4309 30TH DR SE 2019-01-08 - Laserfiche WebLink

4Err.' PERMIT APPLICATION S ��Z ' O L BUILDINECHANICAL/ PLUMBING /SIGNRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits - PROJECT,;SITEINFORMATION,...-_f ` -- F 6 PROJECT SITE ADDRESS- PROPERTY 30th Dr.SE PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivision Everett Riverfront-Simpson Lot No.153 (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 cin' 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 CITY Bellevue STATE WA ZIP 98005 CONTRACTOR PHONE: (425)586-7700 CONTRACTOR EMAIL: ron.bowen@polygonhomes.com CONTRACTOR LICENSE#(REQUIRED): polygw1863pw CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053222 PRIMARY CONTACT: 0 OWNER 0 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 ❑Electric ❑Other Building Type: ®SFR-Detached ❑SFR-Attached El Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct 1 Single Family Residence,3019A Plan Type,2236 SF living space,463 SF garage&129 SF covered porch,on new subdivided Division I,np 70 SF Home Development 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 #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 Refrigeration 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 WasherMedical Gas Range Hood 1 Water Heater 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only n -�, 1)- PQM/ 04.18.16 l PERMIT# �O 0 r(aO I (� Owner/Authorized Agent Signature Date (Revised 10/12/2015) t_ `)