6408 BEVERLY BLVD 2025-04-11 - Laserfiche WebLink

Biz BOLDING PERMIT APPLICAN CITY OF EVERETT PERMIT SERVICES D ECE OWE r n number of co copies required f iew, EVERETT SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal equtremer�s dp q d , WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floptr,Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 I(E)PermitServices@everettwa.gpv JW)everettwa.gov/ nits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION nITY OF -RETT PROJECT SITE ADDRESS: STREET 6408 Beverly Blvd. PARCEL#: 0053112 tI. ` Di ices clry Everett STATE WA ZIP 98203 SUITE/UNIT#: FLOOR#:2 ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Mario Herrera OWNER MAILING ADDRESS: STREET 6408 Beverly Blvd. Clry Everett STATE WA ZIP 98203 OWNER PHONE:(360) 907-7798 OWNER EMAIL: tekintank©gmail.com CONTRACTOR COMPANY NAME:Carlson Construction NW LLC C 5 j gq WA STATE CONTRACTOR LICENSE#(REQUIRED): CARLSCN803NU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):1Z E V-t-- j CONTRACTOR ADDRESS: STREET16404 Smokey Point Blvd ste. 111 crry Arlington STATE WA zip 98223 CONTRACTOR PHONE:360-454-0585 CONTRACTOR EMAIL:Office@cCnwllc.Com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-502-0710 Dillon Carlson CONTACT EMAIL:office@ccnwlic.com BUILDING INFORMATION VALUATION OF WORK:$$49,147.28 ASSOCIATED LAND USE PROJECT#(if applicable):n)a (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: 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.l. ❑Change of Use ❑Modular ❑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:This project is being done in 3 phases. This application is for phase number 1, which is the perimeter foundation work, dig out of crawlspace area, and cut in passthrough door in existing retaining wall seperating basement from crawlspace. We will not be doing any of the basement framing, or either addition at Is time. These parts of the drawing are unlikely to be done within the next year, so we will pull additional permits once we are ready to commence construction on these items. 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 Contractor a 18. W and 296.200A WAC. City of Everett Official Use Only _ PERMIT# 3 I (� J2 � v 7 e tFrorized'Agent Signature Date (Revised 4/21/2022)