600 54TH ST SW I 2025-01-28 - Laserfiche WebLink

L LDING PERMIT APPLICA1 J CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 600 54th St SW Unit I PARCEL#: 280400100101400 CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: I FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Clustered Subdivision Lot No.: 9 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Cornerstone Homes NW, LLC OWNER MAILING ADDRESS: STREET 13805 Smokey Point BLVD Suite 101 CRY 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 CITY 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: $41-3784-3-766" 3 6Gj, 2-S S 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: PROPOSED USE OF BUILDING:SFR HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑✓SFR ❑Townhouse EDuplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑✓New Construction ❑Addition ❑Remodel ❑Repair CIT.!. ❑Change of Use ElModular ❑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: D EC L� C��IEBuilding an SFR �C v Elevation:A Garage:Right DEC 01 2023 Plan:New Basic Plan CITY OF EVERETT Permit Services 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 Digitally02 .0signed b3 08:0Anthony:27-07e 11/21/2023 PERMIT# 03 Date:2023.04.03 08:09:27-07'00' Owner/Authorized Agent Signature Date (Revised 4/21/2022)