7910 W GLEN DR 2023-06-15 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT. WA 98201 WASH ING TOM (P) 425-257-Ml G I FAX 426357-WS7 1(Et 11INUIP1@11111HAN. 91v 1 AMW x'v9uvlpe^^ns PROJECT SITE INFORMATION PROJECT ADDRESS: 7910 W Glen Dr, Everett, WA 98203 BUILDING AREA: sq x PROJECT TYPE: 21 NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDINGUSE: OBFR ❑TOWNHOUSE ❑DUPLEX El ADD ❑MULTI-FAMILY-p OF UNITS'. COMMERCIAL ELECTRICAL APPLICATION INFORMATION A DESCRIPTION OF WORK CONTRACT PRICE OF WORK: 68806.40 ASSOCUITED BUILDING PERMIT#(R applicable): DESCRIBE SCOPE OF WORK: Phil Solar Roof Mount Install THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO 0 YES - Soled Scapa: ❑Service ❑ Feedo KD Circuih-k:3 ❑ Complete Rewire LOW VOLTAGE WORK? FINO ❑ YES#d Devk : SELECT SCOPE (REQUIRED) El Dote D Ildero rm ❑ Thermostat ❑ Audio ❑ Secure Access ❑ Security System ❑ Fire All - Installa4Ms under this permit only include electrical wrong roul of Me system. An additional Fire Alarm Permit s required fer review of device location and installl approval. Q Other (List All)'. Solar Install CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH ANDIOR PERSONAL CARE FACILITIES: x NO YES — See Below 8 Ell ❑ By checking this box. I am stating [bat I have read and understand all M WAO 290.468.900, selected Me specific ceasen an page 2 of this application ("a next Page), AND Plan Review is NOT required because I meet all of Me following sub sections that do had See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: xN0 YES -See Below8Pg.3 ❑ Pursuant to RCW 19,28.261, property owners and leaseholders cannot panic" electrical work on buildings for rent, sale, or lease without the proper electrical licensing and co ification, or exemption. By chxking this box. I am Mai that I haw complabd and Sae Page signed the AFFIDAVR On page 3 a this application torriverver anexemption from this ticensingloortifica[ion requirement. CONTACT INFORMATION OWNER NAME: Ronald Hendee TENANT BUSINESS NAME (if Commercial): OWNER MAILING ADDRESS STREET 7910 W Glen Dr STATE INA She 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SO en Power, LLC CONTRACTOR ADDRESS: STREET5715 Bedford St elm Pasco srATT WA lP 99301 CONTRACTOR PHONE: 509 408-1165 ICONTUCTOR EMAIL: rtlarlela. Onzalei SQI en Mer.0 M CONTRACTOR ME.#REQUIl SOLGEPL830RJ CITY OF EVERETT BUSINESS DID.#REQURli PRIMARY CONTACT: EOWNEIR ECONTRACTOR I]OTHER(Please Specify) CONTACT NAME: all Gonzalez CONTACT PHONE:509-408-1165 CONTACT EMME. rnadela.gonzalez@solgenpowencorn reoYrenM mx�nere rwoaw exammamo gpacaom erwmowmeawm pow vw evamma. alponsmculexa ova warenwaPavmup can type olwork u1a po mmp�eMl wrgme. apaeYiedrenm wnd ]Ire penMp Na PomiA does rwfpnmreropre ewlmryrovrolwewunwlmelwHa.ma olmyolMr aerew beallawlt,the&AM CorvcllmwXrePo27RSE.'enW296 wnW Txflem eulMlmObyllieonnB:WMle p'tpwlylopx/onn Ilia ewklwvered Official Only 01 compNwlm/be Stale Ccnnecmrs 1aw16.2]RCWeM 296.2�WAC. CI of EvereROMckl Use Only PEFRMIT#: OW1412021` ownanAmhorlW Agent MpnNare Data (Revleee fnV2019) Pegs tippllutlan