11225 19TH AVE SE LEASING OFFICE ARTESIA APARTMENTS 2025-04-07

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)everetteps@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1122519th Ave SE PARCEL M 00574700100402 CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: LEASING OFFICE FLOOR#: ROOF ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):ARTESIA APARTMENTS LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:RISE PROPERTIES(ARTESIA)LP OWNER MAILING ADDRESS: STREET 1518 1ST AVE S STE 500 CITY SEATTLE STATE WA ZIP 98134 OWNER PHONE: OWNER EMAIL: CONTRACTOR COMPANY NAME:3-D ROOF SYSTEMS LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):3DROOSL982CJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 39823 CONTRACTOR ADDRESS: STREET P.O. BOX 330 CITY EDMONDS STATE WA ZIP 98026 CONTRACTOR PHONE:425.775.0232 CONTRACTOR EMAIL:INFO@3-DROOFSYSTEMS.COM PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.231.7468 Jim Carroll CONTACT EMAIL:jim@3-droofsystems.com BUILDING INFORMATION VALUATION OF WORK: $28,829.00 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:Apartment PROPOSED USE OF BUILDING: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. ❑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: Remove existing asphalt shingle roofing and flashings, Replace with new Architectural. 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 1 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 PERMIT# 8/17/2021 Owner/Authorized Agent Signature Date (Revised 21812021)