11030 EVERGREEN WAY BLDG D 2020-02-07

ilk ............. `I ELECTRICAL PERMIT APPLICATION EVERETT 32CITY OF EVERETT PERMIT SERVICES 00 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 w- : : .PRo4ECT TA TI,C • , a PROJECT ADDRESS; 11030 Evergreen Way, Everett WA BLDG D BUILDING AREA: 8000 sq ft PROJECT TYPE: CI NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX ❑ADU ✓❑MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL 4.. .. .a E tcArrApFV. 011 R PMQ 0, 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 0 YES-Select Scope: ❑✓ Service ❑Feeder ❑Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? 0 NO El 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 All): otigmL f x ISM 'z IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: .0 NO LJ YES--See Below&Pg.2 By checking this box, I am stating that I have read and understand all of WAC 296-46B-900,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 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 OYES-See Below&Pg.3 Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on 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. .IATcyll., .Vi lM ES OWNER NAME: Epic Asset Management TENANT BUSINESS NAME(If Commercial):Camelot Apartments OWNER MAILING ADDRESS: STREET PO Box 12726 .... CITY Seattle STATE W^.. . ZIP 98111 OWNER PHONE:206.505.8000 'OWNER EMAIL:nabernathy@epicasset.com CONTRACTOR NAME: Resound Energy (Warren Bailey) CONTRACTOR_ADDRESS:..._._. STREET2212220th_Ave SE, Unit 159 CITY Bothell STATE WA ZIP 98021 CONTRACTOR PHONE:206.853.7667 1CONTRACTOR EMAIL:warrenb@resoundenergy.com CONTRACTOR LIC. (REQUIRED)RESOUL861 N6 (CITY OF EVERETT BUSINESS LIC.#(REE RED 58285 PRIMARY CONTACT: DOWNER YJCONTRACTOR ❑OTHER(Please Specify)_ CONTACT NAME: 1CONTACT PHONE:206.853.7667 Warren Bailey CONTACT EMAIL:warrenb@resoundenergy.com AGREEMENT:f hereby eertifythat!kava read-aridexarittrred this top/bast-104 slid ktww 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'Ofticiai Use cinty„ PERMIT#: c. Warren11/22/2019 E k,55 wtter{PF Birarlt etl Agent Signature Date {'ReVt etf 1/1 1/2014 Page 1-Appl cation