3214 BROADWAY BROADWAY KINECT APARTMENTS 2021-08-11

e ECTRICAL PERMIT APPLIOTION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET. EVERETT.WA 98201 WASHINGTON (P)425-257-8810 ' FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3214 BROADWAY BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: LI SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑✓ MULTI-FAMILY-#OF UNITS 1406 ❑COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 100,000 .ASSOCIATED BUILDING PERMIT# (if applicable):"R\ 0-- CL DESCRIBE SCOPE OF WORK: `� 1'q l l J- ( C 1 We are installing new fire alarm, Entry access and cctv THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑YES-Select Scope: ❑ Service ❑ Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO ❑YES-#of Devices: 185 SELECT SCOPE(REQUIRED): ❑ Data C Intercom ❑ Thermostat ❑Audio El Secure Access ❑ Security System 0 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: ® 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 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 EYES-See Below& Pg. 3 Pursuant to ROW 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: America Home Builders TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: s-REET OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Electrical Technology LLC CONTRACTOR ADDRESS: STREET P.O Box 1 3889 „T,, Mill Creek ST;,-E WA 98082 CONTRACTOR PHONE: 206-931-3128 CONTRACTOR EMAIL: Chris@electro-tech.biz CONTRACTOR LIC.#(REQUIRED): ELECTTL888OG CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 58542 PRIMARY CONTACT: (DOWNER IlCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Chris Davis CONTACT PHONE: 206-931-31 28 CONTACT EMAIL: Chris@eleCtro-tech.biz AGREEMENT:1 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Owner/Auth lzed A nature Date (Revised 1/11/2019) Page 1-Application