2900 GRAND AVE WATERLINE GYM 2025-01-10

B•DING PERMIT APPLICATO CITY OF EVERETT PERMIT SERVICES JUN 3 0 2023 ,.J EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal require a and number of co •iiees reed• for review, �b WASHINGTON then drop off completed application plus all required submittal documents to 3Gi kreE tir In ke Drop Box. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gov tj fittetsve. tpesits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2900 GRAND AVENUE SPACES 4&5 PARCEL#: LOr71822 0439167907190 LOT 2382<0<39..67902300 LOT 25826.0A991671 crry EVERETT STATE WA ZIP 98201 SUITE/UNIT#: 4&5 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):WATERLINE GYM LEGAL DESCRIPTION for new construction: Short Plat/subdivision: FVFRFIT PLAT OFBLK6790-00-LOLS21 II!Fill Lot No.:SEE BELOW (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:CH GRAND AVENUE LLC OWNER MAILING ADDRESS: STREET 236 W PORTAL AVE #150, C1ry SAN FRANCISCO, STATE CA ZIP 94127 OWNER PHONE:(415) 690-6442 OWNER EMAIL: harryarthur@cumberlandholdings.com CONTRACTOR COMPANY NAME:TBD +\ ,J Q, Co RS`1,1,te,s6o "j WA STATE CONTRACTOR LICENSE#(REQUIRED): Ft V r(.k- Si C,I1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ty`a 7 / CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) ADAM CLARK(ARCHITECT) CONTACT NAME: CONTACT PHONE:(425\ 252 2153 PAUL DOUGLAS (2812 ARCHITECTURE) CONTACT EMAIL:paul@2812architecture.com BUILDING INFORMATION VALUATION OF WORK: $320000 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:business PROPOSED USE OF BUILDING:bUSlrless HEAT SOURCE: ❑Gas ❑Electric ❑Otherexisting BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: OCommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair OT.I. ❑Change of Use ❑Modular ❑Portable like-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:TAX ACCOUNT NOS.: LOT 21 &22: 0439167902100, LOT 23 & 24: 0439167902300, LOT 25 & 26: 0439167902500 LOT 27: 0439167902700 LOT 28 & 29: 0439167902800 LOT 30: 0439167903000 LOT 31: 0439167903100 LOT 36 & 37: 0439167903600 LOT 38: 0439167903800, LOT 39 & 40: 0439167903900 Existing floor space being remodeled for a gym, with some small demolition. ADA ramp being installed and an with office. 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 June 28th,2023 PERMIT# 06 — 7 j—1 Owner/ •.razed Ag nt Signature Date (Revised 4/21/2022)