3120 19TH ST 2022-12-21 - Laserfiche WebLink

PERM R APPLICATIO N BUILDING / M ECHANICAL/ PLUM BING / SIG N/ SPRINKLER/ DEM O HTIO N CITY O FEVERETT PERM T SERVICES OL 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/perm is (B Lie or B Lick Ink O riy Please) PRO.EC TSITE IN FO R M AM N PROJECT SITE ADDRESS: 3120 19th St, Everett, WA 98201 PRO FERTY TAX#: 00563239501700 LEG AL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACIINFORMAIDN O W PER NAME Jamie Granin er TENANT NAM E(if Commercial): O W HER M AILING ADDRESS: STREET 3120 19th St CITY Everett STATE WA zip 98201 O W HER PHO NE: 334-470-3253 O W IfR EMAIL: j.a.graninger@gmail.com CO NrRACTO RNAM E Forecast Solar LLC CO NFRACTO RADDRESS: STREET 12820 Avondale Way ciTv Everett STATE WA Z1P 98204 CO NrRACTO RPHO NE: 425-487-6000 CO NrRACTO REM AIL: office@forecastsolar.com CO NrRACTO RLICENSE#(REQ URED): FORECRL955MK, FORECRS883DG CITY O FEVERETT BUSINESS LICENSE#(REQ URED): 044167 PRIMARY CO NrACT: DOWNER VCCO NfRACTO R ❑O 1HER(Please Specify) CO NFACT NAM E CO NFACT PHO N=: 425-487-6000 Will H a be n i cht CO NrACT EM AIL: office@forecastsolar.com BULDNGPER MTAFPLICATON Existing Use of Building: SFR Contract Price of Work: $ 2,350 Proposed Use of B ilding: SFR Heat Source: ❑G as ❑Electric ❑O her Building Type: SFR-Detached ❑SF -Attached []Duplex ❑M inti-Faro iy-#of Units: ❑Com m ecial ❑Industrial Type of Project: ❑New ❑Addition VfRem odel ❑Repair ❑T.I. []Sign ❑Sprinkler El Dem clition ❑Change of Use DESCRIPTIO NOF WORK: Install 8.19kW grid-tied, roof-mounted solar PV system. 21 - Canadian Solar CS3N-39OMS solar modules, 21 - SolarEdge SE-P400 optimizers, 1 - SolarEdge SE-760OH-US inverter, mounted on IronRidge FlashFoot solar racking system. ASSO CIATED BUILDING PERM R#(if applicable): MEC HAN7ALPERMTAPPLICATON PLU M BN G PER M T A FPLIC A TO N Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures L #of List of Fixtures #of is of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pum p Toilet Backflow Preventer(Inside Bldg) Forced Air System s Unit Heater U Bathtub rinal G as Piping Boiler L avatory(Wash Basin) D rinking Fountain Water Heater Refrigeration F Shower loor Drain G as Fireplace Wood Stove K Itchen Sink&Disposal G rease Trap G as Range Ducting R Dishwasher oof Drains Clothes Dryer Hookups O her: M Clothes Washer edical G as Range Hood Water Heater O her: Exhaust Fan Sink(Service/Bar/M cp/etc.) O her: SPR N K LER/ SU PPR ESSIO N SY SrEM Chem cal or Water No. of Heads ACKNO W EDG BW ENT 1 have reviewed this application and confirm the inform e`ion contained herein is true and correct. Work done pursuant to this perm t m ist com pfy with current federal,state,and local law. The granting of a perm t only authorizes approved work and no deviations therefrom.Deviations m ist first be authorized in writing from the Building O ficial before being authorized under any circum dance.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is m ale, and/com,dy with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett O ficial Use O dy PERM R# 10/25/2022 0 w or/Authorized Agent Signature Date (Revised 912312016)