2702 59TH ST SW 2023-07-31 - Laserfiche WebLink

B DING PERMIT APPLICA CITY OF EVERETT PERMIT SERVICESEVE R E T T SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal require anF€ be[ C[ llV11j 4f c2 3 requi r review, WASHINGTON then drop off completed application plus all required submittal documents t 3 0 Cedar Street 2nd Floor Int rop Box. CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gpyl V I'tt l(Lt) I (Blue or Black Ink Only Please) PROJECT SITE INFORMATION P rmjt Services PROJECT SITE ADDRESS: STREET 2702 59th Street SW PARCEL#: 00802700001500 cITY 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: Powder Mill Highlands Lot No.: 15 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Dennis&Chelsea Miller OWNER MAILING ADDRESS: STREET 2702 59th Street SW cry Everett STATE WA zip 98203 OWNER PHONE:443-845-9890 OWNER EMAIL: c_hordo@hotmail.com;doccaribb@yahoo.com CONTRACTOR COMPANY NAME:Advanced Foundation Supports vt3 L33 WA STATE CONTRACTOR LICENSE#(REQUIRED): ADVANFS903DH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): *111 6d r4chd of CONTRACTOR ADDRESS: STREET 22102 Spruce Drive CITY Monroe STATE WA ZIP 98272 CONTRACTOR PHONE:206-852-2450 CONTRACTOR EMAIL:howard@foundationsupports.com PRIMARY CONTACT: ❑OWNER EONTRACTOR EITHER(Please Specify) Owner's Rep.(Geotechnical Consultant) CONTACT NAME: CONTACT PHONE:425-523-8638 Alex Rinaldi CONTACT EMAIL:alexr@nelsongeotech.com BUILDING INFORMATION VALUATION OF WORK:$17,400 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:Residential PROPOSED USE OF BUILDING:Residential HEAT SOURCE: ✓ ;as lectric ther r-- BUILDING TYPE: ✓ FR ownhouse uplex [—IOU ( Multi-Family-#Units: ommercial nccessory Structure TYPE OF PROJECT(check all that apply): ew Construction L,ddition ■emodel 131 epair ■.I. Jhange of Use lodular I1ortable a-roof eriorAlteration [lank(above ground) ccessory Structure ence over 7ft high ackStorage ooUHot Tub ( f ank(above ground) ther: DESCRIPTION OF WORK: Emergency underpinning of southeast portion of residence which is at risk of undermining due to active landslide. 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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# —e4L ,� 2 /z /za23 �-3o0.?�- 0 /0 Owner/Authorized Agent Signature Date (Revised 4/21/2022)