2001 120TH PL SE 2021-12-14 - Laserfiche WebLink

w EVERETT WASHINGTON A CTRICAL PERMIT APPLIATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 i FAX 425-257-8857 i (E) everetteps@everettwa.gov i www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2001 1 20th PL SE BUILDING AREA: 700 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ✓❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 4675 ASSOCIATED BUILDING PERMIT # (if applicable): AIA DESCRIBE SCOPE OF WORK: Install replacement fire panel 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: 1 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. ❑ Other (List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 71 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: WINO 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. CONTACT INFORMATION OWNER NAME: The CWD Group Inc. TENANT BUSINESS NAME (If Commercial): OWNER MAILING ADDRESS: STREET PO Box 4579, Dept. 392 CITY Houston STATE TX Z,p 77210 OWNER PHONE:4254222729 OWNER EMAIL: Lyndsey@cwdgroup.com CONTRACTOR NAME: AAA Fire Protection Inc. CONTRACTOR ADDRESS: STREET 3013 3rd Ave N CITY Seattle STATE WA Zip 98109 CONTRACTOR PHONE: 2062841721 CONTRACTOR EMAIL: tj@aaaflre.com CONTRACTOR LIC. #(REQUIRED): N�3 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 27647 PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR [—]OTHER (Please Specify) T NAME: TJ Carlson E CONTACT PHONE: 2063272259 CONTACT EMAIL:tj@aaafire.com Hurcctiviciv /: r nereoy cemry rnar t nave read and examinea tnis appucauon and Know the same to ae 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/ 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 On! Owner/Authorized Agent Signature PERMIT # Date (Revised 1/1112019) Page 1-Application