Laserfiche WebLink
PERMIT APPLICATION <br /> #111111 :1 <br /> BUILDING / MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> .23200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT,SITE.INFORMATION„:,`-'.2299006522990006110 003]2so52s00:1u21,290529 <br /> PROJECT SITE ADDRESS: 3422 30th Dr, Everett, WA PROPERTY TAX#: 0�4,oo5is0uul000,02900551:0 <br /> o5iso0u20oo, <br /> 004390805017,004390805025,009953000010 <br /> LEGAL for new construction: Short Plat/subdivision Eclipse Lot No. I (7 (attach copy of long legal description) <br /> ' CONTACTJNFORMATION <br /> OWNER NAME: Polygon WLH, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th Street, Suite 100 <br /> Bellevue CITY WA STATE 98005 ZIP <br /> OWNER PHONE: 425.586.7700 OWNER EMAIL: alan.pani@polygonhomes.com <br /> CONTRACTOR NAME: Same as Owner <br /> CONTRACTOR ADDRESS: STREET Same as Owner <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:425.586.7700 CONTRACTOR EmAL:alan.pani@polygonhomes.com <br /> CONTRACTOR LICENSE#(REQUIRED): polygwl863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 <br /> PRIMARY CONTACT: C81 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.586.7700 <br /> Alan Pani CONTACT EMAIL: alan.pani@polygonhomeS.com <br /> BUIL©ING`PERMIT; APPLICATION, <br /> Existing Use of Building: N/a Contract Price of Work:$ 103,575.00 <br /> Proposed Use of Building: Multi-Family Townhomes Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ®Multi-Family-#of Units: 6 ❑Commercial ❑Industrial <br /> Type of Project: ®New ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct Unit F in Bldg 25.5, a Type F- 6 unit building, as part of a 190 Unit Townhome <br /> Development <br /> 6-plex unit is 12,732 total SF, plan type F is 1,381 SF, 562 sf garage, and 66 sf deck/patio <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMI_TAPPLICATION••:, PLUMBING;PERMIT APPLICATION, <br /> Type of Project: X New _ Addn _Alteration _Repair Type of Project: X New _Addn Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater 1 Bathtub Urinal <br /> ( Gas Piping Boiler 4 Lavatory(Wash Basin) Drinking Fountain <br /> 1 Water Heater Refrigeration _ 2 Shower Floor Drain <br /> 1 Gas Fireplace Wood Stove .02' + Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting 1 Dishwasher Roof Drains <br /> 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas <br /> (� Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I-SUPPRESSION'SYSTEM <br /> Number of Heads <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> //�� <br /> PERMIT# nn r_ <br /> ala L �_ Pa-mi, 04.06.16 li(coo q--O& <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br /> ti <br />