3614 SHORE AVE 2025-08-18 - Laserfiche WebLink

B=0ING PERMIT APPLICATI I 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 I (E)PermitServices@everettwa.gov (W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3614 Shore Ave PARCEL#: 00433600002700 CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: N/A FLOOR#: N/A ADDITIONAL LOCATION INFORMATION (if applicable): N/A TENANT/BUSINESS NAME(if non-residential):N/A LEGAL DESCRIPTION for new construction: Short Plat/subdivision: SS20-002 Lot No.: 2 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Ryan Hayward OWNER MAILING ADDRESS: STREET P.O. Box 34 CITY North Lakewood STATE WA ZIP 98259 OWNER PHONE:(425) 754-5885 OWNER EMAIL: rian@cascadegcinc.com CONTRACTOR COMPANY NAME:Cascade General Contractors ', 2132-- \1I WA STATE CONTRACTOR LICENSE#(REQUIRED):CASCAGC980QK CITY OF EVERETT BUSINESS LICENSE#(REQUI- D): 602-241-370 CONTRACTOR ADDRESS: STREET P.O. Box 34 CITY North Lakewood STATE WA zip\98259 CONTRACTOR PHONE:(425) 754-5885 CONTRACTOR EMAIL:rian@cascadegcinc.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Agent CONTACT NAME: CONTACT PHONE:(425) 830-1046 Lee A. Michaelis CONTACT EMAIL:lee.michaelis@pugetsoundplanning.com BUILDING INFORMATION VALUATION OF WORK: $552561 ,.) ) (o3 kit-A ASSOCIATED LAND USE PROJECT#(if applicable):SS20-002 (Valuation shall include the p.r,Ailffig fair marker value of a I labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:No Existing Use PROPOSED USE OF BUILDING:Detached Single Family Residential (R-3) 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.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: Construction of a two-story, detached single family residence. Total livable space is 3,2998 square feet. Attached 3-car garage is 674 square feet. Construction also includes a 64 square foot entry porch and 172 square foot covered back patio. 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 Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# to!2•0/20Z / FU 2 ZU b07i Ow /Authorized Agent Signature Date( " (Revised 4/21/2022)