1105 SUMNER LN 2024-06-06 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 1 105 Sumner Ln, Everett, WA 98203 IBUILDING AREA: 1,688 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ✓❑ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: s❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ $42,132 ASSOCIATED BUILDING PERMIT#(if applicable): (in progress) DESCRIBE SCOPE OF WORK: Installation of rooftop Solar Photovoltaic System consisting of 16.4kW - (40) REC 410W. (40) Enphase IQ8A. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? s❑ NO ❑YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ Secure Access ❑ Security System ❑ Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. ❑ Other(List All):Solar PV CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 71 NO Ll YES--See Below&Pg. 2 ❑ By checking this box, I am stating that I have read and understand all of WAC 296-46113-900,selected the specific reason on page 2 of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ✓❑NO —]YES-See Below&Pg.3 ❑ Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale,or lease without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: Madan, Akshat TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1105 Sumner Ln ,,T,, Everett STATE WA 1, 98203 OWNER PHONE: 3234205309 OWNER EMAIL:akshatmadan135@gmail.com CONTRACTOR NAME: Puget Sound Solar CONTRACTOR ADDRESS: STREET 805 Rainier Ave S ciTY Seattle STATE WA 1, 98144 CONTRACTOR PHONE:(206) 706-1931 CONTRACTOR EMAIL:permitting@pugetsoundsolar.com CONTRACTOR LIC.#(REQUIRED):PUGETSS920RH CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 49544 PRIMARY CONTACT: DOWNER OCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(206) 822-4351 Nazifullah Nazif CONTACT EMAIL:permitting@pugetsoundsolar.com AGREEMENT:/hereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 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 296.200 WAC. City of Everett Official Use Only PERMIT#: 12/13/23 E Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application