4615 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

• 47-7- 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 INFORMATION PROJECT SITE ADDRESS:•4615 Riverfront Blvd 'PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivisionEverett Riverfront-Simpson Lot No.304 (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 an, 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 arr Bellevue STATE WA zip 98005 CONTRACTOR PHONE: (425)586-7700 CONTRACTOR EMAIL: ron.bowen@polygonhomes.com CONTRACTOR LICENSE#(REQUIRED): polygw1863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 PRIMARY CONTACT: D OWNER D CONTRACTOR ® OTHER(Please Specify) Agent CONTACT NAME: Connor King CONTACT PHONE:(425)586-7700 CONTACT EMAIL: Connor.king@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 DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: New DAddition ❑Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler DDemolition ❑Change of Use DESCRIPTION OF WORK: Construct 1 Single Family Residence,2645A Plan Type, 1910 SF living space.438 SF garage&98 SF covered porch,on new subdivided Division I, 70 SF Home Development ASSOCIATED BUILDING PERMIT#(if applicable): #-502 009 "DO2- 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 #°f List of Fixtures #°{ 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 5 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater 2 Shower Floor Drain 1 Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap i Gas Range Ducting 1 Dishwasher Roof Drains 1 Clothes Dryer Hookups i Other: 1 Clothes Washer Medical Gas _Range Hood 1 Water Heater Other: 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: 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 PERMIT#07/02/19 }vim V I O c n J „,U o k Owner/Authorized Agent Sigrilature Date (Revised 10/12/2015)