1317 MCDOUGALL AVE 2025-04-18 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 9B201 WASHINGTON (P) 425-257-8810 1 (E) PermitServices@everethva.gov I %wnv.everethva.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1317 McDougall Avenue Everett, Washington 98201 BUILDING AREA: sq ft PROJECT TYPE: [-]NEW CONSTRUCTION ❑✓ ADDITION ❑TENANT IMPROVMENT [:]REMODEL BUILDING USE: ❑✓ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 15,360 ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: 32 Q CELLS Q.PEAK DUO BLK ML-G10+ (400W) MODULES 32 Q CELLS Q.PEAK DUO BLK ML-G10+ (400W) MODULES 32 ENPHASE IQ8PLUS-72-2-US (240V) MICROINVERTERS THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO Z YES - Select Scope: ❑ Service❑ Feeder ❑Circuits-tt: 1 ❑Complete Re -wire LOW VOLTAGE WORK? ❑✓ NO ❑ YES- # of Devices: SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ Secure Access ❑ Security System ❑ Fire Alarm - Installations under this permit only include electrical wiring rough -in of the system. An additional Fire Alarm Permit is required for review of device location and installation approval. ❑ Other (List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓ NO YES -- See Below & Pg. 2 ❑ By checking this box, I am stating that I have read and understand all of WAC 296-4613-900, selected the specific reason on page 2 of this application (see next page), AND Plan Review is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ✓ NO ❑YES -See Below & Pg. ❑ Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME:KENAGY RAQUEL & JEREMY TENANT BUSINESS NAME If Commercial): OWNER MAILING ADDRESS: STREET 1317 McDougall Avenue ,,,,, Everett, STATE WA LIP 98201 OWNER PHONE: (425) 789-6857 OWNER EMAIL:leremykenagy@gmail.com CONTRACTOR NAME: Lumlo CONTRACTOR ADDRESS: STREET2500 Mottman Rd SW Suite 100 c,Tv TUmwater STATE WA L,P 98512 CONTRACTOR PHONE:360-777-6681 ICONTRACTOR EMAIL, pnW.permlttlnq(d�lumlo.Com CONTRACTOR LIC. #(REQUIRED): LU IVI I Uh 1 l 04t14 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): b430L PRIMARY CONTACT: ❑OWNER OCONTRACTOR E] OTHER (Please Specify) CONTACT NAME: Jesus Familia CONTACT PHONE: 360-777-6681 CONTACT EMAIL: pnW.permittincian.lumio.com AoH=fwmv I: I hereby cerury rear i have read and examined inrs appncahon and Know trio same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 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 296,200 WAC. City of Everett Official Use Only PERMIT #: Qa� 11 /09/2022 I E / l— D f Owl !Authorized Agent Signature Date (Revised 41512022) Page 1-Application