4326 29TH DR SE 2019-03-15 - Laserfiche WebLink

PERMIT APPLICATIO ' #11 � BUILDINCECHANICAL/ PLUMBING /SIGNFRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 ((E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECTSITE:INFORMATION .: ., PROJECT SITE ADDRESS. PROPERTY 29th Dr.SE PROPERTY TAX#: 29053200102300 LEGAL for new construction: Short Plat/subdivisionEverett Riverfront-Simpson Lot No.110 (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 cn-v 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 ciiv 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';PERMIT,APPLICATION` Existing Use of Building: N/a Contract Price of Work:$ Proposed Use of Building: Single Family Home Heat Source: El Gas ❑Electric El Other Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler El Demolition ['Change of Use DESCRIPTION OF WORK: Construct 1 Single Family Residence,2645B 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 MECHANICALwPERMIT 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 e 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 Other: 6 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I 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 l Use Only _ � PERMIT# C \1O ' OC aeN, b- Pte, 07/01/16 Owner/Authorized Agent Signature Date (Revised 10/12/2015)