10330 EVERGREEN WAY GLINT CAR WASH 2023-04-10

is EVERETT WASHINGTON BlliLDING PERMIT APPLICATI8,14 CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, 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 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 10330 EVERGREEN WAY PARCEL #: 00535200001400 CITY EVERETT STATE WA ZIP 98204 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): GLINT CAR WASH LEGAL DESCRIPTION for new construction: Short Plat/subdivision: LOT 1 of EVERETT BLA, REC 8802080174 Lot No.: EX. PARCEL ,B, (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SERJ DEVELOPMENTS, LLC OWNER MAILING ADDRESS: STREET 1500 EAST KATELLA AVENUE #5 CITY ORANGE STATE CA ZIP 92867 OWNER PHONE: (425) 577-8556 OWNER EMAIL: runeh@kiddermathews.com CONTRACTOR COMPANY NAME: D 1' L t L- C-0 111� 51-6W (—TI O N) WA STATE CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) ARCHITECT CONTACT NAME: E R I C KOC H CONTACT PHONE: (425) 636-8006 x105 CONTACT EMAIL: eric@padgi.com BUILDING INFORMATION VALUATION OF WORK: $ 15,000 ASSOCIATED LAND USE PROJECT # (if applicable): Klein-SERJ BSP20-005 (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. NA PROPOSED USE OF BUILDING: CAR WASH 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" Construct Kiosk for Vacuum equipment as an accessory structure for the separately permitted new Glint Car Wash. Dfeijibnt ACKNOWLEDGEMENT: l 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 l 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. Eric Koch Owner/Authorized Agent Signature 4/1112022 Date City of Everett Official Use Only PERMIT # g?,Wq _ 6 2— r+ (Revised 21812021) 0 %�;�