7424 BEVERLY LN 2024-10-24 - Laserfiche WebLink

mil az BU•ING PERMIT APPLICATIl1 CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements gn¢.ft n}ber�of-eop+gs,rect4ired fow,review, WASHINGTON then drop off completed application plus all required submittal documents to 3 rirtrtve, daf#I f�'Iri#$ke tIr io Box. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.g p ')�evere'ftvia otri/pet sits )? di (Blue or Black Ink Only Please) PROJECT SITE INFORMATION ' 2 202 IL') PROJECT SITE ADDRESS: STREET 7424 Beverly Lane PARCEL#: 100006120‘Z CITY Everett STATE WA CITY OF EN6IN TT SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if Services TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION 1 OWNER NAME:Neil Lund & Robert Frost OWNER MAILING ADDRESS: STREET 7424 Beverly Ln crry Bothell STATE WA Z,P 98011-4023 OWNER PHONE:480.756.9671 OWNER EMAIL: CONTRACTOR COMPANY NAME:BelfOr i / yi WA STATE CONTRACTOR LICENSE#(REQUIRED):BELFOUG99OBJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 39176 /L CONTRACTOR ADDRESS: sTREET4320 S. 131st PI CITY Tukwila STATE WA ZIP 98168-3200 CONTRACTOR PHONE:206.641 .1898 CONTRACTOR EMAIL:jeffrey.legg@us.belfOr.COm PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Design Professional i CONTACT NAME: CONTACT PHONE:510.250.1226 Xen aters CONTACT EMAIL:xwaters@degenkolb.com BUILDING INFORMATION VALUATION OF WORK $82,000 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the pre ailing fair marke value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUI DING:Si gle Family Residence PROPOSED USE OF BUILDING:Single Family Residence HEAT SOURCE: ❑Gas EElectric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ERepair ❑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: Repair of Vehicle Strike damage with like kind materials. Remove & Replace approx ft of 2x4 wall framing at s. wall. Remove/replace damaged rim joist. Remove/replace approx 25-30 sf of floor sheathing. Epoxy the visible foundation crack. Remove/replace interior finishes, insulation, flooring, plumbing fixtures, and electrical components as required. 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.1 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 2/15/24 PERMIT# 6 �' ... c,t_��_. � ��, 3�(�� OU Owner/Authorized Agent Signature Date (Revised 4/21/2022)