12115 19TH AVE SE THE LAKEHOUSE APARTMENTS 2023-07-03

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES , 3200 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: 12115 19th Ave SE, Everett, WA 98208 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION Cl TENANT IMPROVMENT El REMODEL BUILDING USE: ❑SFR Cl TOWNHOUSE El DUPLEX ❑ADU EJ MULTI-FAMILY-#OF UNITS: El COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 16000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Conversion of open access area's to LED retrofit THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO ❑✓ YES-Select Scope: ❑✓ Service El Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? 0 NO El 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. Cl Other(List All): CODE.COMPLIANC IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ❑✓ NO n 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: 1 INO DYES-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. CONTACTINFORMA ON OWNER NAME: Greystar (Chris Polley) TENANT BUSINESS NAME(If Commercial): Lakehouse Apartments OWNER MAILING ADDRESS: STREET 701 Pike St. Seattle CITY Seattle STATE WA ZIP 98101 OWNER PHONE:2O6.366.5268 OWNER EMAIL:cpolley@greystar.com CONTRACTOR NAME: Resound Energy CONTRACTOR ADDRESS: sTREET22122 20th Ave SE Unit 159 CITY Bothell STATE WA ZIP 98021 CONTRACTOR PHONE:2069054332 CONTRACTOR EmAIL:warrenb@resoundenergy.com CONTRACTOR LIC.#(REQUIRED):RESOUEL861N6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):58285 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2089487739 Jessica Bechtel CONTACT EMAIL:jessicab@resoundenergy.com AGREEMENT:I 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#)1: Jessica Bechtel 4/2/2019 E [ b9 _ v( Owner/Authorized Agent Signature Date t' eeisett 1/11/2015 Page 1Appiicati-cro