5109 W HIGHLAND RD 2023-04-24 - Laserfiche WebLink

_ • • BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVER E T T SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, W AS H I NGTON then drop off completed application plus all required subnital 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: srnsr 5109 West Highland RD PARCEL#: 00442200002300 cm Everett STATE WA zip 98203 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:Leayne Johnson OWNER MAILING ADDRESS: STREET 5109 West Highland RD cm Everett STATE WA ZIP 98203 OWNER PHONE:(206) 914-7427 OWNER EMAIL: leaynejonson@gmail.com CONTRACTOR COMPANY NAME:American Electrical &Building Company WA STATE CONTRACTOR LICENSE#(REQUIRED):AMERIEB790RH CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): 64044 CONTRACTOR ADDRESS: STREET 18820 126th ST SE cry Snohomish STATE WA zip 98290 CONTRACTOR PHONE:206-406-9266 CONTRACTOR EMAIL:aebc-office@aebc.us PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: D o Ilea }-Z. CONTACT PHONE: L(2 5 - LI - Z y y ro CONTACT EMAIL: (te b C- 0 cc;Cc ®txe bG. tA S BUILDING INFORMATION VALUATION OF WORK:$150,549.50 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevaiing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Main living residence PROPOSED USE OF BUILDING:Main living residence HEAT SOURCE: ❑Gas FLElechic l BUILDING TYPE: Iy7SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction DAddition IZIRemodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Poou Hot Tub Drank(above ground) ❑Other DESCRIPTION OF WORK: American Electrical & Building Company will be performing a remodel of the downstairs living area of the residence. We will be updating the look and feel of the space, updating the electrical package, updating the fixtures and making the spaces ready for new appliances. The owners want to make better use of their downstairs space and they want to modernize it. 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 1 am authorized by the owner of this property to perform the work for which application is made, and I comply with the to Contractors Law 16.27 RCW and 296.200A WAC. Myof&erett Official Use Only o2/\t /Zo2Z IT22 2._049 Owner/Authorized Agent Signature Date (Revised 21 ge g { e sari 2/8/20 ) %Z