1520 41ST ST IVARS 2019-09-10 - Laserfiche WebLink

l I ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION I CITY OF EVERETT PERMIT SERVICES i 3200 CEDAR STREET, EVERETT,WA 98201 4rErr(P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION:. 4 PROJECT ADDRESS:Ivar's Restaurant 1520 41st St. Everett,WA 98201 PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ©REMODEL ( BUILDING USE; ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL I BUILDING AREA: 3828 sq ft ELECTRICALAPPLICATION INFORMATION CONTRACT PRICE OF WORK:$14,201.10 ASSOCIATED BUILDING PERMIT#(If applicable): E IS THIS LOW VOLTAGE WORK? © NO ❑YES-#OF DEVICES: 1 IS THIS A FIRE ALARM PERMIT? © NO ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION.OF WORK & t CODE COMPLIANCE I k DESCRIPTION OF WORK: Replace(3)existing 200 amp 120/208 volt panels and (1)200 amp disconnect. t I I IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 0 NO ❑YES--See Below&Pg.2 ' 1 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:LINO 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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement, CONTACT INFORMATION OWNER NAME: Ivar's Inc.(Gary Tobiason) TENANT BUSINESS NAME(If Commercial): Ivar's Restaurant OWNER MAILING ADDRESS: STREET 1001 Alaskan Way, Suite 109 city Seattle STATE WA ZIP 98104-6500 OWNER PHONE:206-730-9734 OWNER EMAIL:garyt@keepclam.com CONTRACTOR NAME:Dalton Electric Company CONTRACTOR ADDRESS: STREET3511 132nd St. S.W. Suite#4 CITY Lynnwood STATE WA zip 98087 CONTRACTOR PHONE:425-787-1826 CONTRACTOR EMAIL:joe@daltonelectriccompany.com CONTRACTOR LIC.#(REQUIRED):DALTOEC-077KL ,CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 056120 PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-787-1826 Joe Spezialy CONTACT EMAIL:joe@daltonelectriccompany.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 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 PE IT# k. II • l- 8 .- lq lb\t'ID ( 0+1 OwnerlAuthoriz, Agen .na u e Date (Revised 11/5/2018) Page 1-Application