4106 OLIVE ST 2024-06-12 - Laserfiche WebLink

• • BUILDING PERMIT APPLICATION 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: srRF_F:r 4106 Olive Street PARCEL#: 00596200500400 crry Everett SLATE WA zip 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Terrace Addition Bloock 5 lot No.:4 and 5 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:PEC LLC OWNER MAILING ADDRESS: STREET 4106 Olive Street clry Everett STATE WA ZIP 98203 OWNER PHONE:206-940-4474 OWNER EMAIL: daviderickson8888©gmail..com CONTRACTOR COMPANY NAME:OWner WA STATE CONTRACTOR LICENSE#(REQUIRLD): CITY OF EVERETT BUSINESS LICENSE#(ItEQUIRE.D): CONTRACTOR ADDRESS: STREET 4106 Olive St dery Everett STATE WA zlp 98203 CONTRACTOR PHONE:206-940-4474 CONTRACTOR EMAIL•davideriCkson8888@gmail.Com PRIMARY CONTACT: El OWNER ❑CONTRACTOR Li OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206_940-4474 David Erickson CONTACT EMAIL:daviderickson8888©gmail.com BUILDING INFORMATION VALUATION OF WORK: $30000 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:garage/Shop PROPOSED USE OF BUILDING:DetaChed Accessory Dwelling Unit HEAT SOURCE: L1Gas ]Electric LJOther BUILDING TYPE: L1SFR ❑Townhouse L Duplex ✓�ADU i_]Multi Family-#Units: L_iCommercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction I_]Addition I✓iRemodel I ]Repair Lit.l. L✓Change of Use I (Modular i ]Portable L✓JRe-roof JExterior Alteration ❑Tank(above ground) L)Accessory Structure I__IFence over 7ft high LRackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other:.__________ DESCRIPTION OF WORK:Convert existing detached garage/shop 500 sq ft to 1 bed/1 bath residential unit. No change in foot footage nor roofline. Extend side sewer south side of 4106 primary residence to this project. Extend water from same to the project. Power already supplied to separate service panel in garage/shop. Create 1 hour firewall between subject and nearest building on next property south. Fill existing garage door and exterior door and rebuild per plans. Land use decision filed previously regarding setback subject and south neighbor attached. 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 EverettJ Officialci Use Only Ali/171(-e3 ;2'0) 2�--- FERMI r# 7- 3 rj G_ V C 6 v Owner/Authorized Agent Signature Date (Revised 2/8/2021)