3306 SHORE AVE 2020-01-30 - Laserfiche WebLink

ELECTRICAL 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 I www.everettwa.gov/permits ` t, PRO.,....T.;77.!11, PROJECT ADDRESS: 3306 Shore Ave BUILDING AREA: na sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT El REMODEL BUILDING USE: ❑✓ SFR ❑TOWNHOUSE El DUPLEX El ADU ❑ MULTI-FAMILY yy-p#OF UNITS: ❑ COMMERCIAL r..�"..ELEGi tcAL APPLllrir' F e : ' & DES RRPTI CONTRACT PRICE OF WORK:$ 600 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: circuits for 2 heat pumps THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO ✓❑YES-Select Scope: El Service El Feeder El Circuits-#:2 El Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data El Intercom ❑ Thermostat ❑Audio El Secure Access El 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. El Other(List All): ',%77,'Ar,opgCOMPLIANCE PLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ✓l NO • 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 YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ✓❑NO 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/certification requirement. CON ' ss OWNER NAME: Barone Blanchette TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3306 Shore Ave C,Ty Everett $TATE WA zip 98203 OWNER PHONE:619 851-6385 OWNER EMAIL:)aroneh619@yah0o.com CONTRACTOR NAME: Always Current Electric CONTRACTOR ADDRESS: sTREET 720 N 10th St A403 CITY Renton STATE WA ZIP 98057 CONTRACTOR PHONE:206 793-7920 CONTRACTOR EMAIL:rance@alcuelectric.com CONTRACTOR LIC.#(REQUIRED):ALWAYCE843QB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 056460 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206 793-7920 Rance CONTACT EMAIL:rance@alcuelectric.com AGREEMENT:I hereby certify that t 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#:/ Rance Pedersen 4-17-2019 E1 �� (/ 4/CCP\ Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application