512 72ND ST SE 2021-12-22 - Laserfiche WebLink

E PERMIT APPLICATRI EVERETT WASHINGTON BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 512 72nd St. SE PROPERTY TAX #: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: James Vail TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET512 72nd St. SE clTv Everett STATE WA zip 98203 OWNER PHONE: 206-949-9517 OWNER EMAIL: james.l.vail@mac.com CONTRACTOR NAME: Sunergy Systems Inc. CONTRACTOR ADDRESS: STREET4546 Leary Way NW CITY Seattle STATE WA ZIP 98107 CONTRACTOR PHONE:206-297-0086 CONTRACTOR EMAIL: ionl@sunergysystems.com CONTRACTOR LICENSE #(REQUIRED): sunersi905d4 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 51574 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Jon Lange CONTACT PHONE:206-571-4726 CONTACT EMAIL:jonl@sunergysystems.com BUILDING INFORMATION Existing Use of Building: Residential house Contract Price of Work: $ 21,600 Proposed Use of Building. Add Photovoltaic rooftop array Heat Source: ❑Gas []Electric ❑Other BUILDING USE: PdSFR ❑Townhouse ❑Du lex ❑ADU ❑Multi -Family- # Units: ❑Commercial ElAccessory Structure Type of Project.' ❑New ❑Addition gRemodel ❑Re air ❑T.I. ❑Sin []Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: solar photovoltaic installation on residential rooftop consisting of 48@ Sunpower-360w ACPV modules w/ integral microinverters. ASSOCIATED BUILDING PERMIT # if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures A/C — Air Handling Units Gas Piping Backflow Preventer (Inside Bldg) Shower. Tub, or Combo Boiler Gas Range Clothes Washer Sink -Commercial (3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink -Residential (kitchen, bath, bar) Duct System (Remodel) Refrigeration Drinking Fountain Sink -Utility, laundry, mop Exhaust Fans (Residential) Commercial Ventilatior (Not Heat/AC system) Floor Drain Toilet Exhaust Hood (Type 1) Hose Bibb Urinal Exhaust Hood (Type II) Water Heater Interceptor -Grease Waste/Water Piping Repair Exhaust Hood (Residential) Wood Stove Interceptor-Sand/Oil Water Service (behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER / SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No, of Heads Chemical Suppression System 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 l 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. 7 Agent Signature Date City of Everett Official Use Only P I� 02-.4 (Revised 1011012018)