11030 EVERGREEN WAY BLDG C 2020-02-07

MIK 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 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits , PROJECT ADDRESS: 11030 Evergreen Way, Everett WA BLDG C BUILDING AREA:8000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑REMODEL BUILDING USE: U SFRI❑TOWNHO�USrfixI:1ElE D DUPLEX ADU E1 MULTI-FAMILY-#OF UNITS: COMMERCIAL 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 ABCDE ` THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO ❑✓ YES-Select Scope:E Service ❑ Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ElNO ❑YES-#of Devices:. ._.. SELECT SCOPE(REQUIRED): ❑ Data ❑Intercom ❑Thermostat ❑Audio ❑Secure Access ❑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 Ali); IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: r_4 NO ® YES--See Below&Pg.2 ............... ✓ By checking this box,I am stating that I have read and understand all of WAC 296-46B-901,s 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 following 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 lldings 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. . ;�.. .�a� ,�' �E i• .�a`•:`:. tsN .. f�,..:"]111A0l f,17 0 413 .tE .,* .11,011,:" ., 11 `3E.°�.. OWNER NAME: Epic Asset Management TENANT BUSINESS NAME(If Commercial):Camelot Apartments OWNER MAILING ADDRESS: STREET PO Box 12726 c,n 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@reSOUndenergy.COm CONTRACTOR LIC. (RE tUIRB0)RESOUL861 N6 J ITY OF EVERETT BUSINESS LIC #(t EC'ti1IRED) 58285 PRIMARY CONTACT: DOWNER EICONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206.853.7667 Warren Bailey CONTACT EMAIL:warrenb@resoundenergy.com 4O,REEMEIdf,f hereby artily fetal I Italie>read and sxam:ned this_app/+caltottt^end krtow the same to be true milt correct. provla/art a laws abd.tikfthilibes gtiuernrng•this type or 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. 04 of Everett Official Use Onl 'PERMIT#: t Warren Bailey 11/22/2019.., E 1\ VS 3 Owner/Authorized Agent Signature Date (Revised:In 112(#9) Page 1-Application