4610 31ST AVE SE 2020-07-13 - Laserfiche WebLink

111: ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 (E)everetteos@everettwa.gov I www everettwa.gov/permits WASHINGTON AVON PROJECT ADDRESS: 4610 31St Ave SE BUILDING AREA: sq ft PROJECT TYPE: 0 NEW CONSTRUCTION 0 ADDITION ID TENANT IMPROVMENT 0 REMODEL BUILDING USE: El SFR El TOWNHOUSE El DUPLEX ID ADU 0 MULTI-FAMILY #OF UNITS: 71 COMMERCIAL gwmikgagaitgOIVW40041j,t7i;' 7V;0461/010111‘70-000004MOtk?1:iii3::!1 ,11ESVElk%;:j. CONTRACT PRICE OF WORK:$ 200 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: 100 amp temp power lot 329 THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO El YES-Select Scope:E]Service 0 Feeder 0 Circuits-#: El Complete Re-wire LOW VOLTAGE WORK? El NO El YES-#of Devices: SELECT SCOPE(REQUIRED): El Data El Intercom 0 Thermostat 0 Audio CI Secure Access El 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. 171 Other(List All): IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH ANDIOR PERSONAL CARE FACILITIES: Ljj NO 1_,J 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: ZNO OYES-See Below&Pg. 3 E Pursuant to RCW 19.28261,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: Polygon Homes TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th S Ste 100 Bellevue STATE WA 76, 98005 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Garner Electric WA LLC CONTRACTOR ADDRESS: sniecr402 Valley Ave NW Ste 106 cm, Puyallup STATE WA zip 98371 CONTRACTOR PHONE:253872-6051 _CONTRACTOR EMAIL:agentele@gweusacom CONTRACTOR LIC. #(REQUIRED):GARNEEW864KB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 052909 PRIMARY CONTACT: [DOWNER ( ]CONTRACTOR DOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-278-7064 Paul Vantol CONTACT EMAIL:pvantol©gweusa.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 canoe/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! comply with tri',State Contractors Law 18,27 ROW and 296.200 WAG. City of Everett Official Use Only /Yr-2 PERMIT#: Fa/fy E c--(06, 0 Owner Authorized Agent qgnature ate (Revised 1/2019) Page 1-Application