4323 30TH DR SE 2019-08-13 - Laserfiche WebLink

PERMIT APPLICATION "111°I;Ii BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3- _______ 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 4323 30TH Drive SE,Everett WA 98203 PROPERTY TAX#: 01161300006000 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Dustin and Jayme Roberts TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4323 30th Drive SE CITY Everett STATE WA ZIP 98203 OWNER PHONE: (252)259-2261 OWNER EMAIL: romexus@hotmail.com CONTRACTOR NAME: SOLTERRA GLOBAL LLC CONTRACTOR ADDRESS: STREET 2910 First Avenue S#201 CITY Seattle STATE WA ZIP 98134 CONTRACTOR PHONE: 206-462-1103 CONTRACTOR EMAIL: solaradmin@solterra.com CONTRACTOR LICENSE#(REQUIRED): SOLTEGL831 BZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57821 PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-462-1103 Kathy Sage CONTACT EMAIL: solaradmin@solterra.com BUILDING PERMIT APPLICATION, Existing Use of Building: residence Contract Price of Work: $ 23000 Proposed Use of Building: Heat Source: EGas ❑Electric Other Building Type: EISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ERepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: `-S v,<V -Lt__ OAS 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 A/C—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/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water 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.I am the owner,or/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 / l 6/14/2019 PERI1�tTj#n e02-0 Owner/Authotfred Agent'Signature Date (Revised9/23/2016) /� I