2331 MONROE AVE 2020-02-24 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION e'er CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps©everettwa.gov I www.everettwa.gov/permits OjECT SITEINFORMATION PROJECT ADDRESS: 2331 MONROE AVE 1BUILDING AREA: 2205 sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT © REMODEL BUILDING USE: ❑✓ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL E IR10,1+I4PL1C AMIDES CONTRACT PRICE OF WORK:$ 500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: ADD CIRCUIT FOR BOTH THE AIR HANDLER AND THE HEAT PUMP — TSTAT CONNECTION THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑✓ NO ❑ YES-Select Scope: ❑Service ❑ Feeder ❑✓ Circuits-#:2 ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO El YES-#of Devices: SELECT SCOPE(REQUIRED). El 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): ..�.. ...,. .,,,:. r `.•a„�irQIQ�,.'i Q RIk. AN�iI�. ” is THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO DYES--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. OWNER NAME: THOMAS SHARP TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2331 MONROE AVE ore EVERETT STATE WA zIP 98203 OWNER PHONE:425-404-0460 OWNER EMAIL:thomas_lee_s@hotmail.com CONTRACTOR NAME: C.M. HEATING INC CONTRACTOR ADDRESS: STREET 1415 BROADWAY CITY EVERETT STATE WA ziP 98201 CONTRACTOR PHONE:425-259-0550 CONTRACTOR EMAIL:KAILANA@CMHEATING.COM CONTRACTOR LIC.(#(REQUIRED): CMHEAMH877DN CITY OF EVERETT BUSINESS LIC,#(REQUIRED): 016098 PRIMARY CONTACT: DOWNER ❑CONTRACTOR ❑OTHER(Please Specify) " CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. ✓i/provisions Of taws 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 constniction 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 1, PERMIT#: (‹ei .L. nA)4 /%,G///'/4 05/29/19 E \RO — a- c Owner/Authorized Agent Signature Date .(Revised 1/11/2019) Page 1-Application ,. . l