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iumm BUSING PERMIT APPLICATI•1 <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue,or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1407-80th Street SW PARCEL#: 00392200000700 <br /> cnTY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME(if non-residential): <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:Achilles USA-Jordan Skabronski (Plant Services Manager) <br /> OWNER MAILING ADDRESS: STREET 1407-80th Street SW <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE:425-438-4649 OWNER EMAIL: jskabronski@achillesusa.com <br /> CONTRACTOR COMPANY NAME:McBride Construction Resources- Brad Kelln <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):MCBRICR099JZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 1 81-7 4- <br /> CONTRACTOR ADDRESS: STREET 15100 8th Ave. S.W. <br /> CITY Burien STATE WA ZIP 98166 <br /> CONTRACTOR PHONE:206-669-0321 CONTRACTOR EMAIL:brad@mcbrideconstruction.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR Z OTHER(Please Specify) Agent for Owner <br /> CONTACT NAME: CONTACT PHONE:206-281-7500 <br /> Chris Bacus-Pacific Engineering Tech. CONTACT EMAIL:cbacus@pacengtech.com <br /> BUILDING.INFORMATION <br /> VALUATION OF WORK:$140,000 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not) <br /> EXISTING USE OF BUILDING:Factory <br /> PROPOSED USE OF BUILDING:No Change <br /> HEAT SOURCE: ❑Gas ❑Electric ❑Other <br /> BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ECommercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ZRepair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:THE PURPOSE OF THESE DRAWINGS IS TO SHOW REPAIRS FOR THE OBSERVED DEFORMED BOTTOM CHORDS OF THE <br /> FLOOR TRUSSES CAUSED BY AN EXCESS LOADING OF THE SUBJECT BUILDING IN EVERETT,WASHINGTON. <br /> SUMMARY OF REPAIRS: <br /> THERE ARE APPROXIMATELY 40 TRUSSES TO REPAIR ON THE SECOND FLOOR AND APPROXIMATELY 56 TRUSSES TO REPAIR <br /> ON THE THIRD FLOOR FOR A TOTAL OF APPROXIMATELY 96 TRUSSES REQUIRING BOTTOM CHORD STRENGTHENING. <br /> THERE IS NO INCREASE IN THE EXISTING BUILDING FOOTPRINT,SQUARE FOOTAGE OR HEIGHT. <br /> EXCLUSIONS: <br /> NO REVIEW HAS BEEN MADE OF THE ADEQUACY OF THE EXISTING FRAMING <br /> ARCHITECTURAL DETAILING SUCH AS,BUT NOT LIMITED TO:FIRE-RESISTIVE ASSEMBLIES,INTERIOR FINISHES,MECHANICAL, <br /> ELECTRICAL,ETC.IS NOT INCLUDED IN THESE DRAWINGS. <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 7/6/23 PERMIT# 1722 307 _ OZM <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />