9925 1ST PL W 2025-01-28 - Laserfiche WebLink

MOM BU )ING PERMIT APPLICATr I 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 9925 1st PI W PARCEL#: 01101200001700 cm. Everett STATE WA ZIP 98204 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:9925 First Place West LLC OWNER MAILING ADDRESS: STREET 9925 1st Place W cm, Everett STATE WA ZIP 98204 OWNER PHONE:Huyen Ho 425.890.2219 OWNER EMAIL: CONTRACTOR COMPANY NAME:Armata Construction WA STATE CONTRACTOR LICENSE#(REQUIRED):ARMATCS845KU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 55930 CONTRACTOR ADDRESS: STREET1416 NW 46th St Ste105 PMB135 my Seattle STATE WA ZIP 98107 CONTRACTOR PHONE:(206) 850-5521 CONTRACTOR EMAIL:CUrtiS@armataConStructiOn.Com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Degenkolb Engineers CONTACT NAME: CONTACT PHONE:5j 10.250.1226 c' Xena Waters ,CONTACT EMAIL:xwaters@degenkolb.com .\\ `�' BUILDING INFORMATION ,.,r�4 J VALUATION OF WORK: $300,000 ASSOCIATED LAND USE PROJECT#(if a i able): PR 2 •LUt '[ (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid t.) �` ��F� ` EXISTING USE OF BUILDING:R-3 Residential . Y ®t eC"11%1 PROPOSED USE OF BUILDING:R-3 Residential pe011 HEAT SOURCE: ❑✓Gas ❑Electric ❑Other 3UILDING TYPE: ❑✓SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure 'YPE 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 iFence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: ESCRIPTION OF WORK:Fire damage repair& replace in like kind A. REMOVAL AND REPLACEMENT OF THE DECK SHEATHING AND GUARDRAILS. B. REMOVAL AND REPLACEMENT OF 15 SQUARE FEET OF FLOOR SHEATHING IN THE LIVING ROOM. C. REPAIR OF TRUSS TAILS ABOVE THE DECK AS REQUIRED. D. REMOVAL AND REPLACEMENT OF WINDOWS AND DOORS PER PLAN. E. REMOVAL AND REPLACEMENT OF ALL INTERIOR FINISHES,AND INSULATION. F. THIS REPAIR USES LIKE-KIND MATERIALS TO REPAIR THE DAMAGED COMPONENTS. IOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with t 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 g 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, amply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 4/24/24 PERMIT# B r� Oo7 Nuthorized Agent Signature Date (Revised 4/21/2022)