8102 EVERGREEN WAY EVERETT 4 CORNERS - BLDG D 2025-08-06

Eil PERMIT APPLICATIC: , BUILDINJ I MECHANICAL/ PLUMBING / SIGN i SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:8102 Evergreen Way PROPERTY TAX#:28050700307000 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Four Corners, LLC TENANT BUSINESS NAME(Commercial): Four Corners Apartments OWNER MAILING ADDRESS: STREET 19000 NE 8th Street, Suite 1200 CITY Bellevue STATE WA ZIP 98004 OWNER PHONE: 425-453-9551 OWNER EMAIL:tom.neubauer@heartlandwa.com CONTRACTOR NAME:Heartland Construction LLC CONTRACTOR ADDRESS: STREET 10900 NE 8th Street, Suite 1200 CITY Bellevue STATE WA ziP 98004 CONTRACTOR PHONE:425-453-9551 CONTRACTOR EMAIL:torn.neubauer@heartlandwa.com CONTRACTOR LICENSE#(REQUIRED):HEARTCL828OF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60418 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR El OTHER(Please Specify) Architect - CONTACT NAME: CONTACT PHONE:206-204-0512 Seth Terry CONTACT EMAIL:setht@johnsonbraund.com BUILDING INFORMATION Existing Use of Building:Vacant Contract Price of Work: $TBD Proposed Use of Building:Apartments Heat Source: ❑Gas DElectric ❑Other — BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:80 ❑Commercial ❑Accessory Structure rType of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: "Four Corners Apartments - Building D" -- Construct a new 5-over-1 multifamily residential building with s level 1 parking garage with 80 for-rent apartments and 66 parking stalls as a part of a larger development totalling 430 units in 5 separate residential buildings. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture List of Fixtures Fixture List of Fixtures Count List of Fixtures List of Fixtures Count Count Count A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other Water Suppression System No.of Heads Chemical Suppression System I INo.of Heads 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 ---DocuSigned by: ��J City of Everett Official Use Only V � "'� 10/12/2020 PER'pT''(J I D t - 0 5 l '-BC41600E12Ee481._ ` ) Owner/Authorized Agent Signature Date (Revised` 10/10/2018) If 7