2302 RAINIER AVE 2020-04-02 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 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 PROJECT SITE.INFORMATION PROJECT ADDRESS: 2302 RAINIER AVE _I BUILDING AREA: 2076 sq ft PROJECT TYPE: El NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT © REMODEL BUILDING USE: ❑✓ SFR El TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL , °'ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 250 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: ADD CIRCUIT FOR HEAT PUMP INSTALLATION -TSTAT CONNECTION THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? LINO Cl YES-Select Scope: u Service ❑ Feeder ❑✓ Circuits-#: 1 ❑Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom Q 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 An): CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: Ig NO I 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: LYJNO EYES-See Below&Pg 3. — Pursuant to RCW 1928.261,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. 44' f41,4 _• CONTACT-INFORMATION OWNER NAME: JASON VIVEIROS TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2302 RAINER AVE CITY EVERETT STATE WA ZIP 98201 !OWNER PHONE:425-299-2906 OWNER EMAIL:jgiffordv@gmail,com ,CONTRACTOR NAME: C.M. HEATING INC { CONTRACTOR ADDRESS: STREET 1415 BROADWAY crry 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:1 hereby certify that t 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 itocal 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 1 !comply with the State Contractors Law 18,27 RCW and 296.200 WAC City of Everett Official Use Only �i,y y 1 ,�(^y � ) PERMIT#: n�n /'14 2.CY/t/1 7/K//i/C'� 11/11/19 F �� I 1- V (oS Owner/Authorized Agent Signature e Date (Revised 1/11/2019) Paget-Application {a{ fF