810 91ST PL SE 2023-01-09 - Laserfiche WebLink

BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: See applicable submittal checklist for submittal requirements and number of copies required for review, WASHINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P)425-257-8810 1 (E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 810 91st PI SE PARCEL#: 00605900002500 CITY Everett STATE WA zip 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION (if applicable): TENANT/BUSINESS NAME(if non-residential): LEGAL DESCRIPTION for new construction: Short Plat/subdivision: Lot No.: (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Dawn Sly OWNER MAILING ADDRESS: STREET 810 91 st PI SE CITY Everett STATE WA zip 98208 OWNER PHONE:206-947-4008 OWNER EMAIL: theslyfamlly@Ilve.com CONTRACTOR COMPANY NAME:Forecast Solar LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):FORECRL955MK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044167 CONTRACTOR ADDRESS: STREET 12820 Avondale Way CITY Everett STATE WA ZIP 98204 CONTRACTOR PHONE:425-487-6000 CONTRACTOR EMAIL:Office@forecastsolar.com PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-487-6000 Will H a be n i cht CONTACT EMAIL:office@forecastsolar.com BUILDING INFORMATION VALUATION OF WORK: $26,540 ASSOCIATED LAND USE PROJECT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) EXISTING USE OF BUILDING:SFR PROPOSED USE OF BUILDING:SFR HEAT SOURCE: OGas ❑Electric ❑Other BUILDING TYPE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Change of Use ❑Modular ❑Portable ❑Re-roof DExterior Alteration ❑Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) ❑Other: DESCRIPTION OF WORK: Install 9.87 kW grid-tied, roof-mounted solar PV system. 1 - SolarEdge SE-760OH-US inverter, 25 - Canadian Solar 395W solar modules, 25 - SE-P400 optimizers, mounted on IronRidge solar racking system. 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 1 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 Only Will H a b e n i ch t Digitally signed by Will Habenicht 11/17/2022 PERMIT# Date:2022.11.17 14:14:26-08'00' Owner/Authorized Agent Signature Date (Revised 4/21/2022)