1011 TEMPLE DR 2019-04-17 - Laserfiche WebLink

I I! PERMIT APPLICATION #1111j7-4 � BUILDING MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION ,s4 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I 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: 1011 Temple Dr PROPERTY TAX#: 00596200400100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Thomas & Jeanne Crisp TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREEr1101 Temple Dr Criv Everett STATE WA ZIP 98201 OWNER PHONE425-737-0350 OWNER EMAIL: tom@crisp4.com CONTRACTOR NAME:Forecast Solar CONTRACTOR ADDRESS: sTREEr12820 Avondale Way ci y Everett STATEWA ZIP 98204 CONTRACTOR PHONE:425-487-6000 CONTRACTOR EMAIL: office@forecastsolar.com CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 044167 PRIMARY CONTACT: ❑OWNER 4a CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-487-6000 Will u�a 3@CilGht CONTACT EMAIL: office@forecastsolar.com BUILDING PERMIT APPLICATION Existing Use of Building: SFR Contract Price of Work:$ 23,770 Proposed Use o� // fBuilding:SFR Heat Source: OGas ❑Electric ❑Other �� Building Type: ' SFR-Detached ❑SFR/--Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition liRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install 9.72 kW grid-tied, roof-mounted Solar PV system. 27- ltek iT-360-SE solar modules. 27-SolarEdge SE-P370-72c optimizers, 1 -SolarEdge SE-7600H-US line inverter, Sunmodo EZ mount racking system. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/eta) Other: SPRINKLER/'SUPPRESSION SYSTEM Chemical or Water I No.of Heads 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.lam the owner,or I 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. CityQof Everett Official Use Only !�/r.1 /Z/ate PES IT#\ lel Owner/Au orize Agent Signature Date (Revised 9/23/2016)