3218 LOMBARD AVE 2025-07-14 - Laserfiche WebLink

INN ix B•DING PERMIT APPLICATION 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)everetteps@everettwa.gov I (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3218 Lombard Ave PARCEL#: 00439076402400 cm' Everett STATE WA zip 98201-4439 SUITE/UNIT#: None FLOOR#: None ADDITIONAL LOCATION INFORMATION (if applicable):None TENANT/BUSINESS NAME(if non-residential):HC Seabreeze LLC LEGAL DESCRIPTION for new construction: Short Plat/subdivision: EVERETT LAND cos 1ST ADD e K 764o-oo Lot No.:24&25 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Lin Han/HC Seabreeze LLC OWNER MAILING ADDRESS: STREET PO BOX 1097 cin. Bellevue STATE WA ZIP 98009 OWNER PHONE:4252463457 OWNER EMAIL: Iln_han p©hotmail.com CONTRACTOR COMPANY NAME:SHENG DA CONSTRUCTION INC WA STATE CONTRACTOR LICENSE#(REQUIRED):SHENGDC8200K CITY OF EVERETT BUSINESS LICENSE#(REQUIRE CONTRACTOR ADDRESS: sTREET2412 Camas Ave CITY Renton STATE WA ZIP 98056 CONTRACTOR PHONE:206-960-8880 CONTRACTOR EMAIL:JUf@SUfCOUntyUSa.COm PRIMARY CONTACT: El OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4252463457 Lin Han CONTACT EMAIL:Iinhan@Hotmail.com BUILDING INFORMATION VALUATION OF WORK: $200,000 ASSOCIATED LAND USE PROJECT#(if applicable):None (Valuation shall include the revailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) r EXISTING USE OF ILDING:MUIti Family PROPOSED USE OF BUILDING:MUIti Family HEAT SOURCE: ❑Gas .�❑✓EIic ❑Other BUILDING TYPE: ❑SFR ETownhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:9 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑✓Repair ❑T.I. ❑Change of Use ElModular ❑Portable ❑Re-roof ElExterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Remodel and repair building to the approved plans; Permit number B1808-028 3218 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 t PERMIT#B 1808-028 3218 4/7/2022 Owner/Authorized Agent Signature Date (Revised 2/8/2021)