816 91ST PL SE 2024-06-06 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1(E)PermitServices@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:816 91 St PI SE, Everett, WA 98208 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT s❑REMODEL BUILDING USE: s❑SFR []TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL ELECTRICAL APPLICATION INFORMATION 8r, DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $69132 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Install 20kW roof-mounted solar PV system.40 Canadian Solar CS6R solar modules,1-SolArk 15K inverter,1-HomeGrid STACK'D battery Install 20kW roof-mounted solar PV system.40 Canadian Solar CS6R solar modules, 1 -SolArk 15K inverter, 1 -HomeGrid STACK'D battery THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑YES-Select Scope:❑Service s❑Feeder ❑Circuits-#: 1 ❑Complete Re-wire LOW VOLTAGE WORK? 0 NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data ❑Intercom ❑Thermostat ❑Audio ❑Secure Access In 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):Install roof-mounted solar PV system CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: El NO LJ 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. E] 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:jeff Rapp TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 816 91 st PI SE ,IT,, Everett STATE WA zIR 98208 OWNER PHONE:208-352-3522 OWNER EMAIL:rappjd@gmail.com CONTRACTOR NAME:Forecast Solar LLC CONTRACTOR ADDRESS: STREET 12820 Avondale Way cITy Everett STATE WA 1,98204 CONTRACTOR PHONE:425-487-6000 CONTRACTOR EMAIL:Office@forecastsolar.COm CONTRACTOR LIC.#(REQUIRED):FORECRS883DG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044167 PRIMARY CONTACT: [—]OWNER °❑CONTRACTOR F]OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-487-6000 Will H a be n i c h t CONTACT EMAIL:office@forecastsolar.com AGREEMENT:I 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 I 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 EE Digit Halbenicht Will Habenicht Dateally 023.12.12snedy14:11454 08'00' 12/122023 Owner/Authorized Agent Signature Date (Revised 4/5/2022) Page 1-Application