3717 MCDOUGALL AVE CUMMINS NW 2025-01-23

BODING PERMIT APPLICATOR] 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 I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3717 McDougal Ave PARCEL#: 00576002100003 city Everett STATE WA zip 98201 SUITE/UNIT#: N/A FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Cummins LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Cummins OWNER MAILING ADDRESS: STREET 3717 McDougal CITY Everett STATE WA zip 98201 OWNER PHONE:307-871-6246 OWNER EMAIL: stevec@cummins.com CONTRACTOR COMPANY NAME:Mr Racks LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):MRRACL924BN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54079 CONTRACTOR ADDRESS: STREET2220 S Tacoma Way cl-- Tacoma STATE WA zip 98409 CONTRACTOR PHONE:425-207-0058 CONTRACTOR EMAIL: mrracks.com g matt✓ @ !� Ecrivta PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-697-1241 MAY 2 3 2024 Matt Prevost Mr Racks LLC CONTACT EMAIL:matt@mrracks.com CITY GF EVERETT BUILDING INFORMATION Permit Services VALUATION OF WORK: $5,430.00 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:Warehouse Floor Stack PROPOSED USE OF BUILDING:Warehouse Pallet Rack Storage HEAT SOURCE: ❑✓Gas ❑Electric I..IOther BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-# Units: RiCommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction Addition ❑Remodel ❑Repair ❑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: Supply seismic calculations for customer's existing (7) bays of pallet rack. Install per stamped floor plan and detail sheet. Special anchor inspection is included. 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 Matt Prevost DigitMatt Prevost Datea1ly 2024.05.14signedy16:4548 0700' 5-14-2024 PERMIT# L^ �0^_ D� Owner/Authorized Agent Signature Date (Revised 4/21/2022) \v