2501 COLBY AVE 2020-02-06 - Laserfiche WebLink

_ECTRICAL PERMIT APP CATION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2501 Colby Ave BUILDING AREA: 25000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ✓❑ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR El TOWNHOUSE ❑ DUPLEX C ADU ❑✓ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 1800 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Installing AES Radio THIS INSTALLATION INCLUDES THE FO ! ING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑✓ NO/ lI YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#:_ ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ W0 0 YES-#of Devices:1 SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat,- ❑Audio ❑ Secure Access ❑ Security System ✓❑ Fire Alar - Installations under this porfnit only include electrical wiring rough-in of the system.An additional Fire Alarm Per •'t is required for rev' of device location and installation approval. ❑ Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ❑✓ 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 YOUAN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: El NO EYES-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 See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(If Commercial): Marathon Properties OWNER MAILING ADDRESS: STREET PO Box 2113 CITY Lynnwood STATE Wa ZIP 98036 OWNER PHONE: OWNER EMAIL: eff©marathonproperties.corn CONTRACTOR NAME: Seacom Cabling CONTRACTOR ADDRESS: STREET3014 Hoyt Ave CITY Everett STATE Wa ZIP 98201 CONTRACTOR PHONE:425531782559 CONTRACTOR EMAIL:rlowery©p callseacom.com CONTRACTOR LIC.#(REQUIRED):SEACOC1944D0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):') (SS PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4253178259 Randy Lowery CONTACT EMAIL:rlowery@callseacom.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 lam authorized by the owner of this property to perform the work for which application is made and I compl with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: E Owner/Authorized • • , ignature Date (Revised 1/11/2019) Page 1-Application