1718 BROADWAY SUNRISE SERVICES 2019-10-31

• am ni -:_ECTRICAL PERMIT APP . '.ATION EVERETT CITY OF EVERETT PERMIT SERVILLJ 32000 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1718 BROADWAY BUILDING AREA: 4500 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ✓❑ ADDITION ] TENANT IMPROVMENT ] REMODEL BUILDING USE: U SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 2299 ,ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: INSTALLATION OF FIRE ALARM TRANSMITTER THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? [ NO ❑ YES-Select Scope: ❑ Service ❑ Feeder 7 Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:1 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: 0 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: 17NO 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: SUNRISE SERVICES TENANT BUSINESS NAME (If Commercial): SUNRISE SERVICES OWNER MAILING ADDRESS: STREET 1718 BROADWAY CIN EVERETT STATE WA zip 98201 OWNER PHONE:206-755-5122 OWNER EMAIL:HYUNGK@SUNRISEEMAIL.COM CONTRACTOR NAME: BAY ALARM COMPANY CONTRACTOR ADDRESS: STREET8115 BROADWAY CITY EVERETT STATE WA ZIP 98203 CONTRACTOR PHONE:425-595-3952 CONTRACTOR EMAIL:STEVEN.LONG@BAYALARM.COM CONTRACTOR LIC.#(REQUIRED):BAYALAC876KF CITY OF EVERETT BUSINESS LIC.#(REQUIRED):57430 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ]OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:/hereby certify that 1 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#: / g/07n Li ti - C ;L Owne Authorized Age a Date (Revised 1/11/2019) Page 1-Application