8020 FLORIDA DR 2020-02-07 - Laserfiche WebLink

LECTRICAL PERMIT APF .CATION zeL. CITY OF EVERETT PERMIT SERVICES !^1- 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits ... ,.«, PRO INFORMA .:.... PROJECT ADDRESS: 8020 Florida Drive BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑✓ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL at : N OF WO CONTRACT PRICE OF WORK: $ 600 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Circuit for heat pump THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO n YES-Select Scope: ❑ Service ❑ Feeder ✓❑ Circuits-#: 1 ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑ 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): IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: d NO • YES--See Below& Pg. 2 By checking this box, I am stating that I have read and understand all of WAC 296-46B-900,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: ❑✓ NO 'EYES-See Below& Pg. 3 Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings 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. ONACT INFORMATION OWNER NAME: Jason Coghlin TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 8020 Florida Drive CITY Everett STATE Y Y,/�'A ZIP 98203 OWNER PHONE:425 387-1757 OWNER EMAIL:lcoghlin@comcast.net ::..:+.�...ay.. ..,nr..... r ,-�.0 x•. ,2 .:•.r., x.::. ... .e..x^[• wwa. a. s. •n „ .__ CONTRACTOR NAME: Always Current Electric Inc CONTRACTOR ADDRESS: STREET 720 N. 10th St Suite A 403 CITY Renton STATE YV`/�,A Zip 98057 CONTRACTOR PHONE:206 793-7920 CONTRACTOR EMAIL:rance@alcuelectric.com CONTRACTOR LIC.#(REQUIRED):ALWAYCE843QB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 056460 PRIMARY CONTACT: ❑OWNER nCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206 793-7920 Rance Pedersen CONTACT EMAIL:rance@alcuelectrjc.com AGREEMENT.I hereby certify that I have read and examined this application and know 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#: (77/C s c1 E ()(Q-00 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application