4321 30TH DR SE 2017-09-11 - Laserfiche WebLink

PERMIT APPLICATION BUILDING&ECHANICAL / PLUMBING / SIGN WRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION 290529004003,290529001021,290529001011, PROJECT SITE ADDRESS:4321 30th Dr. SE, Everett, WA PROPERTY TAX#: 290529001U14,005�600U`1(11 u-,UUb113UUuZUU0' 004390805017,004390805025,009953000010 LEGAL for new construction: Short Plat/subdivision Riverfront SF, LLC Lot No. 159 (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: 425.586.7700 OWNER EMAIL: aIan.pani@polygonhomes.com CONTRACTOR NAME: Same as Owner CONTRACTOR ADDRESS: STREET Same as Owner CITY STATE ZIP CONTRACTOR PHONE:425.586.7700 CONTRACTOR EMAIL:aIan.pani@polygonhomes.com CONTRACTOR LICENSE#(REQUIRED): polygw1863pW I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 PRIMARY CONTACT: ®OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.586.7700 Alan Pani CONTACT EMAIL: alan.panl@polygonhomes.Com BUILDING PERMIT APPLICATION Existing Use of Building: N/a lContract 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 ❑Industrial Type of Project: ®New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New construction, single family homes - plan 3581 C elevation Garage: 417 sf, 1 st floor: 1,156 sf, 2nd floor: 1,573 sf and covered porch: 117 sf ASSOCIATED BUILDING PERMIT#(if applicable): ` 111-t 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 Water Heater Refri er ion 2 Shower Floor Drain Gas Fireplace W&Tortove 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 ate eat Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: 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 t comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# �, 01a-n, �_ /�� 08/18/16 G [611- 0�Z- Owner/Authorized Agent Signature Date (Revised la/12/2015)