316 SE EVERETT MALL WAY 2024-10-24

• Bip_DING PERMIT APPLICAN LS©tSOV `' CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requireme nd nutillqr cepiq� quired eview, WASHINGTON then drop off completed application plus all required submittal documents to 3 edar treet 2nd Fttl celntake p Box. CONTACT INFORMATION: (P)425-257-8810 I (E)PermitServices@everettwa.govi-(Yu}rotxu✓tgpytt pith T (Blue or Black Ink Only Please) 3V PROJECT SITE INFORMATION Permit services PROJECT SITE ADDRESS: STREET 316pEverett Mall Way PARCEL#: 28051800303800 i CITY Everett STATE WA ZIP 98204 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): McDonald's#10831 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:McDonald's Real Estate Co OWNER MAILING ADDRESS: STREET PO BOX 182571 CITY Columbus STATE OH ZIP 43218 OWNER PHONE:(561)517-0383 OWNER EMAIL: cary.pickands©sevansolutions.com CONTRACTOR COMPANY NAME:TBD L t V A f, v,+{,v p r i S e-s, Iv C. y WA STATE CONTRACTOR LICENSE#(REQUIRED): TIVA EEI t?f(QQ 1— CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Architect CONTACT NAME: CONTACT PHONE:360-216-1329 PM Design Group,Attn:Stephanie Tandberg CONTACT EMAIL:standberg@pmdginc.com BUILDING INFORMATION VALUATION OF WORK: $75,000 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: McDonald's restaurant PROPOSED USE OF BUILDING: McDonald's restaurant 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: TI/remodel of 736 SF customer service area. Minor demo/construction of non-structural partitions. Minor ceiling tile demo/replacement and relocation of any affected light fixtures, cameras, speakers and ceiling diffusers. New hand sink. New recessed digital menu boards. New customer service and pick-up counters. Minor relocation of existing equipment in customer service area. New customer service equipment including soda fountain, frozen carbonated beverage machine, heated landing station, and order assembly carts. 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 (f� r^ Digitally signed by Stephanie Tandberg PERMIT# �?, /�(itl��Date:2t Info:standberg@pm7'00' com 6/2/2 3 6 - o/8 Date:2023.06.02 15:32:12-0T00' ff—Y�� llllll Owner/Authorized Agent Signature Date (Revised 4/21/2022)