3315 SEAWAY BLVD 2023-06-30 - Laserfiche WebLink

• 11 BUILDING 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) 425.257.88101(E) everetteps(Meverettwa.gov I (W) everettwa.00v/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3315 SEAWAY BLVD. PARCEL #: 28040300400300 CITY EVERETT STATE WA ZIP 9820$ SUITE/UNIT #: Q Lp 61- FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): TERRAPOWER LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SEAWAY WEST, LLC CIO BERTCH CAPITAL - GREG BERTCH OWNER MAILING ADDRESS: STREET 8210 164TH AVE., NE, SUITE 200 CITY REDMOND STATE WA ZIP 98052 OWNER PHONE:425.285.4322 OWNER EMAIL: GBERTCH@BERTCHCAPITAL.COM CONTRACTOR COMPANY NAME: PATTISON GENERAL CONTRACTORS, ANDY FORTINO WA STATE CONTRACTOR LICENSE #(REQUIRED): PATTIGC917C7 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 040060 CONTRACTOR ADDRESS: STREET 15223 NE 90TH ST., SUITE 140 CITY REDMOND STATE WA ZIP 98052 CONTRACTOR PHONE: 425.497.8222 CONTRACTOR EMAIL: ANDYF@PATTISONGC.COM PRIMARY CONTACT: © OWNER ❑ CONTRACTOR © OTHER (Please Specify) ARCHITECT CONTACT NAME: NADIA AZAROVA CONTACT PHONE:206,408.8146 CONTACT EMAIL: NAZAROVA@NELSONWW.COM BUILDING INFORMATION VALUATION OF WORK: $422,000 ASSOCIATED LAND USE PROJECT # if applicable): 1807033 (Valuation shall include the prevailing f3lr market value of aH labor, materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: R&D PROPOSED USE OF BUILDING: R&D HEAT SOURCE: OGas ❑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 ZT.1. ❑Change of Use ❑Modular ❑Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over7ft high ❑RackStorage ❑Pool/Hot Tub []Tank (above ground) ❑Other:___-,_____ DESCRIPTION OF WORK: Tenant alteration consisting of: addition of a new laboratory space by building a new partition wl door and adding new dropped tile ceiling in existing building currently occupied by TerraPower. Mechanical, electrical, plumbing, fire protection, and sprinkler permits will be applied for under a separate permit submittal 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. 1 am the owner, or i am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # L j I — 0 1onenozz Owner/Authorized A Date (Revised 21&2021) y�