3214 56TH ST SW 2019-09-10 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION /111:11A - 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 (Blue or Black Ink Only Please), PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3214 56th St SW PROPERTY TAX#:00731700001500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Thomas Sacco TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3214 56th St SW CITY Everett STATE WA ZIP 98203 OWNER PHONE:425-350-1963 OWNER EMAIL: t7sacco@yahoo.com CONTRACTOR NAME: Forecast Solar LLC CONTRACTOR ADDRESS: STREET 12820 Avondale Way cm, Everett STATE WA ZIP 98204 CONTRACTOR PHONE:425-487-6000 CONTRACTOR EMAIL: office@forecastsolar.com CONTRACTOR LICENSE#(REQUIRED): FORECRL955MK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044167 PRIMARY CONTACT: ❑OWNER 6d'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-487-6000 Will Habenicht CONTACT EMAIL: office@forecastsolar.com BUILDING PERMIT APPLICATIONCP Existing Use of Building: SFR Contract Price of Work:$ , 00 �i(pQ o Proposed Use of Building: SFR Heat Source: ❑Gas ❑Electric ❑Other Building Type: 6,a'SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: El Commercial El Industrial Type of Project: ❑New ❑Addition igkemodel ❑Repair ❑T.I. ['Sign ['Sprinkler ❑Demolition ['Change of Use DESCRIPTION OF WORK: Install 11.8 kW grid-tied, roof-mounted Solar PV system.40- Itek iT-295-SE solar modules.40-SolarEdge SE-P320-60c optimizers, 1 -SolarEdge SE-10000H-US line inverter, Sunmodo EZ mount racking system. 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 NC—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 ' 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 4,4Z;e: ) /o/ZC/Zofff PER,#I to04D Owner/A horint Signature Date (Revised 9/23/2016)