2402 CEDAR ST 2019-10-31 - Laserfiche WebLink

/11.d.—/-1 _-ECTRICAL PERMIT APPLiuATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT°SITE INFORMATION PROJECT ADDRESS: 2402 CEDAR ST BUILDING AREA: 1372 sq ft PROJECT TYPE: LI NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ✓❑REMODEL BUILDING USE: 0 SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION;:INFORMATION.&;;.DESCRIPTION:;OF,WORK CONTRACT PRICE OF WORK:$ 4392.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: UPGRADE OVERHEAD 100AMP SERVICE TO 200AMP THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ✓❑Service ✓❑ Feeder ❑Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio ['Secure Access El 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: NO ❑YES- See Below&Pg.2 / By checking this box, lees m stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 of this application (snext 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: ENO EYES-See Below&Pg.3 ✓ Pursuant to ROW 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: JOHN JAMES TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2402 CEDAR ST ciTy EVERETT STATE V V1/�/ A Z,P 98201 OWNER PHONE:505-220-0236 OWNER EMAIL:JJAMESGANGI @YAHOO.COM CONTRACTOR NAME: GS HEATING, COOLING &ELECTRICAL LLC CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE cm, EVERETT STATE WA ZIP 9,5201 CONTRACTOR PHONE:425-610-4257 CONTRACTOR EMAIL:SARA@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED):GSHEAHC8218R CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 60058 . ......... PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-610-4257 SARA HOLLAND CONTACT EMAIL:SARA@GSHEATING.COM AGREEMENT:!hereby certify that/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!am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 ROW and 296.200 WAG. City of Everett Official Use Only PERMIT#' E \ O )- \ 3? OwtmerlAuthorized Agent Signature Date (Revised 1/11/2019) Page 1-Application