3326 LOMBARD AVE 2024-10-25 - Laserfiche WebLink

MEI OILDING PERMIT APPLICATONI CITY OF EVERETT PERMIT SERVICESnnEVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements andRECEOVIE er of. stleduir gh revietn.JWASHINGTON then drop off completed application plus all required submittal documents to 3200 Cereet 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)eve?cittryg.A',/,ThrfIINFRETT (Blue or Blackink Only Please) PROJECT SITE INFORMATION Permit Services PROJECT SITE ADDRESS: STREET 3326 Lombard Ave PARCEL#: 00683000100100 CITY Everett STATE WA ZIP 98201-4469 SUITE/UNIT#: 01 FLOOR#: 1 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.: N/A (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Christian &Jenny Riddle Living Trust(Christian Riddle) OWNER MAILING ADDRESS: STREET 10413 66th PI W CITY Mukilteo STATE WA zip 98275-4561 OWNER PHONE:206-631-1954 OWNER EMAIL: ckriddle88@aol.com CONTRACTOR COMPANY NAME:None hired at this time. ( W, y ( WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: • OWNER LiCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION VALUATION OF WORK:$100,000 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:Residential Condominium PROPOSED USE OF BUILDING:Residential Condominium HEAT SOURCE: ❑Gas [LiElectric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:14 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ZRepair ✓❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage 171Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Repair of non-structural smoke and fire damage to unit 1,totaling 600 square feet. The proposed work is classified as a Repair according to 2018 IEBC Chapter 4 and shall comply with other codes adopted by the City of Everett as applicable. No change to the existing building envelope is proposed. No site work is proposed. Please refer to attached sheet Floor Plan Site Plan No.A1.01, dated December 19, 2023 from PWF Architecture. ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply w<-- 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 1 ��( PERMIT# A fj`� —. no r � ( OG� �3 v Owner/Authorized Agent Signature Dat (Revised 4/21/2022)