2901 16TH ST 2023-12-08 - Laserfiche WebLink

BIDING PERMIT APPLICATIOt 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)425-257-88101(E)PermitServices@everettwa.gov I(W)everetiwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2901 16th St PARCEL#: 00438731300800 cm. Everett STATE WA zip 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential):Delta Community Baptist Church LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Luke Emerson OWNER MAILING ADDRESS: STREET 1806 Colby Ave crrY Everett STATE WA ztP 98201 OWNER PHONE:4253433688 OWNER EMAIL: (uke.emerson@gmail.com CONTRACTOR COMPANY NAME: O W�,Qk WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: D OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(425) 343-3688 Luke Emerson CONTACT EMAIL:luke.emerson@gmail.com BUILDING INFORMATION VALUATION OF WORK:$10,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the wofk,whether actually paid or not.) EXISTING USE OF BUILDING:N/A PROPOSED USE OF BUILDING:Storage/Workspace HEAT SOURCE: ❑Gas DElectric ©Other none BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family #Units: ❑Commercial llAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition DRemodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ©Acr'e'ory Structure ❑Fence over 7ft high DRackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other. DESCRIPTION OF WORK: Place 40'L x 8'W x 9'-6"H shipping container against retaining wall between church building and to-be-completed gymnasium/auditorium/community center. Container will -be clad in ply-wood or siding and painted to compliment the primary structure. Upon permitting/completion of gymnasium/auditorium/community center, placement of accessory structure will be reviewed to address parking requirements of new building. 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 Co cto 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# W 23O 5, O 3.7 er/Authorized ign re Date (Revised 4/21/2022)