8022 BEVERLY LN 2020-11-24 - Laserfiche WebLink

ECTRICAL PERMIT APPIII ATION CITY OF EVERETT PERMIT SERVIM EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everettepsQeverettwagov I .everettwa.gov/permits PROJECT ADDRESS ADDRESS: 8022 Beverl Ln, Everett, WA 98203 BUILDING AREA: „.„.„ PROJECT TYPE Li NEW CONSTRUCTION El ADDITION Li TENANT IMPROVMENT CI REMODEL BUILDING USE El SFR Li TOWNHOUSE El DUPLEX 0 ADU El MULTI FAMILY-#OF UNITS: El COMMERCIAL 2t4V,-,griP!( :f! „IA•;;';'',' Y, 1taltri u,„AZ,4I it$te,gRIM-offiro, CONTRACT PRICE OF WORK:.$ 10,000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 12.24 kW DC solar install and (2) 13.5 kWh Tesla Powerwall Batteries . e THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 0 NOLi YES-Select Scope:El Service [7:1 Feeder El Circuits-#: El Complete Re-wire A LOW VOLTAGE WORK? Li NO Li YES-#of Devices:, SELECT SCOPE(REQUIRED): 171 Data El Intercom r: Thermostat 1:7:1 Audio El Secure Access El Security System El 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 location and installation approval. 0 Other(List All). °:• ,..6•• •3lia,. • EY' IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: RI NO 1111 YES See Below&Pg.2 0 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 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 Iv-quire Plan Review. _ ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ENO tlYES-See Below&Pg.3 r---1 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. OWNER NAME: Khue Nguyen TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 8022 Beverly Ln Everett CITY STATE WA ZIP 98203 OWNER PlIONE: OWNER EMAIL: CONTRACTOR NAME: Northwest Electric and Solar coNTRAcToR,ADDREss: STREET 18001 73rd Ave NE CITY Kenmore STATE WA zip 98028 CONTRACTOR PHONE:2063560601 CONTRACTOR EMAIL:nwesidhubler©grnail.corn CONTRACTOR LIC.MREQUIRED):NORTHES876MA CITY OF EVERETT BUSINESS LIG,*REQUIRED):51231 PRIMARY CONTACT: DOWNER EICONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4802862079 Drew Hubler CONTACT EMAIL:nwesdhubler©grnail:corn AGREEmavr. 'Homo redhYthati nave read and exaMinad appikatibriena knew the same to be true and oohed Alt PrOAISIPOs Of fon 88490nantas 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 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 296,200 WAC. City of Everett Official Usevnty PERMIT*: E tOb°1,— Owner/Authorized Agent Signature Date iff (fievieed'iil MVO) Page 1-Appticatisn