3301 BROADWAY YWCA 2020-01-21 - Laserfiche WebLink

III PERMIT APPLICATION BUILDING /MECHANICAL/ PLUMBING/SIGN/SPRINKLER/ DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps©everettwa.gov I www.everettwa.gov/permits Ohio orBlack Ink Only:Pleas) PROJECT SITE INFORMATION : PROJECT SITE ADDRESS:3301 Broadway (PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: YWCA TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1118 5th Ave cIm' Seattle STATE WA ZIP 98101 OWNER PHONE: 425-280-5617 OWNER EMAIL:gbecvar@ywcaworks.org CONTRACTOR NAME:RoofCorp of WA CONTRACTOR ADDRESS: STREET 3425 S 146th Street CITY Tukwila STATE WA zip 98168 CONTRACTOR PHONE:206-439-9991 CONTRACTOR EMAIL:ddelgado@roofcorp.com y� /11 q� l]� CONTRACTOR LICENSE#(REQUIRED):ROOFCWI007Q1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)l" c _I 01 D PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(PleaseSpecify) £O(� 0'' 3LI CONTACT NAME: CONTACT PHONE:206-786-2252 Sam Joya CONTACT EMAIL:sam@roofcorp.com BUILDING INFORMATION Existing Use of Building:YWCA Contract Price of Work:$43708 Proposed Use of Building:YWCA Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair IDT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Prepare existing roof for recover, install new 1/2"HD Secureshield cover board,and install a new 60Mil TPO roof system mechnaically attached. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION i PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC—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 f SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression SystemNo.of Heads Chemical Suppression System I 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 St. -Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERT cOitu....,O 1 1 Owner/Authorized • •nt Signature Date (Revised 10/10/2018) 1 4110