2119 LOMBARD AVE 2023-05-30 - Laserfiche WebLink

LI BU DING PERMIT APPLICATION EVERETT CITY OF EVERETT RVICES SUBMITTAL INSTRUCTIONS: See applicable submittal checklistPERMITSE 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 I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2119 Lombard Avenue PARCEL#: 00439143901000 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): Alley access to DADU TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: EVERETT PLAT OF IRK 439 D-00 Lot No.: -LOTS 10&11 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Dwyane and Kasidee Youngblut OWNER MAILING ADDRESS: STREET Same as project site. 2119 Lombard Avenue CITY Everett STATE WA ZIP 98201 OWNER PHONE:425-387-5588(Kasidee)/425-418-5631 (Dwayne) OWNER EMAIL: kkyoungblut@gmail.com and dmyoungblut@gmail.com CONTRACTOR COMPANY NAME:CFM Construction WA STATE CONTRACTOR LICENSE#(REQUIRED):CFMCOO143B2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET PO Box 1031 CITY Stanwood STATE WA ZIP 98292 CONTRACTOR PHONE:425-508-7206 CONTRACTOR EMAIL:chris.muscolo@gmail.com PRIMARY CONTACT: ❑OWNER [CONTRACTOR V 7THER(Please Specify) Permit Coordinator CONTACT NAME: CONTACT PHONE:425-299-1140 Christi Schmidt CONTACT EMAIL:christiamrine@gmail.com BUILDING INFORMATION VALUATION OF WORK: $150,000.00 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:Existing SF Home on Site PROPOSED USE OF BUILDING:Proposed DADU/Garage & Shop HEAT SOURCE: ✓yasIlig lectric Slither BUILDING TYPE: 1 FR •ownhouse tuplex [,DU ulti-Family #Units: ommercial ccessory Structure TYPE OF PROJECT(check all that apply): IN ew Construction ddition emodel epair jL1LJhange of Use lodular ortable ;e-roof rTxterior Alteration 'ank(above ground) Fccessory Structure ence over 7ft high ackStorage 'ool/Hot Tub ank(above ground) )ther: DESCRIPTION OF WORK: A proposed DADU that is two stories; height per EMC calculation is 21'-6". Ground floor is comprised of a 800 sf garage and 100 sf shop. Second floor is the ADU with 800 sf living space with deck and stairs. One parking stall in the garage is to be allocated for the ADU. 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 h PERM� Christi Schmidt n,'I s,ry,,rA,bCy„ ,r 3-18-21 1 O / 067 Owner/Authorized Agent Signature Date (Revised 2/8/2021) (lb)