3405 ROCKEFELLER AVE A, B, C 2025-08-19

BUILDING PERMIT APPLICATIG., 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)everetteps@everettwa.gov i(W)everettwa.gov/permits (Blue or Black Ink Only P/ease) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3405 Rockefeller Ave PARCEL#: 00438182000200 cm Everett STATE WA ZIP 98201 SUITE/UNIT#: A,B,C FLOOR M 1&2 ADDITIONAL LOCATION INFORMATION (if applicable):All interior TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Everett div M plat Lot No.:2,3, &4 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:3405 ROCKEFELLER LLC OWNER MAILING ADDRESS: STREET 104 104TH ST SE cm, EVERETT STATE WA z,P 98208 OWNER PHONEA253196555 1OWNER EMAIL: hsblrk@gmail.com CONTRACTOR COMPANY NAME:Mega Construction LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):MEGACCL801 PO CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62968 CONTRACTOR ADDRESS: STREET104 104TH ST ciTv EVERETT STATE WA ZIP 98208 CONTRACTOR PHONEA253196555 1CONTRACTOR EMAIL:hsblrk@gmail.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Woodway Homes Inc-4257734356 CONTACT NAME: CONTACT PHONE:425_773-4356 Alex Da ri oti s CONTACT EMAIL:darlotls2@gmall.com BUILDING INFORMATION VALUATION OF WORK:$275,000.00 ASSOCIATED LAND USE PROJECT#(if applicable): (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:triplex- t4 , P _. PROPOSED USE OF BUILDING:triplex HEAT SOURCE: ❑Gas ❑✓Electric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:3 ❑✓Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof El Exterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK:Gut to studs, level floor, remove part of front basement wall, install egress, new insulation, windows, unit separation, coverings, finishes, appliances, electrical, and re-roof. 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./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. i 1 City of Everett Official Use Only , f /J �. PERMIT# Owner/Authorized Agent Signature 6 Date L (Revised 21812021) W ZX V — D� �