6402 CADY RD 2019-09-04 - Laserfiche WebLink

ELECTRICAL PERMIT & FIRE ALARM .PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES _s=< 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT':SITE-INFORMATION, PROJECT ADDRESS:6402 CADY RD PROJECT TYPE: ❑NEW CONSTRUCTION LI ADDITION ❑TENANT IMPROVMENT Z.REMODEL BUILDING USE: ©SFR LI TOWNHOUSE El DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL, BUILDING AREA:,1201• sq ft � , .._ pec .X ELECTRICAL APPLCATION,INFORMATION a CONTRACT PRICE OF WORK:$650 ASSOCIATED BUILDING PERMIT#(if applicable); IS THIS LOW VOLTAGE WORK? © NO ❑YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? �NO ❑ YES-Plans required for review(Both Electrical and Fire De rtmen(inspections are required) DESCRIPTION.OF.WORK;& CODE COMPLIANCE ' . .... ; DESCRIPTION OF WORK: ADD CIRCUIT FOR HEAT PUMP INSTALL ,_ IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: El NO ❑YES--See Below&Pg.2 By checking this box,I am stating that I have read and understand all of WAC 296-46B-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:ONO DYES-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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. `. m CONTACT INFORMATION` OWNER NAME:LUIS AROCHE TENANT BUSINESS NAME.If Commercial OWNER MAILING ADDRESS.:_.._. sTREEr6402 CADY RD ciTr EVERETT STATE WA ZIP 98203 OWNER PHONE:415-361-1388 OWNER EMAIL: CONTRACTOR NAME:C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY _ cm EVERETT STATE WA zip 98201 CONTRACTOR PHONE:425-259-0550 [CONTRACTOR EMAIL:KAI ANA@CMHEATING.COM CONTRACTOR LIC - OtARED;CMHEAMH877DN CITY OF EVERETT BUSINESS LICa {fiEQUIR .. 016098., `PRIMARY CONTACT: ❑OWNER I]✓ CONTRACTOR ElOTHER(Please Specify). r^^ CONTACT NAME: CONTACT PHONE:425-259-0550 KA I LANA CONTACT EMAIL:KAILANA c@CMHEATING.COM AGREEMENT'I hereby certify that I have read and examined this application and know the same to be hue 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 'i 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* 02/04/18 qb2 .0 ..3 . •OweerfAtrthoriz Agent,slgnafure Date '(Revised 11/5/2018) Page 1-Application t