8417 EVERGREEN WAY PANDA EXPRESS 2022-05-23

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 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 8417 Evergreen Way- Everett, WA 98208 BUILDING AREA: 6000 sq ft PROJECT TYPE: C) NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: C1✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 2,000.00 ASSOCIATED BUILDING PERMIT#(if applicable): B1805-014 DESCRIBE SCOPE OF WORK: Install 6 T-stats & low voltage wiring THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? Q NO El YES-Select Scope: ❑Service El Feeder El Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑7 YES-#of Devices:6 SELECT SCOPEREQUIRED]: ❑ Data ❑Intercom SCOPE(REQUIRED): ®Thermostat El 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. El Other(List All): CODE COMPLIANCE IS THIS PERIVOT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO ❑YES--See Below&Pg.2 '3y 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 I of this application(see next page),AND Plan Review is NOT required because I meet ail 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: ENO 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. CONTACT INFORMATION OWNER NAME: CFT TENANT BUSINESS NAME(If Commercial): Panda Express OWNER MAILING ADDRESS: STREET 1683 Walnut Grove Ave c,, Rosemead STATE CA ZIP 91770 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Metro Air, Inc. CONTRACTOR ADDRESS: STREET 11447 120th Ave. NE#200 circ Kirkland STATE WA ZIP 98033 CONTRACTOR PHONE:425-658-7664 CONTRACTOR EMAIL:accounting@metroair.us CONTRACTOR LIC.#(REQUIRED):METROAI9959C CITY OF EVERETT BUSINESS LIC.#(REQUIRED):054556 PRIMARY CONTACT: DOWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: (! CONTACT PHONE:425-922-9198 Mike CONTACT EMAIL:accounting@metroair.us AGREEMENT:I hereby certify that f 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 mice/the provisions of any other state or local law regulating construction or the performance of construction. That 1 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 ROW and 296.200 WAC. City of Everett Official Use Only PERMIT#: • 11/25/19 E (\ I " Owner/Authorized Agent ' n ture Date (Revised 1/11/2019) Page 1-Application