2010 113TH PL SE 2017-01-18 - Laserfiche WebLink

PERMIT APPLICi4Tl0 BUILDIN(�AECHANICAL / PLUMBING / �IGN�RINKLER / DEMOLITION CITY OF EVERETT PERMIT :>ERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATI�ON parcel numbers: 00574700100102, 00574700100100, PROJECT SITE ADDRESS: PROPERTY TAX #: 1 57 2010 113th PI SE, Everett, WA, 98204 00574700100304, 005747001003018 00574700100403 LEGAL for new construction: Short Plat/subdivision Silver Lake Center Lot No. (attach copy of long legal description) CONTACT INFORMATIONI OWNER NAME: Silver Lake Center, LLC TENANT NAME (�f Commercial): OWNER MAILING ADDRESS: srREEr 11624 SE 5th Street, Suite 100 Bellevue cirv WA sTaTE 98005 ziP OWNER PHONE: 425.586.7700 OWNER EMAIL: alan.pani@polygonhomes.com CONTRACTOR NAME: Silver Lake Center, LLC CONTRACTOR ADDRESS; sTREET 11624 SE 5th Street, Suite 100 Bellevue cirv WA sTnTE 98005 ziP CONTRACTOR PHONE: 425.586.7700 CONTRACTOR EMAIL: alan.pani@polygonhomes.com CONTRACTOR LICENSE #(REQUIRED): 603-36-296 CITY OF E\/ERETT BUSINESS LICENSE #(REQUIRED): �53223 PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: (425) 891-2727 Michelle Dittman CONTACT EMAIL: michelle.dittman@polygonhomes.com 6UILDING PERMIT APPLICAiION Existing Use of Building: Sales O�ce Contract Price of Work: $ � 1��'� Proposed Use of Building: Garage for a Townhome Residence Heat Source: DIGas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-# of Uriits: 5 ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition �Change of Use DESCRIPTION OF WORK: Convert existing townhome unit from Sales Offices back into garagE>. ASSOCIATED BUILDING PERMIT #(if applicable): 6�4�-1-014-aa�-C1411-015 MECHANICAL PERMIT APPLICATION PWMIBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Projecl:: _New _Addn _Alteration _Repair # of List of Fixtures #�f List of Fixfures # of Lisf of Fixtures #�f List of Fixtures Fixfures Fiztures Fixtures Fixtures A/C — Air Handling Units Heat Pump Toilet Backflow Preventer (Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory (Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other. Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: SPRINKLER / SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT.' 1 have reviewed this application and confirm the information contained herein is true and co�rect. Work done pursuant to tl�is permit must comply with cunent tederal, state, and local law. The granting of a permit only authorizes approved wo�k and no deviations therefrom. Deviations must first be authorized in w�iting 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. �l � yr(� Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # ��7 �o� � (Revised 10/12/2015) �/ ��