1301 RUCKER AVE 2023-01-09 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (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:1 301 Rucker Ave PROPERTY TAX#:00438524400100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Nancy Cooper TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREETS 301 Rucker Ave c„y Everett STATE WA zia 98201 OWNER PHONE-4255082696 OWNER EMAIL:jerry@greeningamerica.net CONTRACTOR NAME:Sunergy Systems Inc CONTRACTOR ADDRESS: STREET4546 Leary Way NW c,n Seattle STATE WA ZIP 98107 CONTRACTOR PHONE:2065714726 1CONTRACTOR EMAIL:jonl@SunergysystemS.com CONTRACTOR LICENSE#(REQUIRED):Sunersi9O5d4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 51 574 PRIMARY CONTACT: ❑OWNER EICONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2065714726 Jon Lange CONTACT EMAIL:jonl@sunergysystems.com BUILDING INFORMATION Existing Use of Building:SFR I Contract Price of Work:$15047 Proposed Use of Building:no change Heat Source: EIGas ❑Electric ❑Other BUILDING USE: EISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair OT.1. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: install 37 photovoltaic modules-(Model: Silfab 38013K),with 37 Micor-inverters: (Model: Enphase IQ7+) 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 1) (Not HeaUAC system) Hose Bibb Urinal Exhaust Hood(Type ll) 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: Otovo Itaic Medical Gas Iwater Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System I lNo.of Heads Chemical Suppression System I lNo.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./am the owner,or/am authorized by the owner of this property to perform the work for which application is made, and I comply with the State ontractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 11/6/2022 ?jZ I I Ow eriAut rized gen tgnature Date (Revised 10/10/2018)