905 80TH ST SW FORMOST FUJI 2024-10-07

BUILDING PERMIT APPLICATIuN CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 905 80th St. SW PARCEL #: 28041200306000, 28041200305900, 28041200306100 CITY Everett STATE WA ZIP 98203 SUITE/UNIT #: FLOOR #: 1 ADDITIONAL LOCATION INFORMATION (if applicable): Manufacturing area TENANT/BUSINESS NAME (if non-residential): FOrmost Fuji LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: FFC-Pack LLC OWNER MAILING ADDRESS: STREET PO Box 359 CITY Woodinville STATE WA ZIP 98072 OWNER PHONE: 425-483-9090 OWNER EMAIL: Dennisg@formostfuji.com CONTRACTOR COMPANY NAME: Kirtley Cole Construction WA STATE CONTRACTOR LICENSE #(REQUIRED): KIRTLAL951 BC CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 42968 CONTRACTOR ADDRESS: ITREET2820 OAKES AVENUE, SUITE B CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE: 425-609-0446 CONTRACTOR EMAIL: JSchwartz@Kirtley-Cole.com PRIMARY CONTACT: ❑ OWNER L] CONTRACTOR ❑✓ OTHER (Please Specify) Architect CONTACT NAME: Harold Christensen CONTACT PHONE:206-325-2553 CONTACT EMAIL:haroldc@lmueller.com BUILDING INFORMATION VALUATION OF WORK: $ 650,000 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, warehouse and manufacturing PROPOSED USE OF BUILDING: Office, warehouse and manufacturing HEAT SOURCE: ❑✓ Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR []Townhouse ❑Duplex ❑ADU El Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑Repair W]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 storage mezzanine with 6,721 S.F. footprint steel and concrete mezzanine will support manufacturing area below and proposed new warehouse area added to the south as phase II (not part of this permit). 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. I am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. / City of Everett Official Use Only �— 1-10-23 PERMIT # rAuthorized Agent Signature Date (Revised 412112022)