1027 LOMBARD AVE 2024-02-14 - Laserfiche WebLink

BIDING PERMIT APPLICAT•N 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)everetteps@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1027 Lombard Ave PARCEL#: 29051700205400 cim' Everett STATE WA ZIP 98201 SUITE/UNIT#: FLOOR#: Basement ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Amber and Ian Douglas OWNER MAILING ADDRESS: STREET 2927 167th St SE CITY Bothell STATE WA ZIP 980i2 OWNER PHONE:206-920-7531 OWN MAIL: ian.c.douglas@gmail.com CONTRACTOR COMPANY NAME WA STATE CONTRACTOR LICENSE#(REQUIRED): ITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: CI OWNER ❑CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:206-920-7531 Ian Douglas CONTACT EMAIL:ian.c.douglas@gmail.com BUILDING INFORMATION VALUATION OF WORK: $50,950 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:Rental PROPOSED USE OF BUILDING:Rental HEAT SOURCE: ❑Gas ❑✓Electric i_✓JOther oil BUILDING TYPE: I1SFR Townhouse Duplex ❑ADU ❑Multi-Family-#Units: ECommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition CRemodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ERe-roof ❑Exterior Alteration ETank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage EPool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: 1) Remove all drywall in the currently finished basement. This is inclusive of all walls and ceilings in all rooms and hallways. All removed material will be taken from the property and disposed of. 2) Remove the wall at the top of the interior stairwell (location specified in the attached floor plan). The sole purpose of this wall is to separate the house into two units, was not a part of the original construction, and is not load bearing. All removed material, inclusive of drywall, insulation, and studs will be taken from the property and disposed of. 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 10/g/ / PE1 \ e'3 Owner/Authorized Agent Signature Date (Revised 2/82021) J