2501 BAKER AVE 2023-06-16 - Laserfiche WebLink

E DELITION PERMIT APPLICA)N CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps@everettwa.gov everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2501 Baker Avenue PARCEL#: 00437857100100 cnv Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME:Laura McMurray OWNER MAILING ADDRESS: STREer2501 Baker Avenue CiTY Everett STATE WA aP 98201 OWNER PHONE:(425)239-9330 _OWNER EMAIL:function informscgmail.com CONTRACTOR CONTACT NAME: - kri.-E ,2,, ,.4 _,. WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: _ PRIMARY CONTACT: ❑✓ OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: •Laura M CM U rl CONTACT PHONE:(425)239-9330 _ CONTACT EMAIL:functioninformst gmail.com DEMOLITION PERMIT INFORMATION VALUATION OF WORK: $ C11I00 ASSOCIATED PERMIT/LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing falemarket value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: DSFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial OAccessory Structure DESCRIPTION OFWORK:Old structure is to be torn down and removed. #OF SQUARE FEET REMOVED:344 #OF DWELLING UNITS ' i OVED:0 HISTORIC STRUCTUR- es DNo (Contact Planning Division to learn about additional requirements for historic structures(on Historic Registry or located in a Historic Overlay)). SHORELINE/FLOODPLAIN PROXIMITY:DYes ONO(Contact Planning Division to learn about shoreline and floodplain requirements if structure being demolished Is onln either). EXISTING UNDERGROUND TANK: ONo Tank ❑Yes-tank will stay in place-type: ❑Yes-tank to be removed-type: UNDERGROUND TANK SIZE: ONo Tank DUnder 10,000 gallons 010,000 gallons or over PEDESTRIAN PROTECTION NEEDED: DYes EINo (Required when demolition is in close proximityto R.O.W.Include a pedestrian protection plan for review). CONSTRUCTION FENCING NEEDED: DYes ❑✓No (if yes,show the temporary construction fencing location on the required site plan). DUMPSTER IN R.O.W.NEEDED: DYes ONo (If yes,apply for a separate Traffic Street Use Permit online at pw.everettwa.gov). TRAFFIC CONTROL PLAN NEEDED: DYes i✓INo (Required when sidewalk,parking lane,or travel lane closure is needed. If yes,apply for a separate Traffic Street Use Permit online at pw.everettwa.gov). SEWER SERVICE CONNECTED TO BUILDING: DYes ONo (If yes,a separate Utility Permit will be issued for side sewer cap off prior to demolition). WATER SERVICE CONNECTED TO BUILDING: DYes ❑✓No (If yes,cap at back side of meter prior to demolition and contact Utility Billing to stop biting). ELECTRICITY CONNECTED TO BUILDING: DYes ONo(If yes,apply for separate Electrical Permit for disconnect and disconnect services prior to demolition). ABATEMENT ACKNOWLEDGMENTS: The applicant is responsible for compliance with all local,state,and federal laws,codes,and regulations whether or not described herein.By checking the box next to each abatement type below,I,the owner/applicant,acknowledge my responsibility,agree to the terms and conditions of the requirements.and will abide by the requirements during construction (] Asbestos Abatement:Required in Tine with Puget Sound Clean Air Agency(PSCAA)https://pscleanair.gov/.An Asbestos/Demolition Notification must be submitted to PSCAA before any asbestos removal or demolition begins and have the appropriate abatement report documentation on-site during construction. O Lead Paint Abatement:Contact the Snohomish Health District(SHD)htipsl/www.snohd.orgl for applicable lead paint abatement requirements. I]✓ Rodent Abatement:Proper rodent abatement shall be conducted prior to demolition. SITE PLAN REQUIREMENTS:Submit 2 hard copies of site plan showing buildings to be demolished with permit application to Permit Intake Drop Box or attach electronic site plan with permit application if submitting electronically.Plans shall be in separate,compiled pdf,8.5x11 or 11x17 size.Naming convention: Address_Demo PermitPians. ACKNOWLEDGEMENT:I have reviewed this application and confirm the Information contained herein is true end correct.Work done pursuant to this permit must comply with current federal ate,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 Officiaaueore 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 1 comI with) State qv.rectors Law 18.27 RCW and 296.200A WAC. 1 .f`� ti-----•-;a City of Everett Olfrcial Use Only • ...• l 2 '2 7T-ZW-A# 0L Owner/A ize Agent Signature Date (R 2/8/2021)