901 W CASINO RD 2020-01-22 - Laserfiche WebLink

`! IIfLECTRICAL PERMVI]T APFIGATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-6857 I(E)everetteps©everettwa.gov I v ww.everettwa.govipermits PROJECT SITE INFORMATION PROJECT ADDRESS: 901 W, Casino Rd 'BUILDING AREA:, sq ft PROJECT TYPE: 0 NEW CONSTRUCTION Q ADDITION TENANT iMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE U DUPLEX ❑ADU 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL ELECTRICALAPPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRiCE OF WORK: $ 1200.00 'ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Replace Reg. Unleaded sump sensor wire from Siphon sump to Reg. Unleaded turbine sump THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ® NO ©YES-Select Scope: u Service ❑ Feeder fl Circuits-#: Q Complete Re-wire LOW VOLTAGE WORK? ❑ NO LI YES-#of Devices:1 r-n SELECT SCOPE(REQUIRED): ® Data ii 7j Intercom ❑ Thermostat 10 Audio i-1 Secure Access U 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, Lj Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 7 NO 7 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 YOUAN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: _✓VNO . YES-See Below&Pg.3 IT 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 licensinglcertification requirement. CONTACT INFORMATION OWNER NAME: BP Arco TENANT BUSINESS NAME(If Commercial):Arco OWNER MAILING ADDRESS: STREET 907 W. Casino Rd. cm, Everett STATE WA 98203 OWNER PHONE:425`347-6599 'OWNER EMAiL: CONTRACTOR NAME: SME Solutions CONTRACTOR ADDRESS: sTR.=_ET10107 South Tacoma Way Suite A-2 CITY Lakewood STATE WA z,P 9$499 ,CONTRACTOR PHONE:253-572-3822 CONTRACTOR EMAIL:markv@sme-solutions,com CONTRACTOR LIC.#(REQUiRED):SMESOSL931K1 1CITY OF EVERETT BUSINESS LIC.#(REQUIRED):45511 PRIMARY CONTACT: ❑OWNER [CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: i CONTACT PHONE:253-620-1587 Mark Vigil ;CONTACT EMAIL:markv@sme-solutions.com AGREEMENT:i 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 w' . 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 re. lati .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 wi the •tate Contractors Law 18,27 RCW and 296.200 WAC. City of Everett Official Use Only / PERMIT#: ` /7 . , /7219 Elot1- 12� O`nnAuthorized A!-nt S;;nature Date (Revised 1/11/2019) Page 1-Application