5700 23RD DR W 2021-09-02 - Laserfiche WebLink

• • Nis BUILDING PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WAeHINGTorr 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 I(E)everetteps@everettwa.gov I(W)everettwa,gov/permits {ante or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 5700.23rd Drive West PARCEL#: cnv Everett STATE WA ziP 98203 SUITE/UNIT II FLOOR f/: ADDITIONAL LOCATION INFORMATION(if eppii bie) 'TENANT/BUSINESS NAME.Of nonresidential): Northshore Christian Church & Academy LEGAL DESCRIPTION for new construction: Short Platfsubdivision: Lot No,: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Northshore Christian Church- Patrick Hart (Facility Manager) OWNER MAILING ADDRESS: STREEr 5700 23rd Drive West err Everett STATE WA 21P 98023 OWNER PHONE:425-407-1119 hart@ northshorechristian.or OWNER EMAIL: Phart@northshorechristian.org CONTRACTOR COMPANY NAME: Jimmys Cotractor Services Inc.!Jimmy's Roofing WA STATE CONTRACTOR LICENSE#(REQUIRED):S ERVT**806DB CITY OF EVERETT BUSINESS LICENSE ti(REQUIRED): 58193 CONTRACTOR ADDRESS; STREET 12809 NE 126th PI, Kirkland CITY. STATE WA ZIP 98034 CONTRACTOR PHONE: 425-240-0140 CONTRACTOR EMAIL: j,young@jimmysroafing,com PRIMARY CONTACT: ❑OWNER D✓ CONTRACTOR D OTHER(Please Specify), CONTACT NAME: CONTACT PHONE:425-240-0140 Jason YO U n g CONTACT EMAIL:j,young @jImmysroofing,corn BUILDING INFORMATION VALUATION OF WORK:$ 98,347.00 ASSOCIATED LAND USE PROJECT#(if applicable): lvaloalrori'shalt salsa*me fiwovino tak'mattttot vaarae el as i bar matelots.and IP pment aigeo ed to oainpieto1He.w AR whe#Ier a ua$t"its d"or Rt b EXISTING USE OF BUILDING: Church sanctuary PROPOSED USE OF BUILDING: No change. HEAT SOURCE: DGas DElectric DOther. BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: i]Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): DNew Construction ❑Addition DRemodel DRepalr DT,I. DChange of Use ❑Modular ❑Portable D✓Re-roof ❑Exterior Alteration flank(above ground) DAccessory Structure DFence over 7ft high DRackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other DESCRIPTION OF WORK: Re-roofing project that overlays the single existing roof assembly in accordance with iEBC Section 707,2 "where the new second layer weighs less than 3 pounds per square foot." Up to 5% in-kind replacement of damaged roof sheathing allowed. No structural work permitted with the exception to the aforementioned 5% limit. ACKNOWLEDGEMENT:l have reviewed this application and content 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 end 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 or this property to perform the work for which application Is made, and t comply with the State..Contrectors Law 18,27 RCW and 296.200A WAC, VM Ci yof Everett Official Use ONy • PERMIT# 4 Owner/A d Agana €gnatitra Oate . (f?i;v18e11:Mf202}#