5413 PARKVIEW LN 2024-06-24 - Laserfiche WebLink

Imo BIDDING PERMIT APPLICATISI 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 5413 Parkview Ln PARCEL#: 00795300002600 CITY Everett STATE 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: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Douglas Kaai OWNER MAILING ADDRESS: STREET 5413 Parkview Ln CITY Everett STATE Wa zip 98203 OWNER PHONE:1(703)508-2130 OWNER EMAIL: juniordjk@yahoo.com CONTRACTOR COMPANY NAME:American Dream Builders WA STATE CONTRACTOR LICENSE#(REQUIRED):AMERIDB793C4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 64377 CONTRACTOR ADDRESS: STREET 12408 5th Ave w unit c CITY Everett STATE Wa ZIP 98204 CONTRACTOR PHONE:425-212-7740 CONTRACTOR EMAIL:david©legacydecking.co PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-212-7740 David Demyan CONTACT EMAIL:david@legacydecking.co BUILDING INFORMATION VALUATION OF WORK: $3 7 6,-)e, 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:residential single family PROPOSED USE OF BUILDING:Deck Replacement HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ✓❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction Addition ❑✓Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration hank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑✓Other:Deck Replacement DESCRIPTION OF WORK: Remove existing deck & install new deck RECEINE- SEP 3 0 2023 J CITY pp�OF t EVERETTpl pG ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work tloh2' tr tYat2Y ISM�crlfi1Tmust 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 8.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#J3c 3 0 ` 09/25/2023 (/� /0 767 Owner/Authorized Agent Signature Date (Revised 4/21/2022)