2020 LAKE HEIGHTS DR WATERFORD PLACE APTS 2022-02-15

• • 1411111111 BUILDING PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2020 Lake Heights Dr (p)ui` j { PARCEL#: cn Everett STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): Waterford Apartments LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME; Waterford Apartments LLC OWNER MAILING ADDRESS: STREET 18006 SKY PARK CIR STE 200 crn IRVINE STATE CA zip 92612 OWNER PHONE: 714.585-3485 OWNER EMAIL: nsoresi@sageaptmgt.com CONTRACTOR COMPANY NAME: POLEN PROPERTY SERVICES LLC WA STATE CONTRACTOR LICENSE#(REQUIRED): POLENPS822JFCITY OF EVERETT BUSINESS LICENSE#(REQUIRED): RECEIPT 2021 CONTRACTOR ADDRESS: STREET 4104 SW 327TH PL city FEDERAL WAY STATE WA zip 98023 CONTRACTOR PHONE:206-841-0881 CONTRACTOR EMAIL: POLEN.OFFICE@POLENPROPERTYSERVICES.COM PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR E OTHER(Please Specify) CONTACT NAME: �+ CONTACT PHONE: 206-681-0015 ANGELICA J UAREZ CONTACT EMAIL: ANGELICA@POLENPROPERTYSERVICES.COM BUILDING INFORMATION VALUATION OF WORK:$ '50 s J 0 0^£7- ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shad include the prevailing far market value of at labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING: APARTMENT COMMUNITY PROPOSED USE OF BUILDING: HEAT SOURCE: ❑Gas ©Electric ❑Other BUILDING TYPE: ESFR DTownhouse ❑Duplex DADU ✓(]Multi-Family-#Units 200 ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ONew Construction ❑Addition ❑Remodel ❑Repair ❑T.I. (]Change of Use ❑Modular OPortable IRe-roof DExterior Alteration ETank(above ground) DAccessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pooi/Hot Tub ElTank(above ground) ❑Other; DESCRIPTION OF WORK: r ACKNOWLEDGEMENT`/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,1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only rf„ PERMIT# n I 10f13/2021 5 L i i o— 0 5(O Owner/Authorized A•-nt I• ature Date (Revised 282021) 1 /