5327 GLENWOOD AVE 2020-03-06 - Laserfiche WebLink

ELECTRICAL PMIT & FIRE ALARM PE MIT APPLICATION It CITY OF EVERETT PERMIT SERVICES /140.6",-",---A3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 i FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:5327 Glenwood Ave Unito Everett WA (U r It t PROJECT TYPE: ❑NEW CONSTRUCTION 0 ADDITION 0 ENANT IMPROVMENT ❑ REMODEL BUILDING USE: FR 0 TOWNHOUSE ❑ •UPLEX 0 DU I❑}VIULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL BUILDING AREA: sq ft ELECTRICAL APPLICATION INFORMATION •CONTRACT PRICE OF WORK:$ ! 0o ASSOCIATED BUILDING PERMIT#(If applicable): IS THIS LOW VOLTAGE WORK? m NO ❑ ES-#OF DEVICES: dIS THIS A FIRE ALARM PERMIT? 0 ❑ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK &CODE COMPLIANCE DESCRIPTION OF WORK: install 60 amp dedicated circuit from panel to furnace, install junction box, install 3 GFCIs THIS SECTION APPLIES TO ALL EDUCATION,INSITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: MBy 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. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: I■! 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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: Ryan Critchfield TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 92 Homestead St cnr San Francisco STATE WA ZIP 94114 • OWNER PHONE: 206-313-8993 OWNER EMAIL: ryan.critchfield@gmail.com CONTRACTOR NAME: Parker Bros Electric LLC CONTRACTOR ADDRESS: STREET 13630 54th Dr NE CITY Marysville STATE WA ZIP 98271 CONTRACTOR PHONE:425-239-6319 CONTRACTOR EMAIL: gary@parkerbroselectric.corn CONTRACTOR LIC.#(REQUIRED):PARKEBE845NT CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 56709 PRIMARY CONTACT: ®OWNER }ONTRACTOR `reTHER(Please Specify) c\dfi"'"F Pete/ndn CONTACT NAME: CONTACT PHONE: 425-239-6319 5 ') -6*-35711 Gary Parker • CONTACT EMAIL: Bary@parkerbroselectric.com AGREEMENT:I hereby certify that!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 lam 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# '/ ' ////6 /617 )6 \(?) 1 1 LP • ner/Authorize•• 'gent Signature Date (Revised 10/30/2098) Page 1 of 3