4609 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

/I/ l.b/.111111-4 PERMIT APPLICATIO BUILDING , MECHANICAL / PLUMBING / SIGN ) .SPRINKLER/ DEMOLITION VaV 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:4609 Riverfront Blvd PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivisionEverett Riverfront-Simpson Lot No.307 (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 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 CITY 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 ❑ 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 ❑Electric DOther Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ECommercial ❑Industrial Type of Project: ®New EAddition El Remodel DRepair ❑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)'...'� SF Home Development ASSOCIATED BUILDING PERMIT#(if applicable): 4115021-009 I��-( ( , i - c ( z"_._ MECHANICAL PERMIT APPLICATION PLUMBING 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 A/C—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 2 Bathtub Urinal 1 Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater T `aefrigeration- 1 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 \,.X\-"-.-Water Heater _.__.... Other: 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other:lNic ofI 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.lam 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 ,A, � PERM# nn1 ^ I l�1041. \ _ Pa4ti. 12/19/18 e v Owner/Authorized Agent Signature Date (Revised 10/12/2015)