4319 CRESCENT AVE 2023-05-11 - 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 4319 Crescent Ave PARCEL#: 00605501600302 CIT. Everett STATE WA z,P 98203 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:Ciera Cox and Chad Spellman OWNER MAILING ADDRESS: STREET 4319 Crescent Ave CITY Everett STATE WA ZAP 98203 OWNER PHONE:(425) 286-3400 OWNER EMAIL: ciera.cox423@gmail.com CONTRACTOR COMPANY NAME:Artisan Electric Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):ARTISE1878DN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: STREET 969 S Nebraska St. Suite A CITY Seattle STATE WA ZIP 98108 CONTRACTOR PHONE:206-557-4215 CONTRACTOR EMAIL:info@artisanelectricinc.com PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-518-8761 AI i s h a Turpin CONTACT EMAIL:alisha@artisanelectricinc.com BUILDING INFORMATION VALUATION OF WORK: $28,390.14 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:single family residential PROPOSED USE OF BUILDING:adding solar PV rooftop system 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.I. ❑Change of Use ❑Modular [-]Portable ❑Re-roof ❑Exterior Alteration [-]Tank(above ground) ❑Accessory Structure ❑Fence over 7ft high ❑RackStorage ❑Pool/Hot Tub ❑Tank(above ground) Z10ther:adding solar PV rooftop system DESCRIPTION OF WORK: Installation of a 6.48 kW Solar PV rooftop system. Using iron ridge roof mount 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 Digitally Ab Date:2023.03 20ned y1 sha Turpin 14:00:12-07 00' 3/20/23 PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)