4611 RIVERFRONT BLVD 2020-10-22 - Laserfiche WebLink

OLT PERMIT APPLICATIOI BUILDING i MECHANICAL / PLUMBING / SIGN i SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS. PROPERTY Riverfront Blvd PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivisionEverett Riverfront-Simpson Lot No.306 (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: 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 APPLICATION Existing Use of Building: N/a Contract Price of Work: $ Proposed Use of Building: Single Family Home Heat Source: ❑Gas 0 Electric 0 Other Building Type: I$ISFR-Detached ❑SFR-Attached 0 Duplex ❑Multi-Family-#of Units: 0 Commercial 0 Industrial Type of Project: ®New ❑Addition 0 Remodel ❑Repair ❑T.I. 0 Sign ❑Sprinkler 0 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 III,83 SF Home Development ASSOCIATED BUILDING PERMIT#(if applicable): #1-50.2T159-- g { I-GO MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: X New Addn _Alteration _Repair Type of Project: X New _Addn _Alteration _Repair Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of 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 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 -1. Other: 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) l Other:'AJ1 -(�{�` Lt ;L' latt.Cit SPRINKLER/ SUPPRESSION SYSTEM 011)—(/(/' 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.l 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 abLn, b_ /�a.n,L- 12/19/18 PERNJI #� 0.) - Owner/Authorized Agent Signature Date (Revised 10/12/2015) )J�