4410 29TH AVE SE 2020-06-01 - Laserfiche WebLink

011Err PERMIT APPLICATION BUILDING /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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION'290529004003,290529001021,290529001011, PROJECT SITE ADDRESS: PROPERTY TAX#: 290529001014,005/60001000,005/60002000, 4410 29th Ave SE, Everett, WA 98201 004390805017,004390805025,009953000010 LEGAL for new construction: Short Plat/subdivision Riverfront SF, LLC Lot No.128 (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: IN OWNER ❑CONTRACTOR ❑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: INSFR-Detached ❑SFR-Attached ❑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: New construction, single family home - plan 3020 C elevation Y Garage: 449 sf, 1st floor: 855 sf, 2nd floor: 1,367 sf and covered porch: 123 sf 34 7 ASSOCIATED BUILDING PERMIT#(if applicable): eAs\I.-5(2)2,-004 z222- MECHANICAL PERIVIITAPPLICATION 222- MECHANICAL;PERMIT:APPLICATION PLUMBING PERMIT APPLICATION Type of Project: X New Addn Alteration Repair Type of Project: X New _Addn _Alteration _Repair #of #of List of Fixtures List of Fixtures #°f #of List of Fixtures 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 efivgiratioty-s, 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 �1"--Water'Ueater 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 PERMIT# r r o�' 0^�('I! n Pa.►Z,i� 07/06/16 L) \\ Owner/Authorized Agent Signature Date (Revised 10/12/20 5)