2612 58TH ST SW 2023-04-28 - Laserfiche WebLink

BUILDING PERMIT APPLICATION CITY OF EVERE'TT PERMIT SERVICES E V E R E T T 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: STREET 2612 581h St SW PARCEL#: 00813500001600 city Everett STATE WA zap 98203 SUITEIUNIT#: FLOOR#: 1 ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivislon: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Gabe&Joy Cobo OWNER MAILING ADDRESS: STREET 2612 58th St SW cnv Everett STATE WA vP 98203 OWNER PHONE:714-225-7113 OWNER EMAIL: jgecobo@gmail.com CONTRACTOR COMPANY NAME:JL Remodeling Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):CCJLREMI"981 JD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62458 CONTRACTOR ADDRESS: STREET 19504 24th Ave W. crrr Lynnwood STATE WA Z1P 98036 CONTRACTOR PHONE:425-493-4742 CONTRACTOR EMAIL:ryyan@ jlremodeling.com PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-422-7163 Ryan Sims CONTACT EMAIL:ryan@jlremodeling.com BUILDING INFORMATION VALUATION OF WORK:$67,800 ASSOCIATED LAND USE PROJECT# if applicable), (valuatlon shall Include the prevailing fair markel value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:Residence PROPOSED USE OF BUILDING:Residence HEAT SOURCE: ©Gas {]Electric ❑Other BUILDING TYPE: ©SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-1F Unns: ❑commercial (]Accessory Structure TYPE OF PROJECT(check all that apply): El 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: Drywall only permit. No structural changes to space. Demo primary suite flooring, cabinet, countertop, sinks, mirror, vanity light, tub, tub filler, tub deck, shower, shower valve and trim, shower glass, toilet, base molding, can trims, fan and bath set. Prep space and apply appropriate protection to all surrounding areas. Replace bathtub, install new cabinets/countertops, and build new shower surround with a glass enclosure. ACKNOWLEDGEMENT.,f 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 em the owner,or t am authorized by the owner of this property to perform the work for which applloation is made, and I comp! with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only / q_ PERMIT# Owner/Authorized Agent Slgnatu're I Date (Revised 4/21/2022) -- t r_ 1