2914 16TH ST 2022-01-21 - Laserfiche WebLink

,12BIJODING PERMIT APPLICATI. EVERETT CITY OF EVERETT PERMIT SERVICES 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)425.257.88101(E)everetteps@everettwa.gov l(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2914 16th St PARCEL#: 00576432800700 ciTY Everett STATE WA zip 98201 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: Attached Lot No.: See Attached (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Kerri Burhart OWNER MAILING ADDRESS: STREET 2914 16th St CITY Everett STATE WA ZIP 98201 OWNER PHONE:425-330-2038 OWNER EMAIL: Kerrib21@msn.com CONTRACTOR COMPANY NAME:Advantage Contractors, Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):601745126 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 043359 CONTRACTOR ADDRESS: STREET2801 Bickford Ave. Suite 103 PMB 182 CITY Snohomish STATE WA ZIP 98290 CONTRACTOR PHONE:425-338-9995 CONTRACTOR EMAIL:michaelj@advantage-contractors.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR E1 OTHER(Please Specify) CG Engineering/Structural Engineer CONTACT NAME: CONTACT PHONE:425-778-8500 Dirk Rogstad CONTACT EMAIL:dirkr@cgengineering.com BUILDING INFORMATION VALUATION OF WORK: $88,000.00 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 N/A BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: ElCommercial EAccessory 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: Relocating existing interior stairs from the kitchen to the living room. The existing stair floor opening will be in-filled. Additionally, several interior non-load bearing walls will be removed. 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. / ate City of Everett Official Use Only J /�r, QJ -3 5 �1 PERM 2 L //, O.^ -OY1 Owner/Authorized Agent Sig ature '� ( (Revised 2/8/2021) I l�