2029 COLBY AVE 2023-07-28 - Laserfiche WebLink

BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2027 Colby Ave PARCEL #: 00437042401500 CITY Everett STATE WA zF, 98201 SUITEIUNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: EVERETT DIV B PLAT OF BLK 424 0-00 Lot No.: 15 & 16 (attach copy of long legal description) `CON TACT 'I N F O RMATI O N OWNER NAME: Joyce Peter OWNER MAILING ADDRESS: STREET 2027 Colby Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: (425) 737-2017 OWNER EMAIL: CONTRACTOR COMPANY NAME: Golden Coast Construction & Restoration WA STATE CONTRACTOR LICENSE #(REQUIRED): GOLDECC809P1 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 63854 CONTRACTOR ADDRESS: STREET 1201 Monster Rd SW, Ste 320 clTY Renton STATE WA z,P 98057 CONTRACTOR PHONE: 800-609-0232 CONTRACTOR EMAIL: Matt.togstad@goldencoastco.com PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ✓❑ OTHER (Please Specify) Engineer CONTACT NAME: Jesse Binford CONTACT PHONE:253-833-5557 CONTACT EMAIL:jbinford@bcie.net `'BUILb1NG INFORMATION VALUATION OF WORK: $160,000 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: SFR PROPOSED USE OF BUILDING: SFR - No change HEAT SOURCE: []Gas ❑✓ Electric ❑Other BUILDING TYPE: ❑✓ SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -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) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑Other: DESCRIPTION OF WORK: Fire damage repair. Replace all interior finishes and fixtures at main floor. Interior remodel at bathroom & kitchen. Move laundry from basement to main floor. Structural deficiencies found to be corrected. ACKNOWLEDGEMENT. / 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. / am the owner, or / 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. Digitally signed by Jesse L Blnford Jesse^ ^ ^ I B I n fO rd En cn=Jesse L Blnford, ford Investigative cJJ�i L Engineers, ou, email=jbinford@Bcie.net, c=US 05-25-22 Date: 2022.05.25 07:53:56-07'00' Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # (Revised 412112022) 11y