6426 CADY RD 2023-07-28 - Laserfiche WebLink

BOLDING PERMIT APPLICATON 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) PermitServices@everettwa.gov i (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6426 Cady Road PARCEL #: 00400000003503 cirr Everret STATE WA ZIP 98023 SUITE/UNIT #: „ A FLOOR #: 2 ADDITIONAL LOCATION INFORMATION (if applicable): Wind Storm Damage TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Cady Add to Beverly hills, blk D-03 Lot No.: 35 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:BK Cady Road LLC OWNER MAILING ADDRESS: STREET 17128 125th /street SE c„,, Snhomish STATE Wa ZIP 98290 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME: POblano Cleaning and restoration WA STATE CONTRACTOR LICENSE #fM(qVCCC137 6 M CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 60131 CONTRACTOR ADDRESS: STREET704 A Street SE CITY Auburn STATE Wa ZIP 98002 CONTRACTOR PHONE:209-478-2555 1CONTRACTOR EMAIL:OSCar@experiencepoblano.com PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑✓ OTHER (Please Specify) Architect CONTACT NAME: Alan C Keimig CONTACT PHONE:253-939-3232 CONTACT EMAIL: ackeimig@msn.com BUILDING INFORMATION VALUATION OF WORK: $$18,000 ASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: Rental Family Resedential PROPOSED USE OF BUILDING: Same HEAT SOURCE: ❑Gas ❑✓ Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑✓ Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ❑✓ Repair ❑T.I. ❑Change of Use []Modular ❑Portable ❑Re -roof ❑Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Repair one truss top Chord and the endwall truss including sheathing and roofing and siding in damaged area, Replace insulation and gypsum Broard removed to provide access and refinish both interior and exterior surfaces to match adjacent areas. 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 l comply with the SWe Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # Date (Revised 412112022)