6300 MERRILL CREEK PKY WATERTECTONICS 2023-06-16

BOLDING PERMIT APPLICAI&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 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6300 Merrill Creek Parkway PARCEL #: Parcel #: 2746535 Property #: 28040200301500 CITY Everett STATE Washington ZIP 98204 SUITE/UNIT #: C-100 FLOOR #: 1 ADDITIONAL LOCATION INFORMATION (if applicable): Merrill Creek Center TENANT/BUSINESS NAME (if non-residential): WaterTectonlcS, Inc. LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jason Mothersbaugh OWNER MAILING ADDRESS: STREET 802 134TH STREET S.W. -SUITE 110 CITY Everett STATE Washington ZIP 98204 OWNER PHONE: (425) 742-2042 OWNER EMAIL: jason.mothersbaugh@watertectonics.com CONTRACTOR COMPANY NAME: TCL Partners WA STATE CONTRACTOR LICENSE #(REQUIRED): TCLPAPC919QD I CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 049073 CONTRACTOR ADDRESS: STREET 16000 Mill Creek BLVD. #103 crry Mill Creek STATE Washington zip 98012 CONTRACTOR PHONE: (425) 316-3500 CONTRACTOR EMAIL: bmerisko@tclpartners.com PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑X OTHER (Please Specify) Architect CONTACT NAME: Kristin Ramsey CONTACT PHONE: 206-522-3830 Ext. 120 CONTACT EMAIL: kristin@tca-inc.com BUILDING INFORMATION VALUATION OF WORK: $ $80,000 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: B - Business; F-1 - Manufacturing - Moderate Hazard PROPOSED USE OF BUILDING: B - Business; F-1 - Manufacturing - Moderate Hazard HEAT SOURCE: ❑X Gas [-]Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑X Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : [-]New Construction ❑Addition X❑Remodel ❑Repair ❑X 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: This will be a Tenant Improvement project for WaterTectonics, Inc. The changes will create two (2) private offices, an enlarged break/lunch room, and two (2) restroom expansions. al / -,�.. /Ina l[ ,� •-(�—---��_ I Q IYZ '�G� 1.�� • d ACKNOWLEDGEMENT: 1 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 Ny� PE T #�2d }xv 61 r Owner/Authorized Agent Signature V Date (Revised 412112022) }F Z