4420 29TH AVE SE 2018-12-27 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING/SIGN t SPRINKLER/ DEMOLITION 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION 290529004003,290529001021;290529001011, PROJECT SITE ADDRESS: PROPERTY TAX#: 290529001014,005160001000,005160002000, 4420 29th Ave SE, Everett, WA 98201 004390805017,004390805025,009953000010 LEGAL for new construction: Short Plat/subdivision Riverfront SF, LLC Lot No.209 (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: alan.pani@polygonhomes.com CONTRACTOR NAME: Same as Owner CONTRACTOR ADDRESS: STREET Same as Owner CITY STATE ZIP CONTRACTOR PHONE:425.586.7700 CONTRACTOR EMAIL:alan.pani@pOlygOnhOmes.COm CONTRACTOR LICENSE#(REQUIRED): polygwl863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.586.7700 Alan Pani 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 ®Electric ❑Other Building Type: IBISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: IA New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New Construction, single family home- plan 3020 C elevation Garage: 463 sf, 1st floor: 869 sf, 2nd floor: 1,367 sf and covered porch: 129 sf ASSOCIATED BUILDING PERMIT#(if applicable):#1502-004 MECHANICAL PERMIT APPLICATION PLUMBINGPERMIT 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) L Forced Air Systems Unit Heater 2 Bathtub Urinal Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater ------1----Refripretierr, 1 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 t ter Other: 6 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMI '1 'h_ Pa.n , 11/14/16 Ur t, oO2 Owner/Authorized Agent Signature Date (Revised 10/12/2015) Th