3915 COLBY AVE 2022-04-04 - Laserfiche WebLink

D � - • V • PERMIT APPLICATION JU ll_ 4 BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOC11f CIrsgu O CITY OF EVERETT PERMIT SERVICES PUB T EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 td C I3 r WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits ®Y�RKs (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3915 Colby Ave. North Everett, WA 98201 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Harvest Cascadian Retirement Residence LLC TENANT BUSINESS NAME(Commercial):Ct 1,t(/1 C,e/ OWNER MAILING ADDRESS: STREET 631 W Morse Blvd. cI , Winter Park STATE Florida ZIP 32789 OWNER PHONE: 800-322-0999 OWNER EMAIL: CONTRACTOR NAME: Gorman Roofing Services, Inc CONTRACTOR ADDRESS: STREET 9702 Sales Road S Ste. A CITY Lakewood STATE WA ZIP 98499 CONTRACTOR PHONE: 253-589-0235 CONTRACTOR EMAIL: barrym@gormanroofing.Com CONTRACTOR LICENSE#(REQUIRED): GORMARS983LL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: [DOWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 602-558-2886 Barry Moore CONTACT EMAIL:barrym@gormanroofing.com BUILDING INFORMATION Existing Use of Building: residential Contract Price of Work: $246,553.00 Proposed Use of Building: residential Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU l IMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: New ❑Addition ✓❑Remodel ❑Repair T.I.❑ ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove asphalt shingles, replace with new asphalt shingles. Deck repair as needed less than 5% expected. Low slope remove existing roll roofing with 70 mil extreme TPO and accessories to meet 30 year warranty. `* No structural work to be done ** ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture F;xr ,e Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures ,A/C—Air Handling Units Gas Piping 3ackficmi Preventer(Inside 31dg) 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/InserULog Roof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System Na 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 Barry Moore Barry Moore 7.13.2020 PFTL# ,OH, Owner/Authorized Agent Signature Date (Revised 10/110/2200018) (J y2—