4624 RIVERFRONT BLVD 2020-12-23 - Laserfiche WebLink

•OLT PERMIT APPLICATIO. 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:4624 Riverfront Blvd PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Riverfront- Simpson Lot No. 370 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Polygon WLH, LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th Street, Suite 100 Bellevue CITY WA STATE 98005 ZIP OWNER PHONE: 425.586.7763 OWNER EMAIL: connor.king@polygonhomes.com CONTRACTOR NAME: Same as Owner CONTRACTOR ADDRESS: STREET Same as Owner CITY STATE ZIP 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 ❑ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.586.7763 Connor King 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 ❑Other Building Type: ®SFR-Detached ESFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial Elndustrial Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New construction, single family homes - plan 3581 C elevation Garage: 417 sf, 1st floor: 1,156 sf, 2nd floor: 1,573 sf and covered porch: 117 sf ASSOCIATED BUILDING PERMIT#(if applicable): 142! t)1 D—O 2.- 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 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 Gas Range Ducting 1 Dishwasher Roof Drains 1 Clothes Dryer Hookups Other: ) 1 Clothes Washer Medical Gas Range Hood ter Heater_ Other:' / Exhaust Fan Sink(Service/Bar/Mop/etc.) 'Other' NV V �(/� ( ) 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#/� > 07/8/19 l 1� O 0(0 Owner/Authorized Agent Sign ture Date (Revised 10/12/2015)