1918 EVERETT AVE 2025-09-10 - Laserfiche WebLink

BU LDING PERMIT APPLICATIVN 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 i(E)PermitServices@everettwa.gov i(W)eve rettwa.govlpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1918 Everett Ave PARCEL#: 00645062800900 CITY Everett STATE WA yp 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential):Snohomish Family Center LEGAL DESCRIPTION for new construction: Short Plat/subdivision: copy is attached Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Catholic Cummunity Services of Western WA OWNER MAILING ADDRESS: STREET 1133 Railroad Ave.#100 clTr Bellingham STATE WA zll= 98225 OWNER PHONE:360 676 2164 OWNER EMAIL: willr@ccsww.Org CONTRACTOR COMPANY NAME:Edca Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):edcai**l 26rt CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58338 CONTRACTOR ADDRESS: STREET 1016 Industry Drive cI7y Tukwila STATE WA zIp 98188 CONTRACTOR PHONE:206 762 7294 CONTRACTOR EMAIL:camilo@edcaroofing.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206 972 1816 Camilo Zambrano CONTACT EMAIL:camilo@edcaroofing.com BUILDING INFORMATION VALUATION OF WORK:$158,269.00 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:Welfare and Charitable Services PROPOSED USE OF BUILDING:Maintain 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 ZRe-roof ❑Exterior Alteration []Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) 1:10t;ier: DESCRIPTION OF WORK: Remove existing roof layers down to decking. Install new 1/2" CDX plywood and re roof with single ply roof system consisting of one layer of 1/4" Densdeck and one layer of 80 Mil TPO membrane. 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.l 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# 5 �30() _ 06 dQ.�c . h� � Owne � 06itzed Agent Signature Date (Revised 412112022)