2514 51ST ST SW 2023-07-31 - Laserfiche WebLink

41 ■. BUILDING PERMIT APPLICATICIt CITY OF EVERETT PERMIT SERVICES E V E R E T T 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)425.257.88101(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2514 51st.St. PARCEL#: 00568000000400 cry 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.:2514 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Edward and Helenka Koltonowska OWNER MAILING ADDRESS: sTREET 2514 51st St. CITY Everett * STATE WA ZIP 98203 OWNER PHONE: 425-879-9606 OWNER-EMAIL: helenkamk@gmail.com CONTRACTOR COMPANY NAME:Rebound Restoration • �y WA STATE CONTRACTOR LICENSE#(REQUIRED):RebOUrC97ORT CITY OF.EVERETT BUSINESS LICENSE#(REQUIRED): V V192 614 CONTRACTOR ADDRESS: sTREET2031 196th St. SW, Suite B104 crry Lynnwood STATE WA zip 98036 CONTRACTOR PHONE:206-818-9048 CONTRACTOR EMAIL:eSadler@rebOUndre.com PRIMARY CONTACT: ❑OWNER ID CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-818-9048 Eric Sadler CONTACT EMAIL:esadler@reboundre.com BUILDING INFORMATION VALUATION OF WORK:$100,000 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:Single Family Residence PROPOSED USE OF BUILDING:Single Family Residence HEAT SOURCE: ✓❑Gas ❑Electric DOther 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:Water damage happened in the kitchen and laundry rooms. Demolition in Kitchen, laundry and basement bedroom. Replacing all cabinets in the kitchen and laundry room. Removing paneling and ceiling in basement bedroom. Removing and replacing sheetrock in the kitchen, laundry room, and basement bedroom. Building a 2x4 exterior wall in laundry room. New wall insulation in kitchen, laundry room, and bedroom. Insulation in bedroom, garage, and kitchen ceilings. Some electrical, - plumbing and HVAC work will be done in these area. 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 PEVI/ R #n ZO I - Owner/Authorized Agent Signature Date (Revised 2/8/2021) • /�