5704 SOUND AVE 2024-06-24 - Laserfiche WebLink

ism BUIIVG 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 I (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 5704 Sound Ave PARCEL#: 00396700101400 cnv 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: BRIDLE PARK BLK 001 D-00 Lot No.: 14 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Dan Keffler OWNER MAILING ADDRESS: STREET 5704 Sound Ave CITY Everett STATE WA ZIP 98203 OWNER PHONE: 425-308-2613 OWNER EMAIL: dankeffler@underwatersports.com CONTRACTOR COMPANY NAME:Matvey Foundation Repair WA STATE CONTRACTOR LICENSE#(REQUIRED):MATVEFR837K5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 18915 16th Ave S cm' Seatac STATE Wa zip 98188 CONTRACTOR PHONE:206-698-3977 CONTRACTOR EMAIL:permits@gOmatvey.COm PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:206-698-3977 Olga T i cot CONTACT EMAIL:permits@gomatvey.com BUILDING INFORMATION VALUATION OF WORK: $34,084.00 ASSOCIATED LAND USE PROJECT#(if tnjplicabbet)'-9 ICU \V/ l:• (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid&not.) 1r1: EXISTING USE OF BUILDING: Single Family Residence [J u DEC 2 6 2023 PROPOSED USE OF BUILDING:Single Family Residence HEAT SOURCE: ❑Gas ✓❑Electric ❑Other CITY OF EVERETT grcstructure BUILDING TYPE: ZSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family #Units: Pcrmieryi ❑Commercial cce f9 TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel (Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Underpinning existing foundation for additional stabilization. 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 Everett Official Use Only 0* /u�dt 12/06/2023 Ps5# ae2 Owner/Authorized Agent Signature Date (Revised 4/21/2022)