4929 SOUND AVE 2025-09-19 - Laserfiche WebLink

ECEIVE), BUILDING PERMIT APPLICATION ' ► CITY OF EVERETT PERMIT SERVICES JUL 18 2022 J EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements an lur R y,c.4 view, WASHINGTON then drop off completed application plus all required submittal documents to 3200 C r St e d rp Box. CONTACT INFORMATION: (P)425-257-8810 l(E)PerrnitService::s(everettwa.gov l(W)Pe(t tServiia eS (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 4929 Sound Avenue PARCEL#; Not avaiabte yet per ifnonorrrsh County Land Segregation cln Everett STATI- WA ?IP 98203 SUITE/UNIT#: N/A FLOOR#: N/A ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: SS 14-005 Lot No.: 1 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Ambrose Ying Kuen Chan and Wan Mei Cheung OWNER MAILING ADDRESS: STREET 5001 Sound Avenue cIi Everett >IAT, WA zn 98203 OWNER PHONE: 425-319-6267 OWNER EMAIL: amchan007©hotmail.com CONTRACTOR COMPANY NAME: Owner Builder WA STATE CONTRACTOR LICENSE#(REOUIRED):TO be determined CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)To be determined. CONTRACTOR ADDRESS: STREET crry iTATE. ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: PRIMARY CONTACT: _t OWNER ❑CONTRACTOR L I OTHER(Please Specify) CONTACT NAME: Ambrose Chan CONTACT PHONE:425-319-6267 Wan Mei Cheung CONTACT EMAIL: amchan007©hotmail.com BUILDING INFORMATION r VALUATION OF WORK:$290,515.40 ASSOCIATED LAND USE PROJECT#(if applic le): SS 14-005 (Valuation shall include the prevailing fair market value of of labor,materials,and entuipmeni needed`o.con.ptete the work,whether actually paid or not. EXISTING USE OF BUILDING: N/A PROPOSED USE OF BUILDING: Single Family Residence HEAT SOURCE: 1Gas x❑Electric ❑Other BUILDING TYPE: LISFR ._ Townhouse LLDuplex L]ADU A Units: ❑Commercial LiAccessory Structure TYPE OF PROJECT(check all that apply): []New Construction ❑Addition LRemodel ❑Repair t`iT.l. L(Change of Use ❑Modular ❑Portable ❑Re-roof ❑Exterior Alteration L_]Tank(above ground) LAccessory Structure ❑Fence over 7ft high ❑RackStorage _JPool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: A two-story residential building with an attached two-car garage ACKNOWLEDGEMENT.l 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.1 am the owner,or am authorized by the owner of this property to perform the work for which application is made. and 1 comply with the Stare Contractors Law 18.27 ROW and 206.200A WAG. City of Everett Official Use Only G vr-ti— 7/11/2022 P T2��C 5(,O Owner/Authorized Agent Signature Date (Revised 4/21/2022) 1 / _