6230 W BEECH ST 2021-09-22 - Laserfiche WebLink

BNLDING PERMIT APPLICATI 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)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 6230 West Beech Street PARCEL#: 0061 2000 0062 00 clrr Everett STATE WA ZIP 98203 SUITE/UNIT#: N/A FLOOR#:N/A ADDITIONAL LOCATION INFORMATION (if applicable):N/A TENANT/BUSINESS NAME(if non-residential):N/A LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Westwood Plat of BLK 000 D-00 Lot No.:62 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Brandon J. Freeman/Sierra S. Freeman OWNER MAILING ADDRESS: STREET 6230 West Beech Street CITY Everett STATE WA zip 98,i OWNER PHONE:253-861-1918 /425-350-1709 OWNER EMAIL: branfree82@gmail.com/sierra.free 08@gmail.com CONTRACTOR COMPANY NAME:VerUm Construction Inc. / WA STATE CONTRACTOR LICENSE#(REQUIRED):VERUMC 182805 CITY OF EVERETT BUSINESS LICENSE#(REQ RED): Applied For CONTRACTOR ADDRESS: STREET12927 Wagner Road (9 33L-1 CITY Monroe STATE WA '•P 98272 CONTRACTOR PHONE:425-418-4281 CONTRACTOR EMAIL:bryce@verumconstruction Us -- � PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-861-1918 Brandon J. Freeman CONTACT EMAIL:branfree82@gmail.com BUILDING INFORMATION VALUATION OF WORK: $97,139.00 ASSOCIATED LAND USE PROJECT#(if applicable):N/A (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:Single Family Residence PROPOSED USE OF BUILDING:Single Family Residence 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 ERemodel ❑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:Addition of 150 SF master bathroom to existing 1410 SF structure. 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 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 l PERMIT O ner/ uthorized ignature Da e (Revised 2/8/2021)