2823 COLBY AVE STARBUCKS 2019-11-01

ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERET T,WA 98201 WASMIWITon (P)425-257-8310 1 FAX 425-25T-8851 )(E)overetleps@evetettwa goy I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2823 Cob Avenue BUILDING AREA: 1000 sq ft PROJECT TYPE: ❑NEW CONSTRUCTION 0 ADDITION ®TENANT IMPROVMENT El REMODEL BUILDING USE: USER D TOWNHOUSE CI DUPLEX D ADU D MULTI-FAMILY-#OF UNITS: D COMMERCIAL ELECTRICAL APPLICATION INFORMATION S DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 1200 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: • install 30 am. rece•tacle for 2nd TurboChef •ast oven, install GFCI ty.e breaker. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: SELECT ALL THAT APPLY LINE VOLTAGE WORK? ©NO D YES-Select Scope:El Service 0 Feeder D Circuits-#: D Complete Re-wire LOW VOLTAGE WORK? ©NO D YES-#of Devices: SELECT SCOPE(REQI.JIRED): El Data D Intercom D Thermostat D Audio El Secure Access 0 Security System D 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: Q NO D 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. [ZINO ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WiTHOUT ELECTRICAL LICENSURE: [ INO DYES-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/certiflcation requirement. CONTACT INFORMATION OWNER NAME: Starbucks TENANT BUSINESS NAME tiff Commercial):Starbucks OWNER MAILING ADDRESS: STREET 2823 Colby Ave CRY Everett _ STATE WA r, 98201 OWNER PHONE:425-339-2688 OWNER EMAiL: CONTRACTOR NAME: Mastercraft Electric, Inc. CONTRACTOR ADDRESS: STREET 206 Frontage Rd N lin,. Pacific STATE WA zs 98047 CONTRACTOR PHONE:253-737-4367 CONTRACTOR EMAIL:garyd@mastercraftinc.com CONTRACTOR LiC.#(REQUIRED):MASTEEI128B8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):055704 PRIMARY CONTACT: DOWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: DARLING CONTACT PHONE:206-295-0089 KIM CONTACT EMAIL:kimd@mastercraftinc.com AGREEMENT.t hereby certify that I have read and examined this application anti know the same to be true and correct All provisions of laws and ordinances governing this type of wont will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the proviseons of any other state or local law regulating constnxlrori or the performance of construction. That!am authonzed by the owner of this property to perform the work for which application is made end I comply wah f s• ate Carr F,. • Law 18.27 RCW and 298.200 WAC. City of Everett Official Use Only f' PERMIT#: 9126119 E \ �9-` 5, Owner/Authorized Agent Signature Date (Revised 1/11/2019) Pagel Apptication Scanned with CamScanner