6307 36TH AVE W 2024-06-13 - Laserfiche WebLink

Elm Liz DING PERMIT APPLICA4N 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 I (E)PermitServices@everettwa.gov l (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6301 36th Ave W, Bld C PARCEL#: 28040300401300 cn-Y EVERETT STATE WA zip 98203 SUITE/UNIT#: 200 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):TBD LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Sechon3Townshlp28 Range awanerSE LOT 2-8COEI Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:POWDERMILL PHASE 1 LLC OWNER MAILING ADDRESS: STREET 6840 FORT DENT WAY SUITE350 clrY SEATTLE STATE WA zip 98188 OWNER PHONE:425.283.5478 OWNER EMAIL: krissyl@jshproperties.com CONTRACTOR COMPANY NAME:Northway Construction, WA STATE CONTRACTOR LICENSE#(REQUIRED):NORTHCI9O5CQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054196 CONTRACTOR ADDRESS: STREET 1433 Valentine Ave SE, # 102 CITY Pacific STATE WA zip 98047 CONTRACTOR PHONE:206-643-5319 CONTRACTOR EMAIL:matt@northwayinc.com PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:425 646 1818 Randy Brown CONTACT EMAIL:randy.brown@synthesisplIc.com BUILDING INFORMATION VALUATION OF WORK: $367,827.42 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of at labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:warehouse PROPOSED USE OF BUILDING:warehouse/distribution HEAT SOURCE: ❑✓Gas ❑Electric Other BUILDING TYPE: ❑SFR ❑Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial Accessory Structure TYPE OF PROJECT(check all that apply): ENew Construction Addition ❑Remodel Repair ❑✓JT.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: Speculative Tenant Improvement in an existing tilt up concrete shell. Addition of office space to existing break and toilets in the NE corner of the W En V E-2 III NO V 0 LE 1 2023 CITY OF EVEKETT 7 ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuPer itSto� Rm�ly 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 n i i ( n 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 ' .o U e' 10/24/23 PERMIT# < 3/ ( �� a��i7� 6C t � Owner/Authorized gent Signature Date (Revised 4/21/2022)