2722 COLBY AVE RAINIER TITLE 2019-03-25

II�1I grr PERMIT APPLICATION�I BUILDING I IRtCHANICAL / PLUMBING /SIGN rINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (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) PROJEOT SITE INFORMATION chafe-6f V q PROJECT SITE ADDRESS: 2722 Colby Ave., Everett, WA 98201 -3557 PROPERTY TAX#: !/ '16,8415"--3-3 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: JOHN S FUJII OF NMV EVERETT LLC TENANT NAME(If Commercial): Rainier Title OWNER MAILING ADDRESS: STREET 5803 Texas Dr, CITY Vancouver STATE WA ziP98661 OWNER PHONE: 360.695.3703 OWNER EMAIL: Jsfujii@comcast.net CONTRACTOR NAME: SHANE TAPERT CONTRACTOR ADDRESS: STREET 1509 BONNEVILLE AVE, SUITE A CITY SNOHOMISH STATE WA ZIP 98290 CONTRACTOR PHONE: 425.870.2353 CONTRACTOR EMAIL: STAPERT@CPMNW.COM CC COMMECC102L1 CONTRACTOR LICENSE#(REQUIRED): UBI: 601-198-356 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 027989 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ® OTHER(Please Specify) Designer CONTACT NAME: Edith Bukenya CONTACT PHONE: 206.408.8512 CONTACT EMAIL: EBukenya@Nelsononline.com BUILDING PERMIT APPLICATION Existing Use of Building: General Office Use Contract Price of Work: $ 200,000.00 Proposed Use of Building: Com/ Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑New ❑Addition El Remodel ❑Repair ®T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:Tenant improvement to the north portion of the first floor of an existing 7 story office building for office use to include; 1. Demolition of ceiling grids, partitions, one exterior door, interior doors and casework 2. Construction of exterior window, ceiling grids, partitions, doors, re-lites, and casework. ASSOCIATED BUILDING PERMIT#(if applicable): lCOR4- 1Lt 5444.4-4 5 (Op y 119) MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water No.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. ,' City of Everett Official Use Only PERMIT in • er/Authorized Agent ignature / Date (Revised 9/23/2016)