2718 BROADWAY 2020-01-21 - Laserfiche WebLink

sim in ELECTRICAL PERMIT APPLILATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits \ 'f<" "^.' T.S t.< PROJECT ADDRESS: 2718 Broadway Ave BUILDING AREA: 10315 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION El ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR a- NHO E ElDUPLEX CIADU ❑ MULTI-FAMILY-#OF UNITS: 7COMMERCIAL 4P , CA ON :; l 1 N& :DESC QN OF CONTRACT PRICE OF WOK: $ 1250.00 i ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF ORK: f,. Installing new securty systeny THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ✓❑ NO ❑YES-Select Scope: ❑ Service ❑ Feeder El Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO EYES-#of Devices:14 SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio ❑Secure Access ✓❑ Security System El 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): IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ILI NO LYES--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: ENO 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. 7 T4CT INFORM TIONwa; . WF OWNER NAME: WFR HOLDING LLC TENANT BUSINESS NAME(If Commercial): Fast Undercar OWNER MAILING ADDRESS: STREET 229 S Blakely Street c,n Monroe STATE WA Z,,98201 OWNER PHONE:206.390.6024 OWNER EMAIL:andyr@faStundercar.com CONTRACTOR NAME: Guardian Security Systems CONTRACTOR ADDRESS: STREET 1501 Kentucky Street ci, Bellingham STATE WA zIP 98229 CONTRACTOR PHONE:360.647.01 10 CONTRACTOR EMAIL:hmetour C!guardianSeCurlty.COm CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0033443 PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360.647.01 10 x328 Heidi CONTACT EMAIL:hmetour@guardiansecurity.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#:ER Heidi Metour 5/13/2019 ` ck 05 - 09,9 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application