1502 SE EVERETT MALL WAY BASE FILE 2020-12-21

WCTRICAL PERMIT APPLIOTION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1 502 SE Everett Mall Way BUILDING AREA: sq ft PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION Li TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 5000.00 ASSOCIATED BUILDING PERMIT#(if applicable): B907-020 DESCRIBE SCOPE OF WORK: New 480V panel, 75KVA Transformer and new 208V Panel THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑✓ Service ❑ Feeder n Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑✓ NO ❑ YES-#of Devices: SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ Secure Access ❑ Security System ❑ 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. n 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: ENO 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 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/certifi tiac on requirement. CONTACT INFORMATION OWNER NAME: VOP Associats LLC TENANT BUSINESS NAME(If Commercial):TBD OWNER MAILING ADDRESS: STREET 433 N Camden Dr STE 800 CITY Beverly Hills STATE CA ZIP 90210 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Orca Electrical Contractors CONTRACTOR ADDRESS: STREET PO Box 14693 STY Mill Creek STATE WA zip 98082 CONTRACTOR PHONE:425 248-8726 CONTRACTOR EMAIL:barney@orcaecllc.com CONTRACTOR LIC.#(REQUIRED):ORCAEEC944NU CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425 2488726 Barney CONTACT EMAIL:barney©p OrCaeCIIC.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 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: - ,5 _/a E ic)\ o`1 y 2167 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application