2628 COLBY AVE 2023-09-25 - Laserfiche WebLink

• • ININIII 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 1(E)PerinitServices@everettwa.gov 1(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2628 Colby Ave PARCEL#: cry Everett STATE Wa ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):ChaSe Bank LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT.INFORMATION OWNER NAME: OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:Centimark Roofing WA STATE CONTRACTOR LICENSE#(REQUIRED):CENTIC*099NZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044604 CONTRACTOR ADDRESS: sTREET3416 B St NW Suite D city Auburn STATE Wa. ZIP 98001 CONTRACTOR PHONE:253-218-3375 CONTRACTOR EMAIL:jUStin.harding@centimark.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-387-6490 Justin Harding CONTACT EMAIL:justin.harding@centimark.com BUILDING INFORMATION VALUATION OF WORK:$54,739.00 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:Bank PROPOSED USE OF BUILDING:Bank HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel DRepair ❑T.I. ❑Change of Use ❑Modular ❑Portable I IRe-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other. DESCRIPTION OF WORK:TEAR-OFF AND RE-ROOF We will remove existing roof system down to the deck. Install 1/2in Fanfold mechanically fastened per manufacturers specs. Install EPS tapered ISO mechanically fastened per manufacurers specs. Install single layer 60 Mil TPO using Rhino Bond system per manufacturers specs.20 year material and labor warranty. 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.lam 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. 0 City of Everett Official Use Only �G PERMIT# r . N13.,o1 j 13 OG+?7 as[ -- 0`�0 Owner/Authoriz Agent Signature ,, Date (Revised 4/21/2022)