4416 RIVERFRONT BLVD 2020-01-30 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVER IT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 vvAs I NGTON (P)428-25.7-8810 FAX 425-257-8857 (E)everetteps@everettwa.gov I wwweverettwa.gov/permits 'AAP ‘•1-,t1 PROJECT ADDRESS: 4416 Riverfront Blvd Everett, WA 98203 BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT it REMODEL BUILDING USE: 0 SFR El TOWNHOUSE El DUPLEX 0 ADO El MULTI-FAMILY-#OF UNITS: El COMMERCIAL SI 1iLE ".1., 110:4110,.; ,6-1..,..,-; L94 MO.\ CONTRACT PRICE OF WORK:$ 26,693.62 ASSOCIATED BUILDING PERMIT#(if applicable): vend t DESCRIBE SCOPE OF WORK: Installation of a 8.88 kW solar PV system on the South and West roofs of house. There will be 27 370W LG solar panel modules (model # LG370Q1C-V5) installed using a roof racking,system. There will be 1 SolarEdge HD Wave single phase inverter(model # SE7600H-US) installed on the North interior wall. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO KI YES Select Scope:El Service NI Feeder El Circults-#: 0 Complete Re-wire LOW VOLTAGE WORK? of#YES-NO he Devices: El • SELECT SCOPE(REQUIRED); El Data El Intercom CI Thermostat ED Audio El Secure Access El Security System 0 Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device Idcation and installation approval. Other(List S()toll( moyl .stC- IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: E2 NO 1111 YES--See Below&Pg.2 By checking this box,I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 E of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE:ZNO DYES-See Below&Pg.3 — Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on buildings for rent,sale,or lease without the proper electrical licensing and certification,or exemption, By checking this box,I am stating that I have completed and See page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement CI% •6: JiXi OWNER NAME: Marc Runyard TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4416 Riverfront Blvd CITY Everett sTATE WA zip 98203 OWNER PHONE:(425)870-7778 OWNER EMAIL:rnrunyard@hotmail.com CONTRACTOR NAME: Artisan Electric Inc CONTRACTOR ADDRESS: STREET 969 S Nebraska St Suite A civr Seattle $TATE WA zp 98108 CONTRACTOR PHONE:206-557-4216 CONTRACTOR EMAIL:info©artisanelectricinc,com CONTRACTOR LIC.#(REQUIRE9:ARTISEI936L1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: EJOWNER EICONTRACTOR [DOTHER(Please Specify) CONTACT NAME: CONTACT'PHONE:206-557-4215 Lyra Bertels CONTACT EMAIL:iyra@attiSatleleCtriCiliC.COnl AGREEMENT:!hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is made and comply with the State Contractors Law 18.27 RCW end 296.200 WAC. City of Everett Official Use Only PERMIT#: ele oviela11/25/2019 E ff \COO /Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application