4622 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

grr 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. PROPERTY Riverfront Blvd PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Everett Riverfront-Simpson Lot No.371 (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 ciry Bellevue STATE WA ZIP 98005 OWNER PHONE: (425)586-7763 OWNER EMAIL: connor.king@polygonhomes.com CONTRACTOR NAME: Polygon WLH,LLC CONTRACTOR ADDRESS: STREET 11624 SE 5th,Suite 100 crry Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: (425)586-7763 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: Connor King CONTACT PHONE:(425)586-7763 CONTACT EMAIL: connor.king@polygonhomes.com BUILDING PERMIT APPLICATION Existing Use of Building: N/a Contract Price of Work:$ (pt Zo2, Proposed Use of Building: Single Family Home Heat Source: ❑Gas ❑Electric ❑Other Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler El Demolition ❑Change of Use DESCRIPTION OF WORK: New construction,single family homes-plan 3580 g elevations Garage:433 sf,1st floor:1,074 sf,2nd floor: 1,472 sf and covered porch:120 sf ASSOCIATED BUILDING PERMIT#(if applicable):# 042 106I '! 1)--00 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 NC—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 V `/Re i er 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 './( Other: 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other&A/J1(Q, 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 ,J� PERMIT# CD'11.1tan, C i.n 07/8/19 l/ tot olf6 V l \ Owner/Authorized Agent SigNature Date (Revised 10/12/2015)