4828 DELAWARE AVE 2024-11-01 - Laserfiche WebLink

BUILDING PERMIT APPLICATi..t+1 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 INFORMATIOti:,(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) O ' `1 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET Delaware Avenue PARCEL#: 00410200010700 _AI4 DE 'A1L .Ave CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: Basement ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Denise Ohlfs LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Denise Ohlfs OWNER MAILING ADDRESS: STREET 2304 Kenilworth Place CITY Everett STATE WA ZIP 98203 OWNER PHONE:425.308.1 370 OWNER EMAIL: DOhlfs@aol.com CONTRACTOR COMPANY NAME: Christopher Construction R,Gcce -FtZic yt9Nf'eye coA,5%_g,;i( -- WA STATE CONTRACTOR LICENSE#(REQUIRED): BRUCECC805JN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): efttrECCErCela CONTRACTOR ADDRESS: STREET8816 Cascadia Ave., CITY Everett '�"" STATE WA ZIP 98208 CONTRACTOR PHONE:425.239.8837 CONTRACTOR EMAIL:t,.heirjr0e lle,r Y.0t1S1-riktA-tu1t(a Vwt►rlatl Cow PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.239.8837 Bruce Christopher CONTACT EMAIL:%%f15fOPheir.osn'l.rucciort() hatmal1.t6w1 BUILDING INFORMATION VALUATION OF WORK: $150,000 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: Single family home PROPOSED USE OF BUILDING:ADU to increase number of bedrooms & make use of unused space HEAT SOURCE: ❑✓Gas ❑Electric INOther k}Eit1i Qom' 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) LiOther: DESCRIPTION OF WORK:From existing floor plan, create 2 bedrooms with egress windows in each bedroom. Create kitchenette. Increase size of existing powder room to full bathroom. Move existing laundry room. Modify electricity and plumbing to support added rooms and new floorplan. Create an exit/entrance door and stairway. CQ 1T-1b04 OF DU 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 PERMIT# C [L-r )_ 12Or». ( 1i003( Owner/Authorized Agent Signatur Date (Revised 4/21/2022)