5105 W VIEW DR 2020-04-02 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES WY, 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov l www.everettwa.gov/permits 9 PROJECT ADDRESS: 5105 WEST VIEW DR BUILDING AREA: 1288 sq ft i ;r T f P;{ 1IwW' ONSTR CTION- ❑� oitr-❑ `8 ANTIPOMMENir°.. arc BUILDING USE: ©SFR_,.. ❑TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: (71 COMMERCIAL q 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? © NO ElYES-Select Scope: I:1Service E:1 Feeder ✓❑Circuits-#:1 1.1 Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO ❑YES-#of Devices:,, SELECT SCOPE(REQUIRED): ❑Data ❑Intercom [Thermostat ❑Audio ❑Secure Access El 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. ,, ,-•.. 0 Other._(List All): IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES; ` ANO `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: ONO OYES-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: JARED MCMAHON TENANT BUSINESS NAME(If Commercial OWNER MAILING ADDRESS: STREET 51.05 WEST VIEW DRIVE CITv EVERETT STATE WA ZIP 98203 OWNER PHONE:206-941-9944 OWNER EMAIL:1ed.mcmahon@gmail.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,#REQUIREb t 016098 PRIMARY CONTACT;: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-259-0550 KAI LANA CONTACT EMAIL:KAILANA@CMHEATING.COM AGR£l MENT i'hereby cenit$that t have read and exam/ned alis appttcetion and know the same to be true and correct All proyislon's Of laws and radiances 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 at taw re lath g C a' ,, a ••e!u e r Ott nw;.. 'hatl.ernAu hatikr ty.th&ownar o tt ;pzoo rtytu p rtn tlie.vrock rcfi a/ ii0attnn is paads aratl:! cc:rnp with the Stat Corr o; Law 18.27 RCW and 298.200 WAC. City of.Everett Official Use Onty„ PERMIT#: 01/21/20ZQ ( t �3 E Own " • . ó ze ' ""i t S1gn,-=urs ' Date fRev15,ed 1/1:1/2019) Page 1-Application