10115 HOLLY DR BLDG V OLIN FIELDS APTS 2024-06-28

• E BUILDING PERMIT APPLICATI 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 l(E)PermitServlces@everettwa.gov l(W)everettwa.gov/permits Blue or Black Ink Only Please) PROJECT SITE ADDRESS: STREET 10115 Holly Dr. PARCEL#• 28042400201100 ii c1Ty Everett STATE WA ZIP 98204 SUiTE/UNIT#: Building V FLOOR#: ADDITIONAL LOCATION INFORMATION(if applicable): TENANT/BUSINESS NAME(if non-residential):Olin Fields Apartments LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) . CON.T AOT:INFORMATION .. . . ...,....,......:....::., :..::.....:: OWNER NAME:Olin Fields Owner LLC OWNER MAILING ADDRESS: STREET 701 5th Ave, Suite 5700 cnr Seattle STATE WA zip 98104 OWNER PHONE:509-833-6657 OWNER EMAIL: CodyJ@secprop.com CONTRACTOR COMPANY NAME:Keck General Construction WA STATE CONTRACTOR LICENSE#(REQUIRED):CCKECKGGC855RW,CITY OF EVERETT BUSINESS LICENSE ff(REQUiRED): 64875 CONTRACTOR ADDRESS: STREET17311 135th Ave NE Suite B400 cliv Woodinville STATE WA zip 98072 CONTRACTOR PHONE:425-231-7004 CONTRACTOR EMAIL:shane@keckgc.com PRIMARY CONTACT: ❑OWNER D✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-498-2332 Jason Bean CONTACT EMAIL:jason@keckgc.com BUILDIN GBUILDING INFO ... VALUATION OF WORK:$$40,000 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:Multi-Family PROPOSED USE OF BUILDING:Multi-Family HEAT SOURCE: ❑Gas ❑✓Electric DOther BUILDING TYPE: ❑SFR DTownhouse ❑Duplex ❑ADU DMA-Family-#Units:352 OCommercial ❑Accessary Structure TYPE OF PROJECT(check all that apply): ONew Construction DAddition DRemodel ❑✓Repair DT.I. OChange of Use OModular ❑Portable ORe-roof ❑Exterior Alteration OTank(above ground) DAccessory Structure ❑Fence over 7ft high DRackStorage OPool/Hot Tub ❑Tank(above ground) ❑other: DESCRIPTION OF WORK:Exterior deck repair. Demolition of damaged wood and repair of wood with like and kind materials according to plans. Application of waterproofing detail according to plans. ACKNOWLEDGEMENT:l 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 Jason, 130o4 11/18/2022 PERMIT# 0 3 Owner/Authorized Agent Signature Date (Revised 4/21/2022)