5826 EVERGREEN WAY 2022-10-06 - Laserfiche WebLink

• PERMIT APPLICATION • BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (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) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:3331 Broadway, Everett, WA 98201 PROPERTY TAX#:Unk LEGAL for new construction: Short Plat/subdivision Unk Lot No.Unk (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Housing Hope TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET5830 Evergreen Way c!T.' Everett STATE WA ZIP 98203 OWNER PHONE: 360-7700962 OWNER EMAIL:lewispounds@housinghope.org CONTRACTOR NAME:Four Seasons Roofing CONTRACTOR ADDRESS: STREET 17903 SR 9 SE cm Snohomish STATE WA zip 98296 CONTRACTOR PHONE:(425)388-9906 CONTRACTOR EMAIL:tiana@fourseasonsroof.com CONTRACTOR LICENSE#(REQUIRED):FOURSRS16QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 36927 PRIMARY CONTACT: ❑OWNER D CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4253889906 Tiana Cooper CONTACT EMAIL:tiana@fourseasonsroof.com BUILDING INFORMATION Existing Use of Building:Hopework Station South Contract Price of Work:$63,811.43 Proposed Use of Building:Hopework Station South Heat Source: ❑Gas DElectric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial EAccessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove and replace existing PVC membrane roofing with new. If any damaged sheathing is found, replace with new, not to exceed 5%. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture 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 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/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:/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 PERMI n oate 2 2011.Ey 112:cooper / 1 l 1 35 Tiana Cooper Dace zozan.ozla:Izsr-0ana 11/2/2020 VV�1// l Owner/Authorized Agent Signature Date (Revised 10/10/2018)