4303 RIVERFRONT BLVD 2019-03-14 - Laserfiche WebLink

47r PERMIT APPLICATION BUILDING I MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 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 INFORMATION PROJECT SITE ADDRESS:4 3011 D se'�1303 dL_ lPPgiil€RTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivisio`nE7v�erettt Riverfront-(SSimppson Lot No.149 (attach copy of long legal description) CONTACT INFORMATION'S OWNER NAME: Polygon WLH,LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th,Suite 100 civ 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): polygwl863pw 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 PERMITAPPLICATION ' Existing Use of Building: N/a Contract Price of Work:$ Proposed Use of Building: Single Family Home Heat Source: ❑Gas ❑Electric ❑Other Building Type: IXISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: IZINew ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition CDChange of Use DESCRIPTION OF WORK: Construct 1 Single Family Residence,2645C Plan Type, 1910 SF living space,438 SF garage&98 SF covered porch,on new subdivided Division I,70 SF Home Development ASSOCIATED BUILDING PERMIT#(if applicable): #1502-009 -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 AIC —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---"\--Refreffitton 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 ate Other: 6 Exhaust Fan Sink(Service/Bar opietc.) 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 nn ,A, -- a4ti� PERMIT# \ - l�l,C�.i7. � 01/05/18 ( D2 occi3 3/G/11 Owner/Authorized Agent Signature Date (Revised 10/12/2015) �l�