Laserfiche WebLink
min BIDING PERMIT APPLICAT. J <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, <br /> WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION: (P)425-257-8810 I (E)PermitServices@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 4106 CLIFF DRIVE PARCEL#: 00464700006703 <br /> CITY EVERETT STATE WA zip 98203 <br /> SUITE/UNIT#: N/A FLOOR#: N/A ADDITIONAL LOCATION INFORMATION (if applicable): <br /> TENANT/BUSINESS NAME (if non-residential):N/A <br /> LEGAL DESCRIPTION for new construction: Short Plat/subdivision: N/A Lot No.: N/A (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME:BARRY HEREM <br /> OWNER MAILING ADDRESS: STREET 4106 CLIFF DRIVE <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR COMPANY NAME:ARMATA CONSTRUCTION <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):ARMATCS845KU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6036144660010001 <br /> CONTRACTOR ADDRESS: STREET 1416 NW 46TH ST STE 105 <br /> CITY SEATTLE STATE WA ZIP 98107 <br /> CONTRACTOR PHONE:206-853-8547 CONTRACTOR EMAIL:ed@armataconstruction.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) DEGENKOLB ENGINEERS <br /> CONTACT NAME: CONTACT PHONE:206.340.8118 <br /> TIFFANY LA CONTACT EMAIL:tla@degenkolb.com <br /> BUILDING INFORMATION <br /> VALUATION OF WORK: $50,000 ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> EXISTING USE OF BUILDING:SINGLE FAMILY RESIDENCE <br /> PROPOSED USE OF BUILDING:SINGLE FAMILY RESIDENCE <br /> HEAT SOURCE: ❑Gas ❑Electric ❑✓Other HOT WATER <br /> BUILDING TYPE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> TYPE OF PROJECT(check all that apply): ❑New Construction ❑✓Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use <br /> ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure <br /> ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: <br /> DESCRIPTION OF WORK:THE SCOPE OF WORK INCLUDES THE MODIFICATION OF THE EXISTING DECK <br /> LAYOUT TO INCORPORATE A 208 SQ-FT COVERED DECK EXPANSION WITH <br /> THE ADDITION OF NEW STAIRS FROM THE SOUTHWEST CORNER OF THE <br /> DECK EXPANSION DOWN TO THE GROUND LEVEL. ADDITIONALLY, ALONG THE <br /> WEST WALL OF THE BUILDING THERE WILL BE MODIFICATIONS TO THE <br /> EXISTING GLAZING TO INCORPORATE TWO NEW FRENCH DOORS. <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Digitally signed by TIFFANY LA PERMIT# • <br /> TIFFANY LA <br /> DN: =US,E= LAQDEGENKOLB.COM, 2/7/2023 '� ^ ))) r /) <br /> O=DEGENKOLB ENGINEERS,CN=TIFFANY LA ' ' / ' 0' / �' O Q % <br /> Date:2023.02.0709'07'01-08'00' k_vl /V� J V //' o <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br />