11030 EVERGREEN WAY BLDG A 2020-02-07

M ELECTRICAL PERMIT APPLICATION • CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits 1.::*"ARSPEICE4WEilli:1! PROJECT ADDRESS: 1 1030 Evergreen Way, Everett WA BLDG A BUILDING AREA:8000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION El TENANT IMPROVMENT 0 REMODEL BUILDING USE El SFR 0 T• OUSEEl DUPLEX ❑ADU El MULTI FAMILY #OF UNITS. El COMMERCIAL '1"`,Y '. y('J� � ... (ONINF .S ON w R ,O :i,.•�:�i =i o CONTRACT PRICE OF WORK:$ 4500 ASSOCIATED BUILDING PERMIT.#(if applicable): DESCRIBE SCOPE OF WO- Common area hallways, elevator lobby and stairwell domes being converted to LED fixtures (6 different Permits, BLDG -A B C D E THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO ❑✓ YES-Select Scope:❑✓ Service El Feeder ❑Circuits-#: 0 Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data El Intercom ❑Thermostat ❑Audio El Secure Access ❑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, ❑Other(List Alt}: IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 'A NO it YES--See Below&Pg.2 EBy checking this box,I am stating that I have read and understand all of WAC 296-46B-90 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: M:' 0 OYES-See Below&Pg.3 Pursuant to RCW 19.28,261,property owners and leaseholders cannot perform electrical work on •4ildings for rent,sale,or lease t 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. f� r'`r3� ,<3Yv •' 4'.. i. Y`ON Tr l Oi I . OWNER NAME: Epic Asset Management TENANT BUSINESS NAME(If Commercial):Camelot Apartments OWNER MAILING ADDRESS: STREET PO Box 12726 CITY Seattle STATE WA ZIP 98111 OWNER PHONE:2O6.505..8000 OWNER EMAIL:nabernathy@.e•icaSSet.COm CONTRACTOR NAME: Resound Energy (Warren Bailey) CONTRACTOR ADDRESS: sTREET22122 20th Ave SE, Unit 159 CITY Bothell STATE WA ZIP 98021 CONTRACTOR PHONE:206.853.7667CONTRACTOR EMAIL: Warrenb@reSOUndenergy.COm CONTRACTOR LIC.#(REQUIRED):RESOUL861 N6 CITY OF EVERETT BUSINESS LIC.# ECIU1R ):58285 PRIMARY CONTACT: DOWNER leiCONTRACTOR ❑OTHER(Please Specify). CONTACT NAME: CONTACT PHONE:206.853.7667 VVarren Bailey CONTACTEMAIL:warrenb@resoundenergy.com AORE MEN1::'lhervb3t'0v/iffy that r have realeendtwdmtnnd thT appflcalian;and knew 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, Gid of Everett Official Use Only. PERMIT#: Warren Bailey 11/22/2019 E k \ < `� Owner/Authorized Agent Signature Date •{Revised 1ff:1/20191 Pagel-Application