1020 COLBY AVE 2021-11-01 - Laserfiche WebLink

• 41111 111.11 BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVE R E T T 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)426,257.8810I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1020 Colby Ave PARCEL#: 00385421602700 CITY Everett STATE WA zip 98201-1522 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:CHARLES BURGESS OWNER MAILING ADDRESS: stiEt:T 1020 Colby Ave c.ny Everett STATE WA zip 98201.1522 OWNER PHONE:206-535-2938 OWNER EMAIL: CONTRACTOR COMPANY NAME:TBD on Bid WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: stnEEm CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ✓D OTHER(Please Specify) DSSI9^Sr CONTACT NAME: CONTACT PHONE:206-240-3321 Calvin Tam CONTACT EMAIL:calvint006@gmail.com BUILDING INFORMATION VALUATION OF WORK:$60,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall Include the prevaiing fair market value of all labor,materials,and equipment needed to complete the wok,whether actually paid or not) EXISTING USE OF BUILDING:Single Family Residence(group R-3) PROPOSED USE OF BUILDING:Single Family Residence(group R-3) HEAT SOURCE: O✓Gas OElectiic DOther BUILDING TYPE: ✓OSFR OTownhouse ODuplex DIADU OMulti-Family-#Units: ❑Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): ONew Construction DAddition ✓DRemodel DRepair OT.1. OChange of Use OModular OPortable ORe-roof DExterior Alteration OTank(above ground) OAccessory Structure DFence over 7ft high DRackStorage OPool/Hot Tub DTank(above ground) DOther. DESCRIPTION OF WORK:INTERIOR BASEMENT NON-STRUCTURAL ALTERATION TO EXISTING SINGLE FAMILY RESIDENCE. SCOPE OF WORK INCLUDES REMOVAL & FRAMING OF INTERIOR WALLS; REMOVAL & ADDING OF DOORS; WINDOW REPLACEMENT& NEW; AND ADDING EGRESS LIGHT WELL. TOTAL AREA OF IMPACT IS AROUND 1,076 S.F. ACKNOWLEDGEMENT:1 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.lam the owner,or lam 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 298.200A WAC. City of Everett Official Use Only PERMIT# -�Z G wn I J O OerlAuthortze A 4/29/21 gent Signature Date (Revised 2/8/2021) /