4416 RIVERFRONT BLVD 2018-03-13 - Laserfiche WebLink

a PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN/SPRINKLER/ DEMOLITION I'r'e 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 1 www.everettwa.gov/permits PROJECT SITE`INFORMATION PROJECT SITE ADDRESS' PROPERTY 29th Dr.SE PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivisionEverett Riverfront-Simpson Lot No.226 (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 ^.� cny Bellevue STATE WA zip 98005 OWNER PHONE: (425)586-7700 OWNER EMAIL: alan.pani@polygonhomes.com CONTRACTOR NAME: Polygon WLH,LLC —ft* ---* CONTRACTOR ADDRESS: STREET 11624 SE 5th,Suite 100 crw 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 0 CONTRACTOR EI 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 El Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct 1 Single Family Residence,2645B Plan Type,1910 SF living space,438 SF garage&98 SF covered porch,on new subdivided Division I,70 SF Home Development ASSOCIATED BUILDING PERMIT#(if applicable): #1502-009 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 Sy stems Unit Heater 2 Bathtub Urinal Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater ati 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 Other: 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM (Number of Heads ACKAIO LED6EMENT.: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 properly to perform the work for which application is made, and I complywitfl the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only nn ,^, PERMIT#3 rio ®t 1 -- �__ PGi 02/09/17�_ Owner/Authorized Agent Signature Date (Revised 10/12/2015)