3315 SEAWAY BLVD 2020-06-05 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 3315 Seaway Blvd Bldg A BUILDING AREA: 5000 sq ft PROJECT TYPE: ❑✓ NEW CONSTRUCTION LI ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION:INFORMATION & DESCRIPTIONOF WORK CONTRACT PRICE OF WORK:$ 200,000.00 ASSOCIATED BUILDING PERMIT#(if applicable): t , ' ( c DESCRIBE SCOPE OF WORK: 5000A 480v new underground service; re-feed 1200A switchboard from new service; THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑YES-Select Scope: ❑✓ Service ✓❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑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 All): ,110EtCIP NCE 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: ❑✓NO EYES-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. CItTACT 1NIIi �►TIaN... .,... OWNER NAME: Seaway West, LLC TENANT BUSINESS NAME(If Commercial):Terrapower OWNER MAILING ADDRESS: STREET 8210 164th Ave NE Suite 100 CITY Redmond STATE WA Z,P 98052 OWNER PHONE:NSA OWNER EMAIL:GBertch@BertchCapital.com CONTRACTOR NAME: Mastercraft Electric, Inc. CONTRACTOR ADDRESS: sTREET2O6 Frontage Rd N, Suite A2 CITY Pacific STATE WA Z,P 98047 CONTRACTOR PHONE:253-737-4367 CONTRACTOR EMAIL:Carlosc@Mastercraftinc.com CONTRACTOR LIC.#(REQUIRED):MASTEE1127B8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):055704 PRIMARY CONTACT: 1_1 OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-737-4367 Carlos Castaneda CONTACT EMAIL:Carlos@Mastercraftinc.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 p PERMIT#: CAVLDs (Aim/LOA 7/11/19 E Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application