600 ALVERSON BLVD 2022-02-14 - Laserfiche WebLink

BIDING PERMIT APPLICATION 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 600 Alverson Boulevard PARCEL#: 00388700000100 CITY Everett STATE WA ZIP 98201 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:Randy Ayers OWNER MAILING ADDRESS: STREET 600 Alverson Boulevard CITY Everett STATE WA ZIP 98201 OWNER PHONE:425-343-6766 OWNER EMAIL: seagullguy@yahoo.com CONTRACTOR COMPANY NAME:Rebound Restoration - John Marsh WA STATE CONTRACTOR LICENSE#(REQUIRED):REBOURC97ORT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 59889 CONTRACTOR ADDRESS: STREET P.O. Box 13151 CITY Mill Creek STATE WA ZIP 98082 CONTRACTOR PHONE:425-422-8287 CONTRACTOR EMAIL:lmarsh@reboundre.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Agent CONTACT NAME: CONTACT PHONE:206 281 7500 Pacific Eng. Tech.-Chris Bacus CONTACT EMAIL:cbacus@pacengtech.com BUILDING INFORMATION VALUATION OF WORK: $5,000.00 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:Single Family Residence PROPOSED USE OF BUILDING:No Change HEAT SOURCE: ElGas ❑Electric ❑Other BUILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex LIADU ElMulti-Family-#Units: ❑Commercial Accessory 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) ElAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: THIS PERMIT IS FOR THE REPAIRS OF DECAYED FLOOR FRAMING THAT WAS UNCOVERED DURING THE REMOVAL AND REPLACEMENT OF BRICK VENEER DUE TO RECENT A VEHICLE IMPACT AT THE SUBJECT RESIDENCE IN EVERETT, WASHINGTON. THERE IS NO INCREASE IN THE EXISTING BUILDING FOOTPRINT. 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.lam 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 PERMIT# O Q D 3 lei 8-12-21 I (, Owner/Authorized Agent Signature Date (Revised 2/8/2021) Z