3120 COLBY AVE 2024-02-14 - Laserfiche WebLink

BUICING PERMIT APPLICATIO 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 1(E)PermitServices@everettwa.govI(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SiTE INFORMATION PROJECT SITE ADDRESS: STREET 3120 Colby Avenue PARCEL#: 000202812t6 2sai.C4 5 (.1."' clrr Everett STATE WA zip 98201 SUITE/UNIT#: 100 FLOOR#:First ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(If non-residential): N/A LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Skotdal Prime Properties LLC OWNER MAILING ADDRESS: STREET PO Box 5267 crry Everett STATE WA ZIP 98206 OWNER PHONE:425.252.5400 OWNER EMAIL: craig.skotdal@skotdal.com CONTRACTOR COMPANY NAME: Skotdal Real Estate WA STATE CONTRACTOR LICENSE#(REQUIRED): N/A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 601844589 CONTRACTOR ADDRESS: STREET 1604 Hewitt Avenue, Ste 200 ciry Everett STATE WA ZIP 98201 CONTRACTOR PHONE: 425.953.6226 CONTRACTOR EMAiL: kevin.keith@skotdal.com PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206.300.3020 Larry Ro u c 1,,I CONTACT EMAiL:larry.rouch@skotdal.com BUILDING INFORMATION VALUATION OF WORK:$50,400 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:Office PROPOSED USE OF BUILDING:LIve/work apartments HEAT SOURCE: ❑Gas ❑✓Electric DOther BUILDING TYPE: DSFR DTownhouse ❑Duplex DADU [Multi-Family-#Units:2 DCommercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ['Addition ❑✓Remodel DRepair ❑T.I. DChange of Use ❑Modular ❑Portable ❑Re-roof DExterior Alteration ❑Tank(above ground) DAccessory Structure ❑Fence over 7ft high ❑RackStorage DPool/Hot Tub ❑Tank(above ground) :biller: DESCRIPTION OF WORK:Convert one office into two live/work apartments: 1214 nsf and 1244 nsf. { Cf 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.lam the owner,or lam 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 WAG. City of Everett Official Use Only G/ (� 10.25.22 PERMIT# 6 Z 1 - Owner/Authorized Agent Signature Date (Revised 4/21/2022) tf2