3003 W CASINO RD BLDG 40-37 2019-09-04

eml tLECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3003 W Casino Rd, Everett, WA 40-37 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWN OUSE- .D DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLIC4TION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORKt'$ 6 , 907 . 34 tl ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: (2) 30Areakers, (2) 30A receptacles on exiting wire. (4) 20A recepta les with, ew conduit and wire on existing breakers . s'' (1) 50A receptacl -using existing wire and breaker (1) 50A receptacle using new wire, conduit and new breaker THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service ❑ Feeder ❑✓ Circuits-#: 6 ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑YES-#of Devices: SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑Audio ❑ Secure Access ❑ 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): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ 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: ENO EYES-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 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: The Boeing Compnay TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3003 west casino rd everett STATE wa ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: VECA Electric&Technologies CONTRACTOR ADDRESS: STREET 5614-7th Ave S CITY Seattle STATE WA ziP 98108 CONTRACTOR PHONE:360-594-1840 CONTRACTOR EMAIL:david.wolf@veca.com CONTRACTOR LIC.#(REQUIRED):VECAEDI542MU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 004945 PRIMARY CONTACT: DOWNER 000NTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-683-3469 Orville Sieffert CONTACT EMAIL:orville.sieffert@veca.com AGREEMENT:I hereby certify that I 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 constru .n 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 I comply with a State Co r. tors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: ( E i, c\cq ,_ N'4--- Owner/Authorized Agent Signa Date (Revised 1/11/2019) Page 1-Application