4917 EVERGREEN WAY 2021-02-22 - Laserfiche WebLink

OOZE ALARM PERMIT APPLI1ION 477- 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:4917 EVERGREEN WAY, EVERETT, WA 98203 BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$1,740.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: INSTALLING AES RADIO COMMUNICATOR PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance.Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: ✓❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑✓ 3 Sets of Plans-Must include the following: ✓❑ Location of fire alarm devices ❑ Battery calculations&voltage drop calculations for notification appliance circuits ❑ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Claremont Village Station LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SMITH FIRE SYSTEMS CONTRACTOR ADDRESS: STREET 1106 54TH AVE EAST CITY TACOMA STATE WA ZIP 98424 CONTRACTOR PHONE: 253-248-2000 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): SMITHFS861 RS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 23577 PRIMARY CONTACT: DOWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-248-2364 SARAH BUCHER CONTACT EMAIL: SBUCHER@SMITHFIRE.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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Sarah Digitally signed by Sarah Bucher Bucher 3/13/20 FA ZOCG -Opq Date:2020.03.13 07:23:28-07'00' Owner/Authorized Agent Signature Date (Revised 3/6/2019) _ �s