6802 BEVERLY BLVD 2024-10-24 - Laserfiche WebLink

LDING PERMIT APPLICAN CITY OF EVERETT RMIT 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 6802 BEVERLY BLVD PARCEL#: 28050700101400 CITY EVERETT STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential):FLEET RESERVE ASSN-EV BRANCH 170 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: ECTE117rqn) CONTACT INFORMATION OWNER NAME:FLEET RESERVE ASSN-EV BRANCH 170 JAN 1 1 2024 OWNER MAILING ADDRESS: STREET 6802 BEVERLY BLVD CITY EVERETT STATE WA CITY OF g\&ETT OWNER PHONE:425.353.2600 Permit Services OWNER EMAIL: CONTRACTOR COMPANY NAME:NW BUILDER GROUP LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):NWBUIBG838NP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63131 CONTRACTOR ADDRESS: STREET 8228 S 206TH ST CITY KENT STATE WA ZIP 98032 CONTRACTOR PHONE:206.348.3944 CONTRACTOR EMAIL:JORGEN@NWBUILDERGROUP.COM PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) ENGINEER CONTACT NAME: CONTACT PHONE:206.340.8118 TIFFANY LA CONTACT EMAIL:TLA@a DEGENKOLB.COM BUILDING INFORMATION VALUATION OF WORK: $12,000.00 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:COMMERCIAL PROPOSED USE OF BUILDING:NO CHANGE HEAT SOURCE: ❑Gas ❑Electric ❑✓Other NA 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 ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:THE SCOPE OF WORK CONSISTS OF THE REMOVAL AND REPLACEMENT OF APPROXIMATELY 12 LINEAR FEET OF CMU WALL & BRICK VENEER AND STRENGTHENING OF THE EXISTING STEEL POST CONNECTION THAT WAS DISLOCATED DURING THE VEHICLE IMPACT THAT OCCURRED ON THE EAST SIDE OF THE BUILDING. THIS REPAIR USES LIKE-KIND MATERIALS TO REPAIR THE DAMAGED COMPONENTS. THE OCCUPANCY OF THE BUILDING IS UNCHANGED. THE EXISTING FOOTPRINT AND UTILITIES REMAIN UNCHANGED. 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 Digitally signed by TIFFANY LA PERMIT# ''1 /� TIFFANY LA ON:C=US,E=TLA@DEGENKOLB.COM, 0=DEGENKOLB GOEZNNKOLOBENGIN3EOR8S,gCNCTOI FANYLA dt L f0( _. I6 Owner/Authorized Agent Signature Date (Revised 4/21/2022) �J `� v l