3625 8TH ST 2020-08-28 - Laserfiche WebLink

NNE In 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION '' PROJECT ADDRESS: 3625 8th ST BUILDING AREA: 5000 sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ©TENANT IMPROVMENT ❑REMODEL BUILDING USE: El SFR ❑TOWNHOUSE El DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: Q COMMERCIAL ELECTRICAL APPLICATION INFORMATION A DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 2200 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Change out 8 existing warehouse fixtures and add 6 with new LED fixtures THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO ❑✓ YES-Select Scope: ❑Service ❑ Feeder ❑Circuits-#:2 ❑Complete Re-wire LOW VOLTAGE WORK? ❑NO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data ❑ Intercom El Thermostat ❑Audio El Secure Access ❑ 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. El Other(List All): ' CODE COMPLIANCE : .`, . IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ©NO ❑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 v 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 DYES-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. '''''''M-4''' , ; ONTACT INFORMATION 'p!,:`-, ' 17.. ..,.. OWNER NAME: Contractor TENANT BUSINESS NAME(If Commercial): FedEx Freight OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Northwest Edison CONTRACTOR ADDRESS: STREET 11807 North Creeek PKWY S CITY Bothell STATE WA ZIP 98011 CONTRACTOR PHONE:425-806-9200 CONTRACTOR EMAIL:offer@nwedison.com CONTRACTOR LIC.#(REQUIRED):NorthE1983RD CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 50699 PRIMARY CONTACT: DOWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-354-0610 O I e Rod n e CONTACT EMAIL:oler@nwedison,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 constru4tion 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 th tete Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only 1 j , � �` (� � 612812019 PERMIT#: E 1 a 06- DllO Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application