4616 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION "-A 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- PROPERTY Riverfront Blvd PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Everett Riverfront Simpson Lot No.373 (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 c rY 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: ❑ 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: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ®New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New construction,single family homes-plan 3581 A,(. &C elevations Garage:417 sf, 1st floor: 1,156 sf,2nd floor: 1,573 sf and covered porch: 117 sf ASSOCIATED BUILDING PERMIT#(if applicable) � }—( ! 0 t L: / 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 -`•4,`4...,,,,Retrgeratjon 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 1 Water Heater Other: 7 Exhaust Fan Sink(Service/Bar/Mop/etc.)., i Other:a } 1, 11L ei 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 b. / PERMIT CI C� e i k...\ G1-11,t. 12 19/18 Owner/Authorized Agent Signature Date (Revised 10/12/2015)