1803 112TH ST SE BANK OF AMERICA 2019-12-13

Ism Ira ELECTRICAL 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 I www.everettwa.gov/permits PROJECT;SITE INFORMATION ON PROJECT ADDRESS: 1803 112th PI SE Everett, WA BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE �i�❑ DUPLEX ❑ADU CIMULTI-FAMILY-#OF UNITS: El COMMERCIAL B4Etfk ; a rll Arptf O r ' N ,RMATII ..:.. . DESCRIPTIO ,WR CONTRACT PRICE OF WORK: $ 3500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Modify (3) 120v-20s circuits, relocate 8 light switches located at Bank of America THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service ❑ Feeder ❑✓ Circuits-#:3 ❑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):light switches-total 8 CODE,COMLI NC> .... ....... _ ; IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: Al 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 EYES-See Below&Pg. 3 I I 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. OWNER NAME: BOA - JLL TENANT BUSINESS NAME(If Commercial): BOA OWNER MAILING ADDRESS: STREET 1803 112th PI SE cin Everett STATE V V`/�' A zip 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Cochran Inc CONTRACTOR ADDRESS: STREET 12500 Aurora Ave N ciTv Seattle STATE WA Zip 98133 CONTRACTOR PHONE:206-923-7655 CONTRACTOR EMAIL:btrochmann@cochraninc.com CONTRACTOR LIC.#(REQUIRED):COCHRI*088JS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 5147 PRIMARY CONTACT: DOWNER QCONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206.923.7655 or 425.508.7771 Barb Troch mann CONTACT EMAIL:btrochmann@cochraninc.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 PERMIT#: BaYba.Ya ,✓ .TYohwnavwv 7/9/19 E 1 (/ l 01 f Q J \ Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application