10115 HOLLY DR BLDG K OLIN FIELDS APTS 2021-12-16

BWDING PERMIT APPLICATJ#N 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 1 (W) everettwa.gov/permits (Blue orBlack Ink On►yPlease) PROJECT'SITE INFORMATION PROJECT SITE ADDRESS: STREET 10115 Holly Drive PARCEL #: 28042400201100 CITY Everett STATE WA ZIP 98204-8717 SUITE/UNIT #: K203 FLOOR #: second 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) OWNER NAME: STANDARD JSP OLIN LLC OWNER MAILING ADDRESS: STREET 655 MONTGOMERY ST STE 1700 clTr SAN FRANCISCO STATE CA ZIP 94111 OWNER PHONE: (415) 430-1078 OWNER EMAIL: CONTRACTOR COMPANY NAME: BLUE PINE CONSTRUCTION CORP WA STATE CONTRACTOR LICENSE #(REQUIRED): CCBLUEPPC831 LH ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 57162 CONTRACTOR ADDRESS: STREET4857 w 147th Ave, Ste E clTY Hawthorne STATE CA ZIP 90250 CONTRACTOR PHONE: (206) 886-7975 CONTRACTOR EMAIL: matt@bluepinecc.com PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR CONTACT NAME: Mark Viguri ❑✓ OTHER (Please Specify) Architect - agent for Contractor CONTACT PHONE: (206) 682-5211 ex 15 CONTACT EMAIL: mark@kilburnarchitects.com VALUATION OF WORK: $ 65,000 JASSOCIATED LAND USE PROJECT # (if applicable): (Valuation shall include the orevailina fair market value of all labor. materials. and a auioment needed to comolete the work. whether ac tually oaid or not_1 EXISTING USE OF BUILDING: Multi -Family Residence PROPOSED USE OF BUILDING: Same, no change MFR HEAT SOURCE: ❑Gas ✓❑Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓ Multi -Family - # Units: 24 ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑Addition ❑Remodel ✓❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Repair of fire damaged unit K203 (674 sf) to include removal of gyp. board on walls and ceiling, new flooring, replacement of damaged electrical, mechanical, plumbing and kitchen appliances and cabinets. Exterior repair of two existing bedroom windows, surrounding vinyl wall siding, damaged sub -surface and 12 foot long portion of roof gutter. 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/ 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 nt Ta D 1 O'W/� Owner/Authorized Agen Signat Date (Revised 21812021) s'