4605 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

477. PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ 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 PROJECT SITE INFORMATION PROJECT SITE ADDRESS:•4605 Riverfront Blvd PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivisionEverett Riverfront-SimpsonLot No.9 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Polygon WLH,LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th,Suite 100 crn' 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 cm, 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: ❑ OWNER 0 CONTRACTOR ®OTHER(Please Specify) Agent CONTACT NAME: Alan Pani CONTACT PHONE:(425)586-7700 CONTACT EMAIL: alan.pani@polygonhomes.com BUILDING PERMIT APPLICATION Existing Use of Building: N/a Contract Price of Work: $ Proposed Use of Building: Single Family Home Heat Source: ❑Gas DElectric ❑Other Building Type: IXISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair DTI. ❑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 ASSOCTED BUILDING PERMIT#(if applicable): #1502-009 1 MECHANICAL PERMIT APPLICATION \\_,,/2LUMBING 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 IGas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater v L\ 7 efrigeratfon 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 \,-\t, ,.-Water HeAter % \, Other: 6 Exhaust Fan .Sink(Service/Bar/Mop/etc.) ) Other: kkaik �I /'J) SPRINKLER/ SUPPRESSION SYSTEM 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 nn ,A, --j� b( )? I�IXL �- �CLl1-V 10/05/18 PERMIT \ Owner/Authorized Agent Signature Date (Revised 10/12/2015) rr V2 :1