2513 TAYLOR DR 2020-04-02 - Laserfiche WebLink

R `! ECTRICAL PERMIT APPLI'bTION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits e PROJECT ADDRESS: 2513 Taylor Drive, Everett, WA 98203 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL CONTRACT PRICE OF WORK:$ 2 ,:e0 000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Install 4 Bosch Air Handlers/replace existing equipment-disconnect and reconnect electrical THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) 1 I \2rOSIIIIIIIIal LINE VOLTAGE WORK? ✓❑ NO ❑YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑ NO ✓❑YES-#of Devices:4 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. Other(List All):Replace like for like equipment-disconnect old and reconnect new IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ig NO In YES--See Below&Pg.2 (l 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 YOUAN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: 0 NO EYES-See Below&Pg.3 E 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 Jones TENANT BUSINESS NAME If Commercial): OWNER MAILING ADDRESS: STREET 2513 Taylor Drive CITY Everett STATE WA ZIP 98203 OWNER PHONE: 425-745-5965 OWNER EMAIL: CONTRACTOR NAME: Cardinal Heating and Air CONTRACTOR ADDRESS: STREET 13649 NE 126th Place#101 cn-y Kirkland STATE WA zip 98034 CONTRACTOR PHONE:425-827-9997 CONTRACTOR EMAIL:elizabethj@cardinalheating.com CONTRACTOR LIC.#(REQUIRED):CARDIHA823MU CITY OF EVERETT BUSINESS LIC.#(REQUIRED):53517 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-827-9997 ext 137 Elizabeth CONTACT EMAIL: elizabethj@cardinalheating.com AGREEMENT:1 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#: C-4Ta-4602/6 PL. 12/18/19 E tOt 11— Owner! thorized Age ign ur Date (Revised 1/11/2019) Page 1-Application