10710 EVERGREEN WAY 2019-09-05 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION y CITY OF EVERETT PERMIT SERVICES Ate' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE=INFORMATION PROJECT ADDRESS; 10710 Evergreen Way, Everett WA BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑✓ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL ., ... ELECTRICAL APPLICATION INFORMATION & DESCRIPTION::OF'WO CONTRACT PRICE OF WORK:$ 14000 !ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Conversion of open access area's to LED retrofit THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO 0 YES-Select Scope: ❑✓ Service ❑ Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO ❑YES-#of Devices:. SELECT SCOPE(REQUIRED): ❑Data ❑ Intercom ❑Thermostat ❑Audio El Secure Access Cl 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): ..ODE OMP41ANCE, IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES; LTJ NO ti 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, r EYES ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: LINO -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. ;.k. re; CONTACT INFORMATION , ,. .. .<..�. OWNER NAME: Epic Asset Management TENANT BUSINESS NAME(If Commercial):Casa Blanca Apartments OWNER MAILING ADDRESS: STREET PO Box 12726 Seattle c, Seattle STATE WA 98111 OWNER PHONE:206-505-8000 !OWNER EMAIL;anelab©epicasset.corn CONTRACTOR NAME: Resound Energy CONTRACTOR ADDRESS: STREET22122 20th Ave SE Unit 159 ciTr Bothell STATE WA z p 98021 CONTRACTOR PHONE:2069054332 CONTRACTOR EMAIL:warrenb@resoundenergy.com resoundenergy.com CONTRACTOR LIC.#(REQUIRED):RESOUEL861 N6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):58285 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2069487739 Jessica Bechtel CONTACT EMAIL:jessicab@resoundenergy.com AGREtype of wENT:ork willl hereby bmpleted whetti have read fled he e examined t lthis application t hg of a perow the same to mit does not p essetrue ume to de correct. rectlto olatens o rcalaws )he Prov sions governing this gy p ions of any other slate 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 I comply with the State Contractors Law 18.27 RCW and 296,200 WAC, City of Everett Official Use Only. PERMIT#:: Jessica Bechtel 4/2/2019 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application