2615 BROADWAY QFC 2024-10-24 - Laserfiche WebLink

`! B .DING PERMIT APPLICAN EVERETT CITY OF EVERETT PERMIT SERVICES 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)425-257-88101(E)PermitServices@everettwa.gov I ON)everettwa.gov/permits (Blue or.Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: sTREET 2615 BROADWAY PARCEL#: 00439160700100 env EVERETT WA STATE mp 98201 SUITEIUNIT#: WA FLOOR#: WA ADDITIONAL LOCATION INFORMATION (if applicable): N/A TENANT/BUSINESS NAME(if non-residential): KROGER/QFC LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: BELLTOWN 1-2 HOLDING,LLC OWNER MAILING ADDRESS: STREET 3215 HUNTS ROAD BELLEVUE CITY STATE WA ZIP 98004 OWNER PHONE: 206-234-9655 OWNER EMAIL: RICKTS@COMCAST.NET CONTRACTOR COMPANY NAME: RAINOBW FEDERAL, INC. WA STATE CONTRACTOR LICENSE#(REQUIRED): RAINBFI172QG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 29085 CONTRACTOR ADDRESS: STREET 4503 83RD AVE SE,UNIT A cny SNOHOMISH STATE WA ZIP CONTRACTOR PHONE: 425-512-8289 CONTRACTOR EMAIL: STEFANIW@RAINBOWFEDERAL.COM PRIMARY CONTACT: ❑OWNER I]CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-512-8289 STEFANI WHEELER CONTACT EMAIL: STEFANIW@RAINBOWFEDERAL.COM BUILDING INFORMATION VALUATION OF WORK:$ 274,500.00 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: 541 GROCERIES(WITH OR WITHOUT MEAT) PROPOSED USE OF BUILDING: TO REMAIN THE 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. OChange of Use ❑Modular ❑Portable ❑✓Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure OFence over 7ft high ❑RackStorage ❑Pool/Hot Tub flank(above ground) ❑Other: DESCRIPTION OF WORK:ROOF RECOVER. MECHANICALLY ATTACH ONE (1) LAYER OF 60 MIL TPO MEMBRANE OVER A FIRE RATED SEPARATOR BASE SHEET. ONE (1) EXISTING BUR ROOF SYSTEM TO REMAIN IN PLACE. 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. City of Everett Official Use Only >5 7 k) / 7/19/2023 PERMIT# 7,50 ©4j (Revised ) Owner/Authorized Agent Signature Date 4/21/2022