2707 COLBY AVE INTERNAL REVENUE SERVICE 2023-04-06

BUILDING PERMIT APPLICATI N 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 2707 Colby Avenue PARCEL#: 00439162500100 cln Everett STATE WA ZIP 98201 SUITE/UNIT#: 705 FLOOR#: 7 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Internal Revenue Service LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Skotdal Mutual LLC OWNER MAILING ADDRESS: STREET PO Box 5267 CITY Everett STATE WA ZIP 98206-5267 OWNER PHONE:206-300-3020 OWNER EMAIL: larry.rouch©skotdal.com CONTRACTOR COMPANY NAME: Gaffney Construction, Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):GAFFNI I04K3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 012160 CONTRACTOR ADDRESS: STREET8105 Broadway CITY Everett STATE WA ZIP 98203 CONTRACTOR PHONE:425.355.5500 CONTRACTOR EMAIL:joe@gaffneyconstruction.com PRIMARY CONTACT: El OWNER ❑CONTRACTOR OTHER(Please Specify) JOE GAFFNEY CONTACT NAME: CONTACT PHONE:206.300.3020 LARRY RO U C H CONTACT EMAIL:Iarry.rouch©skotdal.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: Office (B Occupancy) PROPOSED USE OF BUILDING: Office (B Occupancy) HEAT SOURCE: ❑Gas I(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.l. ❑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: 2040 sf TI. Extension of egress corridor. Limited non-rated, non-bearing demising and interior partitions. Existing HVAC. No plumbing. FF&E by tenant. Active fire protection permit. Building standard lighting, ACT grid and finishes. ACKNOWLEDGEMENT.'I ave 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 cal 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 b g authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to pertorm the work for which application is made, and I comply with the Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT 112. 04 to Owner/Authorized Agent Signature Date (Revised 2/8/2021)