9730 27TH AVE SE 2023-04-04 - Laserfiche WebLink

BUILDING PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETTSUBMITTAL 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 9730 27th Ave PARCEL #: 28051700309500 cITY Everett STATE WA z,P 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: Melissa Martinez OWNER MAILING ADDRESS: STREET 9730 27th Ave SE CITY Everett STATE WA ZIP 98208 OWNER PHONE: 425-530-0159 OWNER EMAIL: missyr_25@yahoo.com CONTRACTOR COMPANY NAME: Brimma Solar WA STATE CONTRACTOR LICENSE #(REQUIRED): BRIMMSL899CQ CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 6030466710010002 CONTRACTOR ADDRESS: STREET 320 SW Century Dr. #405-388 CITY Bend STATE OR ZIP 97702 CONTRACTOR PHONE: 800-808-1955 CONTRACTOR EMAIL: grant@brimmasolar.com PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Lyn n ette Harley CONTACT PHONE: 253-359-1444 CONTACT EMAIL: Lynnette@brimmasolar.com BUILDING INFORMATION VALUATION OF WORK: $ (racking and labor for solar)$2000 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: SFD PROPOSED USE OF BUILDING: Rooftop solar HEAT SOURCE: ❑Gas ❑Electric ❑Other BUILDING TYPE: ❑✓ SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure TYPE OF PROJECT (check all that apply) : ❑New Construction ❑✓ Addition ❑Remodel ❑Repair ❑T.l. ❑Change of Use ❑Modular ❑Portable ❑Re -roof El Exterior Alteration ❑Tank (above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank (above ground) ❑✓ Other: SOLAR DESCRIPTION OF WORK: Installing 7.665kw solar pv system on roof of home. 21 REC 365NP2 modules, 10 Chilicon CP720 microinverters, and 1 CP250 micro. 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. e 9/30/2022 Agent Signature v Date City of Everett Official Use Only PERMIT # (Revised 412112022)