1510 108TH ST SW 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 1510 108th st SW PARCEL#: 00442800000300 cITY Everett STATE wa Z,p 98204 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:Barbra Skittrall-Boop OWNER MAILING ADDRESS: STREET 1510 108th St SW CITY Everett STATE WA Zip 98204 OWNER PHONEA25231 6980 OWNER EMAIL:jabboop@gmail.com CONTRACTOR COMPANY NAME:Revolution Solar WA STATE CONTRACTOR LICENSE#(REQUIRED):REVOLES783L2 I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 604915746001001 CONTRACTOR ADDRESS: STIEET4425 100 st sw CITY Lakewood STATE WA ZIP 98499 CONTRACTOR PHONE:8886612217 1CONTRACTOR EMAIL:permits.wa@revolutionsolar.com PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) Permit Coordinator CONTACT NAME: CONTACT PHONE:8016907047 Courtney CONTACT EMAIL:ccall@revolutionsolar.com BUILDING INFORMATION VALUATION OF WORK: $42975 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:Resldental home PROPOSED USE OF BUILDING:Resldental home 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) °❑Other:Solar DESCRIPTION OF WORK:Roof mount solar array, grid tied. AC system size: 5.53 kW DC system size: 8.16kW (17) Hanwha Q.PEAK DUO XL-G10.2 480 PV Modules (17) Enphase IQ8M-72-2-US (240V) Inverters 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 Di,itally signed Courtney Call Courtney Call Date:2022.120b7y1449:32-0700' PERMIT#1 Owner/Authorized Agent Signature Date (Revised 4/21/2022)