1624 HOYT AVE B 2024-08-02 - Laserfiche WebLink

1:2E •ILDING PERMIT APPLICA1 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 1622 1/2 Hoyt Ave PARCEL#: 00438034202100 cry Everett STATE WA Zip 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: See attached Lot No.: 21 &22 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:GILBERTO ROBAYO OWNER MAILING ADDRESS: STREET 2440 Wickstrom PL SW CITY Seattle STATE WA Zip 98116 OWNER PHONE:425.772.8511 OWNER EMAIL: Grmconstructionlic4@gmail.com CONTRACTOR COMPANY NAME:GRM Construction LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):604436147 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 66017 CONTRACTOR ADDRESS: STREET 2440 Wickstrom PL SW ciTY Seattle STATE WA Zip 98116 CONTRACTOR PHONE:4257728511 CONTRACTOR EMAIL:Grmconstructionlic4@gmail.com PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4257728511 Gilberto Ro bayo CONTACT EMAIL:Grmconstructionlic4@gmail.com BUILDING INFORMATION VALUATION OF WORK: $12500 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:RESIDENCE PROPOSED USE OF BUILDING:RESIDENCE PLUS ADU 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 ERepair ❑T.I. EChange 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: REMODEL MAIN FLOORS OF EXISTING HOME ON THIS SITE. ESTABLISH ADU IN THE BASEMENT OF THIS HOME BY CONVERTING EXISTING SPACE TO HABITABLE SPACE. NO CHANGE IN BUILDING HEIGHT. NO NEW PARKING 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 PERMIT# /'//� Q� 0 �2J 8/10/23 `� D Owner/Authorized Agent Signature Date (Revised 4/21/2022)