1321 122ND ST SE 2022-05-02 - Laserfiche WebLink

�Log PERMIT APPLICATIO BUILDIN(3�, MECHANICAL / PLUMBING / SIGN PRINKLER / DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (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: 1321 122nd St SE PROPERTY TAX#:00575400009000 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jackson Chatfield TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1321 122nd Se SE CITY Everett STATE WA ZIP 98208 OWNER PHONE: 425-876-0982 OWNER EMAIL:jchatfield058@gmail.com CONTRACTOR NAME:Smart Energy Today, Inc CONTRACTOR ADDRESS: STREET2500 Mottman Rd SW CITY Tumwater STATE WA ZIP 98512 CONTRACTOR PHONE:360-637-4343 x2226 CONTRACTOR EMAIL:victoria.b@smartenergytoday.net CONTRACTOR LICENSE#(REQUIRED):SMARTET869RJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52463 PRIMARY CONTACT: ❑OWNER I] CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-637-4343 x2226 Victoria Blunt CONTACT EMAIL:victoria.b@smartenergytoday.net BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work:$25750 Proposed Use of Building:Unchanged Heat Source: EIGas ❑Electric ❑Other BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ENew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 5.89kW rooftop solar installation ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures 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 Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) 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 1 Other: Rooftop Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Photovoltaic Roof Drains Water Heater SPRINKLER I 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 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 O(.nly(:)3 �/ 11/16/2020 �`�1. JT \ ,, -\ Owner/Authorized Agent Signature Date (Revised 10/10/2018)