11030 EVERGREEN WAY BLDG E 2020-02-07

aims ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 l FAX 425-257-8857 1(E)everetteps@everettwa.gov i www.everettwa.gov/permits 14104E , S.IVNFORMATIo s, . • PROJECT ADDRESS:, 11030 Evergreen Way, Everett WA BLDG E BUILDING AREA: 8000 sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR El TOWNHOUSE ❑DUPLEX ❑ADU MULTI-FAMILY-#OF UNITS ❑✓ COMMERCIAL - ,EXECTRI N& DESC Iii 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:El Service ❑Feeder ❑Circuits-#: ❑Com•Iete Re-wire LOW VOLTAGE WORK? ✓❑NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data ❑ Intercom ❑Thermostat ❑Audio El 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. Q Other(List All): .�,,.as IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO n YES--See Below&Pg.2 ElBychecking this box,I am stating that I have read and understand all of WAC 296-46B-9)4„,..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 folio ng sub sections that do not See Page 2 require Plan Review, ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: O IJYES-See Below&Pg.3 I Pursuant to RCW 19.28.261,property owners and leaseholders cannot perform electrical work on b !dings 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. xw OWNER NAME: Epic Asset Management TENANT BUSINESS NAME(If Commercial):Camelot Apartments OWNER MAILING ADDRESS: STREET PO BOX 12726 crry Seattle STATE WA zip 98111 OWNER PHONE:206 5O5 8000 JOWNER EMAIL nabernathyt eplcasset Com CONTRACTOR NAME: Resound Energy (Warren Bailey) CONTRACTOR ADDRESS: sTREET22122 20th Ave SE, Unit 159 ciTv Bothell STATE WA zip 98021 CONTRACTOR PHONE:206.853.7667 [CONTRACTOR EMAIL:warrenb@resoundenergy.com resoundenergy.com CONTRACTOR LIC.#(REQUIRED)RESOUL861 N6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED).58285 PRIMARY CONTACT: ['OWNER ['CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE206.853.7667 Warren Bailey CONTACT EMAIL:warrenb@resoundenergy.com ACRtr8M NT:/hereby'certrfy Matl have leadand e'ai lfuad thio'app£ieatioa arra kw* same to be true end cart t,,Atfproii/,lrs of t8W,]and otTifil lues gpverNrei 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, Thal tam authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Warren Bailey 11/22/2019 E ` 9 (R?wised m.V'O:to Page t-Appllca lvn. .,. Owner/Authorized A ent Signature` Date