2000 TOWER ST INDEX HALL 2023-12-29

B*LDING PERMIT APPLICATON EVERETT WASHINGTON 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 801 Wetmore Avenue PARCEL #: 29051700201800 CITY Everett STATE WA ZIP 98201 SUITE/UNIT M FLOOR M ADDITIONAL LOCATION INFORMATION (if applicable): Former Index Hall Building TENANTIBUSINESS NAME (if non-residential): Everett Community College LEGAL DESCRIPTION for new construction: Short Plat/subdivision: NW1/4 SEC17 T29N R5E Lot No.: 2-018 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Everett Community College OWNER MAILING ADDRESS: STREET 2000 Tower Street CITY Everett STATE WA ZIP 98201 OWNER PHONE. 425-388-9516 OWNER EMAIL: edias@everettcc.edu CONTRACTOR COMPANY NAME • WA STATE CONTRACTOR LICENSE #(REQUIRED):UaAAgLS?26�01F EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Architect (Agent for owner) CONTACT NAME: Joe Muller CONTACT PHONE: (206) 227-0314 CONTACT EMAIL: jmuller@oaips.com BUILDING INFORMATION VALUATION OF WORK: $ 21,,W 0 ASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include the prev K9 fair market value of all lab , materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: N/A -Vacant Area PROPOSED USE OF BUILDING: New permanent tensile structure canopy, concrete seat wall, modular landscape support wall. 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: Permanent Tensile structure DESCRIPTION OF WORK: New 730 sgft permanent tensile structure with PTFE coated membrane over non-combustible framing. New concrete seat wall and trellis panels for landscaping. 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 1 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. 03/08/2022 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # �2263 3 (Revised 21812021) ,i Z