2309 CALIFORNIA ST 2023-04-05 - Laserfiche WebLink

e II ... L... BUILDING 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2309 California Street PARCEL#: 00437863202100 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:2309 California Street LLC OWNER MAILING ADDRESS: STREET P 0 Box 1094 ciri Woodinville STATE WA ZIP 98072 OWNER PHONE:425.244.0007 OWNER EMAIL: ismail.seattle@gmail.com CONTRACTOR COMPANY NAME: Ira ,A,Cv vQi ex.tk WA STATE CONTRACTOR LICENSE#(REQUIREDy CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)('2.. ( CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.244.0007 Ismail Mohammad CONTACT EMAIL:ismail.seattle@gmail.com BUILDING INFORMATION VALUATION OF WORK:$39,000 ASSOCIATED LAND USE PROJECT#(if applicable):REVI22-059 (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:SFR PROPOSED USE OF BUILDING:Addition of DADU HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ©ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ZNew Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use LJModular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ElFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Addition of DADU from alley 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 PE=,,IT# CdCkS a4n 7 e July 1st, 2022 �'i�.� Owner/Authorized Agent Signature Date (Revised 4/21/2022) / 1,