4400 CRESCENT AVE 2025-08-21 - Laserfiche WebLink

BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 (VV)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1O l ' CRESCENT AVE (lot 3) PARCEL#: 00605501500600 ciT, EVERETT ;TAT WA zip 98203 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction Short Plat/subdivision_ ACRE shortplat Lot No. L°"-'''"°FOT' (attach copy of long legal description) VICTORY HEIGHTS ADD TO EVERETT CONTACT INFORMATION BLK 015 D-00-ALL OF LOT 6-N 5OFT OF LOT 7 OWNER NAME:AMA VENTURES LLC OWNER MAILING ADDRESS: STREET PO BOX 271 cm, LAKE STEVENS STAIE WA zlF 98258 OWNER PHONE:4255082465 OWNER EMAIL: pavelgpa@gmail.com CONTRACTOR COMPANY NAME: GPA ENTERPRISES INC WA STATE CONTRACTOR LICENSE#(REQUIRED):GPAENEI853D5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62284 CONTRACTOR ADDRESS: STREET PO BOX 271 ,;iT,r LAKE STEVENS STATE WA Zip 98258 CONTRACTOR PHONE:4255082465 CONTRACTOR EMAIL:pavelgpa@gmail.COm PRIMARY CONTACT: ❑✓ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: --9012WO BUILDING INFORMATION VALUATION OF WORK: $ ASSOCIATED LAND USE PROJECT#(if applicable):PW2103 018 (valuation shah include the prevailing fan-Market value of all labor,materials and equipment needed to complete the work.whether actually paid or not.r EXISTING USE OF BUILDING:none PROPOSED USE OF BUILDING:SFR HEAT SOURCE: - Gas ❑✓Electric ❑Other BUILDING TYPE: EISFR LlTownhouse ❑Duplex JADU ❑Multi-Family-#Units: LiCommercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑✓New Construction Addition lRemodel (Repair ❑T.I. —iChange of Use iModular ❑Portable ❑Re-roof ❑Exterior Alteration ❑Tank(above ground) ❑Accessory Structure _✓Fence over 7ft high iiiRackStorage ❑Pool/Hot Tub `.Tank(above ground) ❑Other: DESCRIPTION OF WORK:Proposed 3 BDRM SFR Septic connects to public sewer Impervious quantities (est): +/-1240sgft SFR(eve line) DECE e RB2307-001 +/-600 sq ft driveway Cleared Area =+/- 18.200 sq ft Excavation QTY(excavation+fill)= House=+/-46 yds MAR 1 4 2024 Driveway=+/- 10 yds (('�� v/ nn�� C� ACKNOWLEDGEMENT i have reviewed this application and confirm the informat✓bR U intOtlerefdryt cTrr-ct. Work done pursuant to this permit must comply with current federal,state.and local law. The granting of a permit only authorizes approveoPer Roiiiorp,ttigr6from Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance lam the owner,or I am authorize y heyoWhbt f this property to perform the work for which application is made. and I comply it the State Contractors Law 18 27 RCW and 296.200A WAC City of Everett Official Use Only OwneriAuthorized Agent Signature Date (Revised 4/21/2022)