8208 FLORIDA DR 2024-02-28 - Laserfiche WebLink

DEMOLITION PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plan to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON 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 8208 FLORIDA DR PARCEL M 00393900501000 ciry EVERETT STATE WA zip 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME:IVY NGUYEN OWNER MAILING ADDRESS: STREET8208 FLORIDA DR ciTv EVERETT STATE WA zip 98203 OWNER PHONE:425-268-2298 OWNER EMAIL:NGUYENIVY@HOTMAIL.COM CONTRACTOR CONTACT NAME:PRO GENERAL LANDSCAPING WA STATE CONTRACTOR LICENSE#(REQUIRED):PROGEGL830DA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 64801 CONTRACTOR ADDRESS: STREET8208 FLORIDA DR ciTy EVERETT STATE WA zip 98203 CONTRACTOR PHONE:425-770-4070 1CONTRACTOR EMAIL:LOCPTGENERALOGMAIL.COM PRIMARY CONTACT: ❑✓ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-770-4070 LOC NGUYEN CONTACT EMAIL:LOCPTGENERAL@GMAIL.COM DEMOLITION PERMIT INFORMATION VALUATION OF WORK:$1,500.00 JASSOCIATED PERMIT/LAND USE PROJECT#(if applicable):PW2204-014 (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑✓Accessory Structure DESCRIPTION OF WORK:REMOVE CARPORT ATTACHED TO SOUTH SIDE OF HOUSE AND 2ND STORY DECK ON WEST SIDE OF HOUSE #OF SQUARE FEET REMOVED:CARPORT=430 SO.FT.;DECK=300 SO.FT. #OF DWELLING UNITS REMOVED:NONE HISTORIC STRUCTURE: ❑Yes ❑✓No (Contact Planning Division to learn about additional requirements for historic structures(on Historic Registry or located in a Historic Overlay)). SHORELINE/FLOODPLAIN PROXIMITY:❑Yes❑✓No(Contact Planning Division to learn about shoreline and floodplain requirements if structure being demolished is on/in either). EXISTING UNDERGROUND TANK: ❑✓No Tank ❑Yes-tank will stay in place-type: ❑Yes-tank to be removed-type: UNDERGROUND TANK SIZE: ❑✓No Tank ❑Under 10,000 gallons 010,000 gallons or over PEDESTRIAN PROTECTION NEEDED: ❑Yes WIND (Required when demolition is inclose proximity to R.O.W.Include a pedestrian protection plan for review). CONSTRUCTION FENCING NEEDED: ❑Yes WIND (If yes,show the temporary construction fencing location on the required site plan). DUMPSTER IN R.O.W.NEEDED: ❑Yes ❑✓No (If yes,apply for a separate Traffic Street Use Permit online at pw.everettwa.gov). TRAFFIC CONTROL PLAN NEEDED: ❑Yes ©No (Required when sidewalk,parking lane,or travel lane closure is needed. If yes,apply for a separate Traffic Street Use Permit online at pw.everettwa.gov). SEWER SERVICE CONNECTED TO BUILDING: ❑Yes ❑✓No (If yes,a separate Utility Permit will be issued for side sewer cap off prior to demolition). WATER SERVICE CONNECTED TO BUILDING: ❑Yes LNo (If yes,cap at back side of meter prior to demolition and contact Utility Billing to stop billing). ELECTRICITY CONNECTED TO BUILDING: ❑Yes ZNo(If yes,apply for separate Electrical Permit for disconnect and disconnect services prior to demolition). ABATEMENT ACKNOWLEDGMENTS: The applicant is responsible for compliance with all local,state,and federal laws,codes,and regulations whether or not described herein.By checking the box next to each abatement type below, I,the ownerlapplicant,acknowledge my responsibility,agree to the terms and conditions of the requirements,and will abide by the requirements during construction. ❑ Asbestos Abatement:Required in line with Puget Sound Clean Air Agency(PSCAA)https:Hpscleanair.gov/.An Asbestos/Demolition Notification must be submitted to PSCAA before any asbestos removal or demolition begins and have the appropriate abatement report documentation on-site during construction. ❑ Lead Paint Abatement:Contact the Snohomish Health District(SHD)https://www.snohd.org/for applicable lead paint abatement requirements. ❑ Rodent Abatement:Proper rodent abatement shall be conducted prior to demolition. SITE PLAN REQUIREMENTS:Submit 2 hard copies of site plan showing buildings to be demolished with permit application to Permit Intake Drop Box or attach electronic site plan with permit application if submitting electronically.Plans shall be in separate,compiled pdf,8.5x11 or 11x17 size.Naming convention: Address_Dem oPerm itPlans. 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 1 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 7_/M 12 0 Z-Z PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)