10012 4TH AVE W 225 2021-11-08 - Laserfiche WebLink

• MIN BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 10012 4th Ave West PARCEL#: 28042400201900 cmr Everett STATE Wa zip 98204 SUITE/UNIT#: 225 FLOOR#:2 ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential):BRENTWOOD APTS LLC LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:BRENTWOOD APTS LLC OWNER MAILING ADDRESS: STREET 10012 4th Ave West CITY Everett STATE WA zip 98204 OWNER PHONE:425-327-1117 OWNER EMAIL: rm.nwregion@gmail.com CONTRACTOR COMPANY NAME:NW Builder Group LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):NWBUIBG838NP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): In Process CONTRACTOR ADDRESS: STREET8228 South 206th Street cny Kent STATE WA zip 98032 CONTRACTOR PHONE:360-913-8109 CONTRACTOR EMAIL:Boh@nwbuitdergroup.com PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-913-8109 Boh Ramsey CONTACT EMAIL:Boh@nwbuildergroup.com BUILDING INFORMATION VALUATION OF WORK:$65,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of ail labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Rental apartments PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex DADU Ci✓.Multi-Family-#Units:53 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel l 1Repair ❑T,I. ❑Change of Use ❑Modular ❑Portable ORe-roof ❑Exterlor Alteration ❑Tank(above ground) ❑Accessory Structure OFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:A fire occurred in unit 225 damaging the interior finishes. Emergency repairs were performed, they included including: abatement of interior finishes, repairing roof deck that fire department cut and patching roof to prevent further damages. Now all interior finishes need to be replaced. W ZtO2—OO2— , G�ZI— hl D 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.f am the owner,or lam 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 end 298.200A WAC. City of Everett Official Use Only 3/5/01 PE U i Owner/Authorized Agen !pasture Date (Revised 2/8/2021)