11030 EVERGREEN WAY BLDG B 2020-02-07

NNW Num ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.govipermits 1 rg 1!to -MAA`T. PROJECT ADDRESS: 11030 Evergreen Way, Everett WA BLDG B BUILDING AREA:8000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR El TOWNHOUSE ❑ DUPLEX ❑ADU L7 MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL Me l LRICAL ICf ESC ' w `R�. . ,...�� . .. ...��.�..,.,.: �?�� ..�"1"II• N w11�Ft?,�'t�llil�,'�'�fN 1 � X�!; �Q�1�� CONTRACT PRICE OF WORK:$ 4500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 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? ❑NO ❑✓ YES-Select Scope:❑✓ Service ❑Feeder ❑Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO Cl YES-#of Devices; SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom El Thermostat ❑Audio El Secure Access El Security System ❑ 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 All): k.4. celtr ? :,3 i':rA^ ...t.-_ ' 4a COQI 4.0t4P M�ttl., 141 IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: .P NO YES—See Below&Pg.2 ji By checking this box,I am stating that I have read and understand all of WAC 296-46B-90',se ected the specific reason on page 2 of this application(see next page),AND Plan Review is NOT required because I meet all of the followi g sub sections that do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: 0 DYES-See Below&Pg.3 Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on b Ildings 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. � ..•', � 41r- w.. 'c NTA E•I ORMAICO 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 206 505 8000 OWNER EMAIL:nabernathy@epicasset.com CONTRACTOR NAME: Resound Energy (Warren Bailey) CONTRACTOR ADDRESS: .. STREET22122 20th Ave SE, Unit 159 CITY Bothell STATE WA ZIP 98021 CONTRACTOR PHONE:206.853.7667 CONTRACTOR EMAIL:warrenb@resounclenergy.com CONTRACTOR LIC.#(REQUIRED):RESOUL861N6 .. CITY OF EVERETT BUSINESS LIC.#(REQUIRED)-:58285 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206.853.7667 Warren Bailey CONTACTEMAIL:warrenb@resoundenergy.com At7REEMEl'VT:'.i itdr8try.r etlit)r that 1 helm road end exir%riherrthia applk afion and kn/w 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#: l t Warren Bailey 11/22/2019 E \q` ` ` - l S 2... Owner/Authorized Agent Signature Date 9 9 (Revised 1J11/20•79):; Page 1 APPticafidn'