7001 HARDESON RD 2020-01-29 - Laserfiche WebLink

ELECTRICAL PERMIT & FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everattwa.gov www.everettwa.gov/permits PROJECT ADDRESS:OPERATIONS BUILDING 7001 HARDESON ROAD PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ©REMODEL BUILDING USE: ❑SFR 0 TOWNHOUSE ❑DUPLEX El ADU ❑MULTI-FAMILY-#OF UNITS: ©COMMERCIAL BUILDING AREA: sq ft ELEG AP`. • 'z ON CONTRACT PRICE OF WORK:$250 ASSOCIATED BUILDING PERMIT#(If applicable): IS THIS LOW VOLTAGE WORK? ©NO 0 YES-#OF DEVICES: iS THIS A FIRE ALARM PERMIT? 2]NO El YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK: Load bank testino of emeraencvback_uD generator-1903571 IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 0 NO 0 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 (J 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 UCENSURE:QNO OYES-See Below&Pg.3 ❑ Pursuant to RCW 1928261,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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. iM � INiC>IRIf �"� N > •°� ora..y �. �e OWNER NAME:Community Transit TENANT BUSINESS NAME(if Commercial): Community Transit OWNER MAILING ADDRESS: STREET 7001 HARDESON ROAD env Everett STATE WA ZIP 98203 OWNER PHONE:253.395.9077 ,OWNER EMAIL:anokes@paciflcpowergroup.com CONTRACTOR NAME:Pacific Power Group CONTRACTOR ADDRESS: STREET 805 Broadway Street,#700 cm,Vancouver STATE WA zip 98660 CONTRACTOR PHONE:255.395-9077 [CONTRACTOR EMAIL:anokes@pacificpowergroup.com CONTRACTOR LIC.#(REQUIRED):EC PACIFPG867D& IGrrY OF EVERETT BUSINESS LIC.#(REQUIRED): 053000 PRIMARY CONTACT: ❑OWNER 2J CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-395-9077 Amanda Nokes CONTACT EMAIL:anokes@pacificpowergroup.com AGREEMENT:I hereby certify that 1 have read and examined this application and know the same to be true and correct. Al!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 authoniyto 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 t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Off tial Use Only PERMIT# ;77 Own r/Authorize Agent Signatureto (Revised 11/5/2018) Page 1-Application