906 SE EVERETT MALL WAY AINSWORTH INC 2025-04-08

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 1 (E)PermitServices@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: sTREET906 SE EVERETT MALL WAY PARCEL#: 28051800305401 CITY EVERETT STATE WA zip 98208 SUITE/UNIT#: 110 FLOOR#:1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential):AINSWORTH INC. LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:PJP 5 LLC OWNER MAILING ADDRESS: STREET 7525 SE 24TH ST, SUITE 300 CITY MERCER ISLAND STATE WA zip 98040 OWNER PHONE:(206) 607-6021 OWNER EMAIL: DANNY@PJPNW.COM CONTRACTOR COMPANY NAME:FAR WEST WA STATE CONTRACTOR LICENSE#(REQUIRED):FARWET1867M4 ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57540 CONTRACTOR ADDRESS: STREETPO BOX 775 CITY EDMONDS STATE WA zIP 98020 CONTRACTOR PHONE:(206) 930-7336 1CONTRACTOR EMAIL:ADMIN@FARWESTTI.COM PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ZI OTHER(Please Specify)ARCHITECT CONTACT NAME: CONTACT PHONE:(206) 682-7525 KEVIN BRODERICK CONTACT EMAIL:KEVIN@BRODERICKARCHITECTS.COM BUILDING INFORMATION VALUATION OF WORK: $25,000 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:B - BUSINESS PROPOSED USE OF BUILDING:B - BUSINESS HEAT SOURCE: OGas ❑Electric []Other BUILDING TYPE: ❑SFR ❑Townhouse []Duplex ❑ADU []Multi-Family-#Units: 71Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair IIT.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:INTERIOR OFFICE TENANT IMPROVEMENT ON THE 1ST FLOOR. SCOPE TO INCLUDE SELECTIVE DEMOLITION OF EXISTING WALLS AND CEILING TILES AND CONSTRUCTION OF NEW WALLS TO CREATE NEW OFFICES, CONFERENCE ROOM, LOBBY, AND BREAK ROOM IN SUITE 110. NO EXTERIOR WORK INCLUDED. NO CHANGE IN OCCUPANCY. ACKNOWLEDGEMENT.1 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.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, a d 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. -08�21/202� PERMIT# City of Everett Official Use Only - Owner/Autho zed Agent Signature Date (Revised 412112022)