4610 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

07.677- 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS. PROPERTY Riverfront Blvd PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivision Everett Riverfront Simpson Lot No.376 (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 crry 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 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 ❑Electric ❑Other Building Type: El SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct 1 Single Family Residence,--26413A-Plan Ty.-, : -, •. - .v- -• .. subdivided Division 170 SF --••- e- - :. - • g I �% ASSOCIATED BUILDING PERMIT#(if applicable):#41-542'008- CA f 8 0"06 �I MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: X_New _ Addn _Alteration ___Repair Type of Project: XNew 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 Gas Piping Boiler 4 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: ,��f Q'-1jI� 5 Exhaust Fan Sink(Service/Bar/Mop/etc.) I Other:I/L' swv rYlY�1 c 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 ,�, � }� PER ^ 0 1 l�t.C��.►1. IJ. PA-J'U� 10/05/18 r � I Owner/Authorized Agent Signature Date (Revised 10/12/2015) qz)