5306 ROCKEFELLER AVE 2024-08-02 - Laserfiche WebLink

BI .DING 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 5306 Rockefeller AVE SE PARCEL#: 00495800601703 cm, 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.: 17&18 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Tara Richards and Daniel Crosby OWNER MAILING ADDRESS: STREET 5306 Rockefeller AVE CITY Everett STATE WA ZIP 98203 OWNER PHONE:425-344-3413 OWNER EMAIL: courtne)eyrichards@allstate.com CONTRACTOR COMPANY NAME:will add when determined o (n)IVY` WA STATE CONTRACTOR LICENSE#(REQUIRED): ,0"/ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-344-3413 Tara Richards CONTACT EMAIL:courtneyrichards©allstate.com BUILDING INFORMATION VALUATION OF WORK: $25,000 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:Doesn't Exist PROPOSED USE OF BUILDING:Secure Parking 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 ❑Tank(above ground) ❑✓Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: 1. Adding new detached Garage (24x24), 2. Removing existing concrete parking pad, replacing with gravel parking 3. Removing Covered Gardening area, replacing with Gravel parking. 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 State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only T# 3--/cM Owner/Arthorized Agent Signature ate (Revised 4/21/2022)