600 54TH ST SW J 2025-01-29 - Laserfiche WebLink

ECEOVED BVILDING PERMIT APPLICATI.., EVERETT SUBMITTAL INSTRUCTIONS:SeeCITY OF EVERETT PERMIT SERVICES APR 1 4 2023 applicable submittal checklist for submittal require and number of copies require or review, WASHINGTON then drop off completed application plus all required submittal documents to 32(901 irliteeF2{-ulERE r"ra]a Drop Box. CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.g e �gttJa / foss (Blue or Black Ink Only Please) PROJECT SITE INFORMATION ' PROJECT SITE ADDRESS: STREET 600 54th St SW Unit J PARCEL#: 004368000000 CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Clustered Subdivision Lot No.: 10 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Cornerstone Homes NW, LLC OWNER MAILING ADDRESS: STREET 13805 Smokey Point BLVD Suite 101 CITY Marysville STATE Washington ZIP 98271 OWNER PHONE:360-659-9444 OWNER EMAIL: anthony@cornerstonehomes.com CONTRACTOR COMPANY NAME:Cornerstone Homes NW, LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):CORNEHE9470A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 65610 CONTRACTOR ADDRESS: STREET 13805 Smokey Point BLVD Suite 101 crry Marysville STATE Washington ZIP 98271 CONTRACTOR PHONE:360-659-9444 CONTRACTOR EMAIL:anthony@cornerstonehomes.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-659-9444 Anthony Hite CONTACT EMAIL:anthony@cornerstonehomes.com BUILDING INFORMATION VALUATION OF WORK:$368,022.00 ASSOCIATED LAND USE PROJECT#(if applicable): Q (0 -(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: 6013oy_ 0l y PROPOSED USE OF BUILDING:SFR 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 ❑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) ❑Other: DESCRIPTION OF WORK: Building an SFR Elevation:A Garage:Right Plan:New Basic Plan 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 Anthony Hite Digitally signed by Anthony Hite PERMIT# Date:2023.04.03 08:10:21-0T00' 4/3/2023 3/J 5` Owner/Authorized Agent Signature Date (Revised 4/21/2022)