5102 SEAHURST AVE 2023-10-19 - 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 5102 Seahurst Ave PARCEL M cITY Everett STATE WA Z,p 98203 SUITE/UNIT M FLOOR M 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:Kelly Maneman OWNER MAILING ADDRESS: STREET 5102 Seahurst Ave CITY Everett STATE WA ZIP 98203 OWNER PHONE:425-238-7897 OWNER EMAIL: k_maneman Q'@msn.com CONTRACTOR COMPANY NAME:Sunergy Systems Inc WA STATE CONTRACTOR LICENSE#(REQUIRED):sunersi905d4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 51574 CONTRACTOR ADDRESS: STIEET4546 Leary Way NW CITY Seattle STATE WA ZIP 98107 CONTRACTOR PHONE:206-571-4726 CONTRACTOR EMAIL:Jonl@sunergysystems.com PRIMARY CONTACT: El OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-302-9464 Mike Pogorzelski CONTACT EMAIL:mikep@sunergysystems.com BUILDING INFORMATION VALUATION OF WORK: $22741 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:no change HEAT SOURCE: ❑Gas DElectric ❑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.l. ❑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) Z10ther:photovoltaic DESCRIPTION OF WORK:Rooftop photovoltaic- 41 REC 410watt Alpha-Pure modules with Enphase microinverters. Interconnection on Loadside via breaker in main panel using the "sum of the breakers less than 200a" rule. 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 bei 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 Sta ontractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 8/22/23 PERMIT# Own /A thorize Agent Signature Date (Revised 4/21/2022)