3322 BROADWAY COMPASS HEALTH 2026-01-13

I! E V ERETT wAstONGTOU DEMOLITION PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: Drop oft hard copy paper application & plan to 3200 Cedar Street end Floor Intake Drop Box. CONTACT INFORMATION: (P) 426.257.88101(E) everefteps@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3322 Broadway PARCEL M 00439079501700 CITY Everett STATE WA zip 98201 SUITEIUNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): Compass Heahh CONTACT INFORMATION OWNER NAME: Compass Health -Tom Sebastian PrestdanUCEO OWNER MAILING ADDRESS: STREET4526 Federal AVe. Cf7Y Everett STATE WA zip 38203 OWNER PRONE: JOWNER EMAIL: CONTRACTOR CONTACT NAME: BNButiders Ino, WA STATE CONTRACTOR LICENSE #(REQUIRED): BNBUIl'980K3 CiTY OF EVERE`fT BUSINESS LICENSE O(REQUIRED): 43638 CONTRACTOR ADDRESS: STREET 2601FourlhAve.,Suito350 Cny Seattle STATE WA zip 08121 CONTRACTOR PHONE: (206) 382.3443 CONTRACTOR EMAIL: mark.ronishQbnbuilders.wm PRIMARY CONTACT: ❑ OWNER Z CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME; CONTACT PHONE: CONTACT EMAIL: DEMOLITION PERMIT INFORMATION VALUATION OF WORK: $844,7E8 1 ASSOCIATED PERMITiLAND USE PROJECT # Of.applIcabie): REVI121.027 (Valuation shall Include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not, BUILDING TYPE: QSFR ❑Townhouse ❑Du lex ❑ADU ❑Multi -Family - # Units: ❑✓ Commercial ❑Accessory Structure DESCRIPTION OF WORK: Complete demolition of existing Compass Health building at 3322 Broadway, includes demolition of sky -bridge across public alley, # OF SQUARE FEET REMOVED: # OF DWELLING UNITS REMOVED:r+eoac�we,wa HISTORIC STRUCTURE. ❑Yes ❑NO (Contact Pianntng Division to learn about additional requiremants for historic structures (on Historic Regtahyor located in a Historc Overlay)). SHORELiNEIFLOODPLAIN PROXIMITY: ❑Yes ZNo (Contact Planning Division to team about shoreline and Boodplatn requkements if structure being demolished is onrtn either). EXISTING UNDERGROUND TANK: ❑No Tank ❑Yes- tank wilt stay in place - type: ❑Yes- tank to be removed - type: UNDERGROUND TANK SIZE: ❑No Tank ❑Under 10,000 gallons ❑10,000 gallons or over PEDESTRIAN PROTECTION NEEDED: ZYeS ❑No (Required when demolition is in close proximity to R.O.W. Include a pedestrian protection plan for review). CONSTRUCTION FENCING NEEDED: ❑✓ Yes ❑No (if yes, show the temporary construction fencing location on the required site plan). DUMPSTER IN R.O.W. NEEDED: ❑Yes ❑No (If yes, apply for a separate Traffic Street Use Permit online at pw,everettwa.gov). TRAFFIC CONTROL PLAN NEEDED: Wes ❑No (Required when sidewalk, parking lane, or travel lane closure Is needed. If yes, apply for a separate Traffic Street Use Permit online at pw.everettwa.gov). SEWER SERVICE CONNECTED TO BUILDING: DYes No (if yes, a separate Utility Permit will be issued for side soVier cap off prior to demolition). WATER SERVICE CONNECTED TO BUILDING: MYes ❑No (if yes, cap at back side of meter prior to demolition and contact Utility Billing to slop bllling). iELECTRICITY CONNECTED TO BUILDING: ✓❑Yes ❑No (if yes, apply for separate Electrical Permit for disconnect and disconnect services prior to demolition). ABATEMENT ACKNOWLEDGMENTS: The applicant is responsible for compliance with ail local, state, and federal taws, codes, and regulations whether ornot described herein, By checking the box next to each abatement type below, 1, the ownetlapplicant, acknowledge my responsibility, agree to the terms and conditions of the requirements, and will abide by the requirements during construction, Z Asbestos Abatement: Required in line with Puget Sound Clean Air Agency (PSCAA) htips:/Ipsdeanair.gov/. An Asbestos/Demolition Notification must be submitted to PSCAA before any asbestos removal or demolition begins and have the appropriate abatement report documentation on -site during constructlon. 0 Lead Paint Abatement: Contact the Snohomish Health District (SHD) https://www.snohd,orgi for applicable lead paint abatement requirements. []✓ Rodent Abatement: Proper rodent abatement shall be conducted prior to demolition. SITE PLAN REQUIREMENTS: Submit 2 hard copies of site plan showing buildings to be demolished with permit application to Permit Intake Drop Box or attach electronic site plan with permit application If submitting electronically. Plans shall be in separate, compiled pdf, 8.6xi 1 or 11x17 size. Naming convention: Address DemoPerm(tPlans, A l,AivvvvLt:vui-MtryJ ; s nave reviewed ruts appiicauon and contirm tho information contained herein is no and correct. Work done pursuant to this permit must comply with current federal, state, and locaf law. The granting of a permrf only authorizes approved work and no deviations therefrom. Deviations must first be authorized In writtrtg from the Building Official before being authorized under any circumstance. 1 am the owner, or 1 am authorized by the ownerof this property to parform the work for which application Is made, and i comply with the State Contractors Law 18.27 RCWsnd 296.200A WAC. City of Everett Offlcial Use Only PERMIT # Owne r/Autlugffod Agent -8- Ignaturo Date (Revised 216/2021)