9502 18TH AVE W L 2025-03-03 - Laserfiche WebLink

B' -'LDING PERMIT APPLICA" ')N EVERETT CITY OF EVERETT PERMIT SERVICES 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 9502 18th Ave W Unit L PARCEL #: 0048060010090 CITY Everett STATE WA zlp 98201 SUITE/UNIT #: Lot 14 FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): Harrison Pointe TENANT/BUSINESS NAME (if non-residential): Harrison Pointe Lot 14 LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Harrison Pointe Lot No.: 14 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Pacific Ridge Homes - DR Horton LLC OWNER MAILING ADDRESS: STREET 17921 Bothell Everett Hwy Ste 100 CITY Bothell STATE WA ZIP 98012 OWNER PHONE:425.939.1164 OWNER EMAIL: RLClancy@drhorton.com CONTRACTOR COMPANY NAME: Pacific Ridge Homes - DR Horton LLC WA STATE CONTRACTOR LICENSE #(REQUIRED): PACIFRD851 JB CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET 17921 Bothell Everett Hwy Ste 100 CITY Bothell STATE WA Zlp 98012 CONTRACTOR PHONE:425.939.1164 CONTRACTOR EMAIL: RLClancy@drhorton_com PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Rhonda Clancy CONTACT PHONE: 425.939.1164 CONTACT EMAIL: RLClancy@drhorton.com 1-101 BUILDING INFORMATION VALUATION OF WORK: $ 35 0.00 -- 2 �"5 ASSOCIATED LAND USE PROJECT # (if applicable): revii22-008 & revii22-007 (Valuation shall include the pre LO§ fair market value of all labor, fnaterials, and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: N/A PROPOSED USE OF BUILDING: New Single Family Home 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: R82306-003 Hudson AB DESCRIPTION OF WORK: New single family home using Registered Basic RB23 6- an. .I r,U Li I Or i 0 5 2023 CITY OF EVERETT I't;I II Ill JCI V Ik.U0 ACKNOWLEDGEMENT: 1 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. 10.02.23 Owner/Authorized Agent Signatu1W Date City of Everett Official Use Only PEn �O oz9 (Revised 4/21/2022)