4509 30TH DR SE 2018-12-28 - Laserfiche WebLink

PERMIT APPLICATION 10001111111'' ' BUILDING CHANICAL I PLUMBING /SIGN I INKLER/ DEMOLITION 0/rilitire.""*". CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits g -. PROJECT SITE-INFORMATION [PROJECT SITE ADDRESS: PROPERTY 30th Dr.SE PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivision Everett Riverfront Simpson Lot No.246 (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 my 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 crw 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 El Electric ❑Other Building Type: IXISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: IXKINew DAddition 0 Remodel ❑Repair ❑T.I. ❑Sign DSprinkler 0 Demolition ❑Change of Use DESCRIPTION OF WORK: Construct 1 Single Family Residence,2640A Plan Type, 1684 SF living space,428 SF garage&95 SF covered porch,on new subdivided Division I,70 SF Home Development ASSOCIATED BUILDING PERMIT#(if applicable):#1502-008 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 #°f 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 4 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater 1ef?tg iera�folr-^--" 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 I r 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 l�t. nn ,A, --L�i1. L. PQ./Lt. 02/09/2017 PERMIT# a 11,062,.., 62.E Owner/Authorized Agent Signature Date (Revised 10/12/2015) 7i.