3315 BROADWAY HOPEWORKS STATION 2 2020-12-02

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION 47-7- CITY OF EVERETT PERMIT SERVICES -� 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:3331 Broadway Ave, Everett WA 98201 PROPERTY TAX#:00439079601101 LEGAL for new construction: Short Plat/subdivision Section 29 Township 29 Range 5 Lot No.i1,i2,i3-16(attach copy of long legal description) CONTACT INFORMATION OWNER NAME: HOPEWORKS SOCIAL ENTERPRISES TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET3331 Broadway Ave CATV Everett STATE WA ZIP 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:A AND R SOLAR SPC CONTRACTOR ADDRESS: STREET 3211 MLK Jr Way S, Suite B CITY Seattle STATE WA ZIP 98144 CONTRACTOR PHONE:206-707-9937 CONTRACTOR EMAIL: permits@a-rsolar.com CONTRACTOR LICENSE#(REQUIRED):RSOLAS*903JM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):053961 PRIMARY CONTACT: 0 OWNER a CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:Wendy-(360)621-8238, Andrew-(262)331-0485 Wendy Wenrick(Project Admin)or Andrew Houle(PM) CONTACT EMAIL:permits@a-rsolar.com BUILDING PERMIT APPLICATION t Existing Use of Building: Contract Price of Work:$72,134.40 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑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 ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installing PV system on rooftop ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration _Repair Type of Project: _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 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No.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# a ill 1/�f�� I�'1 0�—' � 0 er ut onzed Ag n I nature Date (Revised 9/23/2016) T