7015 BEVERLY BLVD 2020-08-27 - Laserfiche WebLink

► ELECTRICAL PERMIT APPLICATION ,/�^ CITY OF EVERETT PERMIT SERVICES �^ 3200 CEDAR STREET,EVERETT,WA 98201 (F)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits t P;ROJECT,,SIT;Ew INIORMATION, �, , PROJECT ADDRESS: 7015 BEVERLY BLVD SW BUILDING AREA: 1094 sq ft PROJECT TYPE: El NEW CONSTRUCTION IZI ADDITION ❑TENANT IMPROVMENT ❑REMODEL BUILDING USE: D SFR ❑TOWNHOUSE El DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: El COMMERCIAL ELECTRICAL,"APPLJCATION'INFORMATION B;;,DESCRIPTION OF,'WORK' , CONTRACT PRICE OF WORK:$ 18506.91 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: HP INSTALL THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE`VOLTAGE WORK? ❑NO El YES-Select Scope:❑Service ❑ Feeder ❑✓ Circuits-#:2 ❑Complete Re-wire LOW VOLTAGE WORK? ❑NO YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑Intercom ❑✓ Thermostat ❑Audio ❑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. ❑Other(List All): CODE'COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: Q NO El 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: ONO 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 Iease 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. kCONTAC TENANT BUSINESS NAME(If Commercial): NAME: BRANDON O'HARA OWNER MAILING ADDRESS: STREET 7015 BEVERLY BLVD SW CiTv EVERETT STATE WA zip 98203 OWNER PHONE:(425)210-5069 OWNER EMAIL:OHARAB RANDONI @GMAT L.COM CONTRACTOR NAME: gs heating CONTRACTOR ADDRESS: sTREEr3409 everett ave CiTv everett STATE wa z,a 98201 CONTRACTOR PHONE:425-610-4257 CONTRACTOR EMAIL:MELANIE@gsheating.corn CONTRACTOR LIC.#(REQUIRED):GSHEAHC8218R CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 60058 PRIMARY CONTACT: DOWNER ZCONTRACTOR EOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-610-4257 MELANIE MENDENHALL CONTACT EMAIL:MELANIE@gsheating,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 I am authorized by the owner of this property to perform the work for which application Is made and! comply with the State Contractors Law 18.27 ROW and 296.200 WAC. City of Everett Official Use Only PERMIT#' Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application