1315 PACIFIC AVE LUMEN APARTMENTS 2019-09-24

ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION ,� CITY OF EVERETT PERMIT SERVICES eye' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps©everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1315 Pacific Ave, Everett, WA 98201 PROJECT TYPE:JOINEWCONSTRUCTION C ADDITION ® ENANT IMPROVMENT REMODEL BUILDING USE: �FR ❑TOWNHOUSE ❑ a UPLEX 0 DU ULTI-FAMILY-#OF UNITS:108 0 COMMERCIAL BUILDING AREA: sq ft ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$2000 ASSOCIATED BUILDING PERMIT#(if applicable): NA IS THIS LOW VOLTAGE WORK? 0 NO is ES-#OF DEVICES: 1 IS THIS A FIRE ALARM PERMIT? 0 0 0 YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE DESCRIPTION OF WORK: Installation of AES Radio to replace dialer for Fire Alarm System THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: i [DBy 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. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ® 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 licensinglcertiti ation requirement. CONTACT INFORMATION OWNER NAME: POTALA VILLAGE LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1315 PACIFIC AVE crry Everett STATE WA au. 98201 OWNER PHONE: 425-339-1234 OWNER EMAIL: lumenmgr@greystar.COm CONTRACTOR NAME: Northwest Fire Systems CONTRACTOR ADDRESS: STREET 22645 83rd Ave S cmv Kent STATE WA ZIP 98032 CONTRACTOR PHONE:2067727502 CONTRACTOR EMAIL: bIoomis@nwfiresystems.com CONTRACTOR LIC.#(REQUIRED):NORTHFS875MJ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048144 PRIMARY CONTACT: DOWNER kONTRACTOR MOTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.731.9112 Brady Loomis CONTACT EMAIL: blaomis@nwfiresystems.com AGREEMENT:I hereby certify that t 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 lam authorized by the owner of this property to perform the work for which application is made and!comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only '''''' 'Oef.' ;10 i2or3 ig PERMIT# I II1.611 OwnerlAuthorl Agent Signature gate (Revised 10/302018) Page 1 of 3