1701 121ST ST SE 2023-08-01 - Laserfiche WebLink

B9LDING PERMIT APPLICATS CITY OF EVERETT PERMIT SERVICES EVERETT 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)425-257-8810 I(E)PermitServices@everettwa.gov I(VV)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1701 121st St SE PARCEL#: 28053000100900 crry Everett STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): NA TENANT/BUSINESS NAME(if non-residential):Charter Club Apartments LEGAL DESCRIPTION for new construction: Short Plat/subdivision: NA Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Charter Club Owner LLC OWNER MAILING ADDRESS: STREET 601 S FIGUEROA ST STE 3600 CITY Los Angeles STATE CA ZIP 90017 OWNER PHONE:206-628-8007 OWNER EMAIL: CodyJ@secprop.com (Cody Jones - Owner's Rep) CONTRACTOR COMPANY NAME:Building Resources Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):BUILDRI949BQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52319 CONTRACTOR ADDRESS: STREET 18386 Redmond-Fall City Rd c,TY Redmond STATE WA zip 98052 CONTRACTOR PHONE:425-367-7882 CONTRACTOR EMAIL:joshd@callbrinc.com PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-367-7882/joshd@callbrinc.com (Josh Sr. OM) JanelIe Boyd CONTACT EMAIL:206-650-2619/janelleb@callbrinc.com (PE) BUILDING INFORMATION VALUATION OF WORK:$20,000 ASSOCIATED LAND USE PROJECT#(if applicable):NA (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:NA PROPOSED USE OF BUILDING:NA HEAT SOURCE: Gas ❑Electric ❑Other NA BUILDING TYPE: EISFR ❑Townhouse ❑Duplex ❑ADU ✓❑Multi Family-#Units: NA ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair lLIT.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:Selective Carport Post Replacement DESCRIPTION OF WORK: Selective Carport Post Replacement 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 JaneIIe Boyd Digitoyd Dateally signe022.12tl12y18:28I41JaneleB0800' 12/5/22 PERMIT# ZZ 01-5 Owner/Authorized Agent Signature Date (Revised 4/21/2022)