4413 RIVERFRONT BLVD 2018-02-21 - Laserfiche WebLink

PERMIT APPLICATION BUILDING &CHANICAL / PLUMBING / SIGN / INKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:4408 30th Dr.SE PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short PlaUsubdivision Everett Riverfront-Simpson Lot No.135 (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 CITY Bellevue STATE WA ZIP 98005 OWNER PHONE: (425)586-7700 OWNER EMAIL: alan.pani@polygonhomes.com CONTRACTOR NAME: Polygon WLH, LLC CONTRACTOR ADDRESS: STREET 11624 SE 5th,Suite 100 ciTv Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: (425)586-7700 CONTRACTOR EMAIL: ron.bowen@polygonhomes.com CONTRACTOR LICENSE#(REQUIRED): polygwl863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ® OTHER(Please Specify) Agent CONTACT NAME: Alan Pani CONTACT PHONE:(425)586-7700 CONTACT EMAIL: alan.pani@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 El Electric ❑Other Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct 1 Single Family Residence,26406 Plan Type, 1684 SF living space,428 SF garage&95 SF covered porch,on new subdivided Division I,70 SF Home Development ASSOCIATED BUILDING PERMIT#(if applicable):41502-008 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 4 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater 1 2 Shower Floor Drain 1 Gas Fireplace Wood Stove 1 Kitchen Sink& Disposal Grease Trap Gas Range Ducting 1 IDishwasher Roof Drains 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas Range Hood t Other: 5 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 l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only /� VI.G( & �_ / GULL 08/04/2016 PERMIT# n M t ! N—� Id Owner/Authorized Agent Signature Date (Revised 10/12/2015)