4607 RIVERFRONT BLVD 2020-07-02 - Laserfiche WebLink

ELErCTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET.EVERETT,WA 98201 witenitioton (P)425-257-8810 i FAX 425.257-8857 I(E)everetteps@evereftwagov I www,everettwa.govipermits ;:ffaititPROJECTSIT,-)*PRIVL':1 PROJECT ADDRESS: 4607 Riverfront Blvd BUILDING AREA: sq ft PROJECT TYPE: EZI NEW CONSTRUCTION El ADDITION TENANT IMPROVMENT El REMODEL BUILDING USE: V SFR 71 TOWNHOUSE 71 DUPLEX Cl ADU 0 MULTI-FAMILY-#OF UNITS: El COMMERCIAL ltW409,ORM CONTRACT PRICE OF WORK:$ 250 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 100 amp temp power lot 308 THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 0 NO 0 YES Select Scope:El Service 0 Feeder El Circuits-#: El Complete Re-wire LOW VOLTAGE WORK? El NO El YES-#of Devices: SELECT SCOPE(REQUIRED). El Data 0 Intercom 0 Thermostat El Audio 0 Secure Access 0 Security System El 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. 1:1 Other(List All): IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: NO NC Li YES See Below&P9 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:ZNO OYES-See Below&Pg. 3 Pursuant to RCW 19.28,281,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 licensingicertification requirement. - costatt3.:,:i OWNER NAME: Polygon Homes TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: viREET 11624 SE 5th St Ste 100 err? Bellevue STATE WA zip 98005 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Garner Electric WA LLC CONTRACTOR ADDRESS: STREET402 Valley Ave NW Ste 106 cirr Puyallup SUM WA z 98371 CONTRACTOR PHONE:253-872-6051 CONTRACTOR EMAIL:agentele@gweusa.COM CONTRACTOR LIC.#(REQU1RED):GARNEEW864KB [CITY OF EVERETT BUSINESS L1C.#(REQUIRED): 052909 PRIMARY CONTACT!, DOWNER ZCONTRACTOR FIOTHER(Please Specify).,. CONTACT NAME: CONTACT PHONE:263-278-7064 Paul Vantol CONTACT EMAIL:pvanIal@gweusa.com AGREEMENT:I hereby certify that 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 lam authorized by the owner of this property to perform the work for which application is made and comply with th 'te Contractors Law I•F_AIN:QW.end 296,200 WAC. City of Everett Official Use Only PERMIT* titi 8/30/2019 E Doi- 06 —net •uthorized •gent tgn: Ore Date (Revised 1/11/2019) Page t-Application