6900 WETMORE AVE SEATTLE BETHANY CHURCH 2024-10-25

BUILDING PERMIT APPLICATION 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)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6900 WETMORE AVENUE PARCEL#: 28050700100600 cnv EVERETT STATE WA GIP 98203 SUITE/UNIT#: N/A FLOOR#: 2 ADDITIONAL LOCATION INFORMATION (if applicable): N/A TENANT/BUSINESS NAME(if non-residential):SEATTLE BETHANY CHURCH LEGAL DESCRIPTION for new construction: Short Plat/subdivision: SEE PAGE 2 Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:ALEKSANDR NAUMCHIK/SEATTLE BETHANY CHURCH OWNER MAILING ADDRESS: STREET 16415 NORTH ROAD CITY MILL CREEK STAI1_ WA zIP 98012 OWNER PHONE:206.822.7461 OWNER EMAIL: naumchik@gmail.com CONTRACTOR COMPANY NAME:TO BE DETERMINED S p H Co c t i1 h WA STATE CONTRACTOR LICENSE#(REQUIRED): , (,OL 1,S 3 001 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (0'101 63 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION VALUATION OF WORK: $1.95 MILLIONS ASSOCIATED LAND USE PROJECT#(if applicable):N/A (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:WORSHIP, UNOCCUPIED PROPOSED USE OF BUILDING:WORSHIP 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.l. ❑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: A 18,350 SF CHURCH TENANT IMPROVEMENT TO AN EXISTING SHELL STRUCTURE, WITH A NEW MEZZNINE FLOOR ADDITION INSIDE THE EXISTING STRUCTURE AND LIMITED EXTERIOR RENOVATIONS AND A NEW SMALL PITCH ROOF ABOVE THE SANCTUARY STAGE. 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 4/18/2022 PERIb!} 2^ D, I _ �^ Owner/Authorized Agent Signature Date (Revised 2/8/2021) �` l