4508 31ST AVE SE 2018-12-27 - Laserfiche WebLink

4E-17 PERMIT APPLICATIO BUILDIN CHANICAL/ PLUMBING /SIGN itINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVI 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE N ORMATION;290.52900003290529001023,290529001011, PROJECT SITE ADDRESS: PROPERTY TAX#: 290529001014,005160001000,005760002000, 4508 31st Ave SE, Everett, WA 98201 004390805017,004390805025,009953000010 LEGAL for new construction: Short Plat/subdivision Riverfront SF, LLC Lot No.250 (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 my 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): polygw1863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 PRIMARY CONTACT: [2:1 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: IN New ❑Addition El Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New construction, single family home - plan 3020 A 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 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 List 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 1 Water Heater —'-'1*------ R igeratien✓ 1 Shower Floor Drain I _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/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 D PERMITIi 6 b_Ow • -,,,\ aea,n, b_ %to n,i. 11/14/161I2 Owner/Authorized Agent Signature Date (Revised 10/12/2015)