6200 12TH DR SE 2020-08-28 - Laserfiche WebLink

PERMIT APPLICATION '1P/#401 —/--a BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES J ' 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)( ,2j (} P,ROJEF SITE, INFORMATION PROJECT SITE ADDRESS:-6107 Berkshire-Dr, verett, N 9%0�-'t` PROPERTY TAX#:28050600401700 LEGAL for new construction: Short Plat/subdivision Section 06 Township 28 Range 05 Lot No. 1 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Berkshire Housing LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 100–23rd Avenue South CITY Seattle STATE WA ZIP 98104 OWNER PHONE:206-328-5720 OWNER EMAIL:RobV@ccsww.org CONTRACTOR NAME: A&R SOLAR CONTRACTOR ADDRESS: STREET 3211 Martin Luther King 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: ❑OWNER @ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-621-8238 Wendy Wenrick CONTACT EMAIL: permits@a-rsolar.com BUILDING PERMIT APPLICATION Existing Use of Building:Commercial Contract Price of Work:$869.24 Proposed Use of Building:No change to building use Heat Source: ❑Gas @Electric DOther Building Type: USER-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: @Commercial ❑Industrial Type of Project: ❑New @Addition ❑Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installing 7.2 kW photovoltaic system on roof of gazebos (added to original system on main building) 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 #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMS1 cc (s) • id \LLe/l/tF‘ Cl/L OwneY/AUthbrized Agent Signature Date (Revised 9/23/2016)