3915 COLBY AVE 2024-02-09 - Laserfiche WebLink

. qECEPVE BODING PERMIT APPLICATION EVERETT SUBMITTAL INSTRUCTIONS: See CITYp OF EVERETT PERMIT SERVICES MAY D c 2p 2 23 applicable submittal checklist for submittal re q uirements d number o ie uired f view, WASHINGTON then drop off completed application plus all required submittal documents to 3200 2n t d Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 I (E)PermitServices@everettwa.gov I e atc)✓/ �tsTT (Blue or Black Ink Only Please) PROJECT SITE INFORMATION i rnil SerVIC�S PROJECT SITE ADDRESS: STREET 3915 Colby Ave N PARCEL#: 00411300700200 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: 1,2,3 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Cascadian Place LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Atria Senior Living OWNER MAILING ADDRESS: STREET 300 East Market St. Suite 100 CITY Louisville STATE KY ZIP 98201 OWNER PHONE:916-508-9801 OWNER EMAIL: ed.gaudreau@atriaseniorliving.COm CONTRACTOR COMPANY NAME:Graves Construction WA STATE CONTRACTOR LICENSE#(REQUIRED):GRAVECG785DN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 65843 CONTRACTOR ADDRESS: STREET 27162 Burbank CITY Foothill Ranch STATE CA ZIP 92610 CONTRACTOR PHONE:714-280-3410 CONTRACTOR EMAIL:ddogterom@gravesconstruction.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Agent CONTACT NAME: CONTACT PHONE:630-413-3309 Jordyn Previn CONTACT EMAIL:jprevin@scoutservices.com BUILDING INFORMATION VALUATION OF WORK:$250,000 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:R2 PROPOSED USE OF BUILDING:R2 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. OChange of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure LIFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Interior remodel of existing Senior Living facility. Construction includes floors 1, 2, 3 with architectural, plumbing, and electrical work. Scope of work details attached. 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PL1 4/27/23PERMIT# Owner/Authoriz?'LL; 11., nt ignature Date (Revised 4/21/2022)