4523 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

PERMIT APPLICATIONnue :.:"1� ,� BUILDING / MECHANICAL/ PLUMBING/SIGN/!I'RINKLER/ DEMOLITION ..� CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits .P' f It PROJECT SITE INFORMATION. lt r ..,... L ... , Pim. ,% - PROJECT SITE ADDRESS: PROPERTY Riverfront Blvd PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivisionEverett Riverfront Simpson Lot No.16 (attach copy of long legal description) . ,., _.,v ash rl . . :CONTACT INFORMATION; fi , l;. OWNER NAME: Polygon WLH,LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th,Suite 100 en-v Bellevue STATE WA zip 98005 OWNER PHONE: (425)586-7700 OWNER EMAIL: alan.pani@polygonhomes.com CONTRACTOR NAME: Polygon WLH,LLC CONTRACTOR ADDRESS: STREET 11624 SE 5th,Suite 100 cim' Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: (425)586-7700 CONTRACTOR EMAIL: ron.bowen@polygonhomes.com CONTRACTOR LICENSE#(REQUIRED): polygwl863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ®OTHER(Please Specify) Agent CONTACT NAME: Alan Pani CONTACT PHONE:(425)586-7700 CONTACT EMAIL: alan.pani@polygonhomes.com _,BUILDING:PERMIT APPL`IC`ATIONg Existing Use of Building: N/a Contract Price of Work:$ Proposed Use of Building: Single Family Home Heat Source' ❑Gas ❑Electric ❑Other Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct 1 Single Family Residence,2645B Plan Type,1910 SF living space,438 SF garage&98 SF covered porch,on new subdivided Division I,70 SF Home Development ASSOC TED BUILDING PERMIT#(if applicable): .1592"d09 j 4 g t n 2 vECHANICAL,PERMIT APPLICATION, LUMBIItNG,PERMIT APPLICATION Type of Project: X New _ Addn _Alteration _Repair Type of Project: X New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 2 Bathtub Urinal Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater 2 Shower Floor Drain 1 Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas Range Hood Other: n•, 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) \ Otherf knift,Sum) ) SPRi'NKLER I SUPPRESSION SYSTEM`;', 4„ Number of Heads 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 OJcut / b. Patti, 10/05/18 PERMIT# /#U 1`al`u i� O\ Lk Owner/Authorized Agent Signature Date (Revised 10/12/2015) F h—)