2131 LAKE HEIGHTS DR 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@everettwa.gov 1 www.everettwa.gov/permits .;, 041PROJECT SIITNFRMATI�N PROJECT ADDRESS:2131 LAKE HEIGHTS DRIVE PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ©REMODEL BUILDING USE: ❑SFR 0 TOWNHOUSE 0 DUPLEX 0 ADU O MULTI-FAMILY-#OF UNITS: ©COMMERCIAL BUILDING AREA: sq ft IL CTRICA I OR..„4Ip T I�r 4 T N CONTRACT PRICE OF WORK:$250 ASSOCIATED BUILDING PERMIT#(If applicable): IS THIS LOW VOLTAGE WORK? 21 NO 0 YES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? ©NO 0 YES-Plans required for review(Both Electrical and Fire Department Inspections are required) DES& i QN OF w:RK 80,CODE C Mlit NCE "P DESCRIPTION OF WORK: Load bank testing of emeroencv back UD i:enerator-1907035 • Location:generator enclosure IS THIS PERMIT EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ©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 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:ONO OYES-See Below&Pg.3 n 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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME:Bethany Silver Crest TENANT BUSINESS NAME(If Commercial): Bethany OWNER MAILING ADDRESS: STREET2131 LAKE HEIGHTS DRIVE crry Everett STATE WA zip 98208 OWNER PHONE:253.395.9077 OWNER EMAIL;anokes@pacificpowergroup.com CONTRACTOR NAME:Pacific Power Group CONTRACTOR ADDRESS: STREET805 Broadway Street,#700 erre Vancouver STATE WA ZIP 98660 CONTRACTOR PHONE:253-395-9077 CONTRACTOR EMAIL:anokes@pacificpowergroup.com ..CONTRACTOR LIC.#REQUIRED);EC PACIFPG867D& CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 053000 PRIMARY CONTACT: 12 OWNER EI CONTRACTOR ❑OTHER(Please Specify); CONTACT NAME: CONTACT PHONE:253-395-9077 Amanda Nokes CONTACT EMAIL:anokes@pacificpowergroup.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. Ail provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The grantingof 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 em 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 4 , V PERMIT# -col a� 2 Owner/Authorized Agent Signature Date (Revised 11/5/2018) Page 1-Application