1915 122ND PL SE 2023-10-26 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1915 - 122nd PL SE Everett Washington 98208 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Dale Hamilton TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1915-122nd PI SE cITY Everett STATE WA z,p 98208 OWNER PHONE: 425-327-2050 OWNER EMAIL:daleh425@outlook.com CONTRACTOR NAME:Solgen Power LLC CONTRACTOR ADDRESS: STREET 5715 Bedford ST CITY Pasco STATE WA ZIP 99301 CONTRACTOR PHONE:509-931-1663 CONTRACTOR EMAIL:permitting.wa@solgenpower.com CONTRACTOR LICENSE#(REQUIRED):SOLGEPL820BE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62231 PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:509-931-1663 Jose Gallardo CONTACT EMAIL:permitting.wa@solgenpower.com BUILDING INFORMATION Existing Use of Building:Residential Contract Price of Work: $2752 Proposed Use of Building: Heat Source: ❑Gas ElElectric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ElAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: PV Solar Roof Installation ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures List of Fixtures Count A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type 1) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type 11) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems I Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log I IRoof Drains Water Heater SPRINKLER/ SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:/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.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# d� 07/12/2021 O er/Auth ezed Agent Signature Date (Revised 10/10/2018)