAME:Gaffney Construction WA STATE CONTRACTOR LICENSE#(REQUIRED):GAFFNC1104K3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 236220 CONTRACTOR ADDRESS: STREET8105 Broadway CITY Everett STATE WA ZIP 98203 CONTRACTOR PHONE:(425)355-5500 CONTRACTOR EMAIL:info@gaffneyconstruction.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR IZ OTHER(Please Specify) 2812 Architecture CONTACT NAME: CONTACT PHONE:425-252-2153 2812 ARCHITECTURE CONTACT EMAIL:clint@2812architecture.com BUILDING INFORMATION VALUATION OF WORK: $350,000 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:OFFICE/WAREHOUSE PROPOSED USE OF BUILDING:OFFICE/WAREHOUSE 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 ETA. ❑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: TENANT IMPROVEMENTS WITHIN THE EXISTING 12,370 S.F. INDUSTRIAL BUILDING.IMPROVEMENTS INCLUDE 2,011 S.F. OF MAIN FLOOR OFFICE/PRODUCTION AREA ALONG WITH 1,252 S.F. OFFICE/STORAGE. 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# n O \ L, Owner/Authorized Age Signature Date (Revised 2/8/2021) /2