5503 COLBY AVE 2023-12-04 - 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 5503 Colby Ave SE PARCEL#: 00495800200200 cITY Everett STATE WA ZIP 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:Carol Loup OWNER MAILING ADDRESS: STREET 5503 Colby Ave SE CITY Everett STATE WA ZIP 98203 OWNER PHONEA25-21 0-3486 OWNER EMAIL: ouxnoux@yahoo.Com CONTRACTOR COMPANY NAME:Capstone Solutions WA STATE CONTRACTOR LICENSE#(REQUIRED):602-768-575 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58070 CONTRACTOR ADDRESS: STREETP.O Box 715 CITY Redmond STATE WA ZIP 98052 CONTRACTOR PHONE:206-741-2203 CONTRACTOR EMAIL:jtoWell@Capstoneemall.Com PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-741-2203 Jeff Towe I I CONTACT EMAIL:jtowell@Capstoneemall.Com BUILDING INFORMATION VALUATION OF WORK: $3,500 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:DetaChed Garage PROPOSED USE OF BUILDING:Rooftop Solar HEAT SOURCE: [-]Gas DElectric ❑Other BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial DAccessory Structure TYPE OF PROJECT(check all that apply): ❑New Construction ElAddition ❑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:Residential Rooftop Solar DESCRIPTION OF WORK:Installation Of 1 OkW residential rooftop PV solar system. (25x) Hyundai - His-S400YH (BK) (13x) AP Systems - DS3-L 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 11/8/23 PERMIT# Owner/ thorized Agent Signature Date (Revised 4/21/2022)