4313 30TH DR SE 2019-04-17 - Laserfiche WebLink

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.:290529004003,29052900102'11,290529001011, PROJECT SITE ADDRESS:4313 30th Dr. SE, Everett,WA PROPERTY TAX#: 2905290011114,UU5/6UU01000,o lb/buo0200U, 004390805017,004390805025,009953000010 LEGAL for new construction: Short Plat/subdivision Riverfront SF, LLC Lot No. 155 (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 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.586.7700 Alan Pani CONTACT EMAIL: alan.pani@polygonhomes.COm BUILDING PERMIT.APPLICATION A.; Existing Use of Building: N/a Contract Price of Work:$ Proposed Use of Building: Single Family Home Heat Source: ❑Gas NIElectric ❑Other Building Type: INSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: New construction, single family homes- plan 3581 C elevation Garage: 417 sf, 1st floor: 1,156 sf, 2nd floor: 1,573 sf and covered porch: 117 sf ASSOCIATED BUILDING PERMIT#(if applicable): 5Q2_ 057 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 .i efri n 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 ter erg/ Other: / 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# ataji, b. Pain. 01/05/18 G t I" Owner/Authorized Agent Signature Date (Revised 10/12/2015)