4328 CRESCENT AVE 2025-07-30 - Laserfiche WebLink

BUILDING 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 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: sHjB2 ' s CRESCENT AVE (lot 2) PARCEL #: 00605501500600 CITY EVERETT STATE WA ,,P 98203 SUITE/UNIT #: FLOOR #: ADDITIONAL LOCATION INFORMATION (if applicable): TENANTIBUSINESS NAME (if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: ACRE shortplat Lot No.: LOT 6-N WF', 1: LOT (attach copy of long legal description) VICTORY HEIGHTS ADD TO EVERETT CONTACT INFORMATION gLK 015 D-00 -ALL OF LOT 6 - N 50FT OF LOT 7 OWNER NAME: AMA VENTURES LLC OWNER MAILING ADDRESS: STREET PO BOX 271 CITY LAKE STEVENS STATE WA Zip 98258 OWNER PHONE:4255082465 OWNER EMAIL: paVelgpa@gmall.Com CONTRACTOR COMPANY NAME: GPA ENTERPRISES INC WA STATE CONTRACTOR LICENSE #(REQUIRED): GPAENE1853D5 ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 62284 CONTRACTOR ADDRESS: STREET PO BOX 271 ,,Ty LAKE STEVENS STATE WA 71P 98258 CONTRACTOR PHONE: 4255082465 1CONTRACTOR EMAIL: pavelgpa@gmall.Com PRIMARY CONTACT: ❑r OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 211ILDING INFORMATION VALUATION OF WORK: $ ASSOCIATED LAND USE PROJECT # (if applicable): PW2103-018 (Valuation sha;l include the prevailing faii�trtarket value of all labor. materials. and equipment needed to complete the work, whether actually paid or not.) EXISTING USE OF BUILDING: none PROPOSED USE OF BUILDING: residential HEAT SOURCE: Gas DElectric ❑Other BUILDING TYPE: RISFR []Townhouse ❑Duplex �:IADU ❑Multi -Family - # Units: ❑Commercial Accessory Structure TYPE OF PROJECT (check all that apply) : ❑r 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: DESCRIPTION OF WORK: Proposed 3 bedroom SFR Septic connects to public sewer Impervious quantities (est): +/-1240sgftSFR(eve line) Reference RB2307-001 +/- 600 sq ft driveway Cleared Area = +/- 18.200 sq ft Excavation QTY (excavation + fill) _ tV L� House = +/- 46 yds 1 Driveway = +1- 18 vds rr. , t T 4� ACKNOWLEDGEMENT: / have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant t permit comply with current federal, state. and local law. The granting of a permit only authorizes approved work and no deviations therefro aqo�1 st first be authorized riling from the Building Official before being authorized under any circumstance. / am the owner, or I am authorized by the owner of t it eYty 5rfl r'L'-twpich application is made. and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Ij��t.- �t �1 r C Cy �?[446ftl Use Only Owner/Authorized Agent Signature k Date (Revised 412112022)