2111 38TH ST HIGH WEST 2024-06-13

B•DING 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 2111 38th Street PARCEL#: 00576002200002 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):T&A Supply LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Highwest Holding II, LLC OWNER MAILING ADDRESS: STREET 6807 South 216th St. CITY Kent STATE WA ZIP 98032 OWNER PHONE:425-562-1200 OWNER EMAIL: tanderson@uminc.net CONTRACTOR COMPANY NAME:Wayne's Roofing, Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):WAYNESR*205Q5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):718045 CONTRACTOR ADDRESS: STREET 13105 Houston Rd CITY Sumner STATE WA ZIP 98390 CONTRACTOR PHONE:253-863-4455 CONTRACTOR EMAIL:jared@waynesroofing.com PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-863-4455 Jared Butler CONTACT EMAIL:jared@waynesroofing.com BUILDING INFORMATION VALUATION OF WORK: $129,000.00 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:Construction Supply Warehouse PROPOSED USE OF BUILDING:No change 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.l. ❑Change of Use ❑Modular ❑Portable IIRe-roof ❑Exterior Alteration hank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Installation of new Carlisle Sure-Weld Single-Ply Thermoplastic Polyolefin (TPO) recover roof system over existing roof system. D ECEINED NOV 0 1 2023 CITY OF EVERFTT Permit ipe mas ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuan o e t 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 lU' PERMIT# - i(/ d Owner/A on ed Agent Signature Dat (Revised 4/21/2022)