706 LEGION DR 2024-06-06 - 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 706 legion drive PARCEL#: 00497100009700 CITY Everett STATE WA z,P 98201 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:Fatima Orellana OWNER MAILING ADDRESS: STREET 706 legion drive CITY Everett STATE WA ZIP 98201 OWNER PHONE:4253666403 OWNER EMAIL: fatlma.orellana@outlook.Com CONTRACTOR COMPANY NAME:Revolution Solar WA STATE CONTRACTOR LICENSE#(REQUIRED):REVOLES7831-2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 64990 CONTRACTOR ADDRESS: ITIEET4425 100 St SW Suite H CITY Lakewood STATE WA ZIP 98499 CONTRACTOR PHONE:801-406-5250 CONTRACTOR EMAIL:CCall@revolutlonSOlar.Com PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:$01-406-5250 Courtney Call CONTACTEMAIL:CCall@revolutlonSOlar.Com BUILDING INFORMATION VALUATION OF WORK: $$45,368.00 1ASSOCIATED 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 PROPOSED USE OF BUILDING:ReSldental HEAT SOURCE: [-]Gas ❑Electric ❑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.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:Solar DESCRIPTION OF WORK:AC System Size: 16.20 kW AC / 16.20 kVA DC SYSTEM SIZE: 21.20 kW DC (53) VSUN400 -108BMH 400 PV Modules (13) HOYMILES HM-120ON (240V) Inverters (1) HOYMILES HM-60ON (240V) Inverters RACKING: RT-MINI II - 48" O.C. 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 C~0 ey 12112A PERMIT# Owner/Authorized-Agent Signature Date (Revised 4/21/2022)