3025 RUCKER AVE 2025-03-25 - Laserfiche WebLink

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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3025 Rucker Avenue PARCEL M 004391-719.013-00 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR M ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME(if non-residential):W Business Solutions LLC dba Transblue LEGAL DESCRIPTION for new construction: Short PlaUsubdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:W Business Solutions LLC dba Transblue OWNER MAILING ADDRESS: STREET 19916 Old Owen Road #252 CITY Monroe STATE WA z,p 98272 OWNER PHONE:206-804-1199 OWNER EMAIL: pingm@transblue.org CONTRACTOR COMPANY NAME:Asset Roofing WA STATE CONTRACTOR LICENSE#(REQUIRED):604153138001000, CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 65459 CONTRACTOR ADDRESS: STREET 17310 State Route 9 SE CITY Snohomish STATE WA ziP 98296 CONTRACTOR PHONE:425-407-5933 1CONTRACTOR EMAIL:assetroofingcompany@jobnimbusmail.com PRIMARY CONTACT: i]OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-804-1 199 Matthew Ping CONTACT EMAIL:pingm@transblue.org BUILDING INFORMATION VALUATION OF WORK: $60,000.00 ASSOCIATED LAND USE PROJECT# if a i (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid ) EXISTING USE of BUILDING:Commercial business office space PROPOSED USE OF BUILDING:Commercial business office space HEAT SOURCE: []Gas ©Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse [-]Duplex ❑ADU ❑Multi-Family-#Units: ©Commercial ccessory ru ure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ©Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub D-rank(above ground) ❑Other: DESCRIPTION OF WORK: Remove existing roof on commercial building and replace with new PVC single ply membrane system with hot welded seams. ACKNOWLEDGEMENT.'1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant 10 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./am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only g Digitally PERMIT# e:2023.08.1409:3529 0700' Matthew Pin D r��o`(//� + L _ U Owner/Authorized Agent Signature Date (Revised 4/21/2022)