7909 EVERGREEN WAY MOD PIZZA 2021-01-28

A R IRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES B 3200 CEDAR STREET, EVERETT, WA 98201 04 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everetty al ov/permits,.,-77 PROJECT SITE INFORMATION PROJECT ADDRESS: 7909 Evergreen Way PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION J❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR El TOWNHOUSE El DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL BUILDING AREA: 3,113 sq ft ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 6,000.00 ASSOCIATED BUILDING PERMIT#(if applicable): IS THIS LOW VOLTAGE WORK? ❑ NO ✓❑ YES-#OF DEVICES: 18 IS THIS A FIRE ALARM PERMIT? ❑ NO ❑✓ YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRIPTION OF WORK & CODE COMPLIANCE DESCRIPTION OF WORK: Installing new fire alarm system to provide site notification, site evacuation, duct detector monitoring and sprinkler monitoring IS THIS PERMIT EDUCATION,INSITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓❑ NO ❑YES--See Below&Pg.2 I 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 OYES-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 signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: Evergreen Burg LLC TENANT BUSINESS NAME(If Commercial): MOD Pizza OWNER MAILING ADDRESS: STREET 615 NW 162nd St CITY Shoreline STATE WA zip 98177 OWNER PHONE: - OWNER EMAIL: - CONTRACTOR NAME:COmI11erCial Alarm & Detection, Inc. CONTRACTOR ADDRESS: STREET 17199 Bennett Rd. CITY Mt. Vernon STATE WA zIP 98273 CONTRACTOR PHONE: 509-868-8485 CONTRACTOR EMAIL: ron@cfirepro.com CONTRACTOR LIC.#(REQUIRED): COMMEA1948L0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 043019 PRIMARY CONTACT: E OWNER ❑CONTRACTOR ✓❑OTHER(Please Specify) Designer/Applicant for Commercial Alarm CONTACT NAME: CONTACT PHONE: 360-848-1533 x 1 1 1 Kri sta S. CONTACT EMAIL: krista@cfirepro.com 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# '-‘—'-}°1 \CI l'--0 \ i., //0-0-441-Ze-' 427/09 0 ner/Authorized Agent Signature Da (Revised 11/5/2018) Page 1-Application