4531 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/ MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE ADDRESS. PROPERTY Riverfront Blvd PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivisionEverett Riverfront-Simpson Lot No.13 (attach copy of long legal description) y. CON ti*Of NFORMAYION :' OWNER NAME: Polygon WLH,LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th,Suite 100 ciTy 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 cars 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 t"" , { • ., BUIL©ING PERMIT.APPL1cA-16: Existing Use of Building: N/a. Contract Price of Work:$ Proposed Use of Building: Single Family Home Heat Source: El Gas ❑Electric ❑Other Building Type: El SFR-Detached El 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,2645C Plan Type,1910 SF living space,438 SF garage&98 SF covered porch,on new subdivided Division I,70 SF Home Development V� ASSOCIATED BUILDING PERMIT#(if applicable) 1 $-9Q9.— )' \ V� F,.," CHA IICA $PERMIT PLI ATION tt = ��,�, �,�,� -�, �,.;-: PLl�1�IBINd!RE3:1:0JT fi4. ,.. 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 Pre venter(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 A )&te"bleater- ,, Other:U)(rt%" ery e 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: ,•_s SPI1RINiCL*R J"SUPPRE011,00 4,STEW 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 /n� � - �- PERMIT t...) 1 /� ol4VI,�A./l. �_ �A,11,L 10/05/181`(J' �v(`cO1 Owner/Authorized Agent Signature Date (Revised 10/12/2015)