6320 2ND DR SE 2023-10-31 - Laserfiche WebLink

EVCTRICAL PERMIT APPLIJVTION CITY OF EVERETT PERMIT SERVICE 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT"SITE INFORMATION' PROJECT ADDRESS: 6320 2nd Drive SE BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑✓ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION A ;DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 600 ASSOCIATED BUILDING PERMIT # (if applicable): M1904-105 DESCRIBE SCOPE OF WORK: Circuit for AC THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES - Select Scope: ❑ Service ❑ Feeder ❑✓ Circuits-#: 1 ❑ 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. ❑ Other (List All): CODE COMPLIANCE '. IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: W1 NO El YES -- See Below & Pg. 2 ❑ By checking this box, I am stating that I have read and understand all of WAC 296-4613-900, 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 ❑YES -See Below & Pg. 3 E]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: Robert Chen TENANT BUSINESS NAME (If Commercial): OWNER MAILING ADDRESS: STREET 6320 2nd Drive SE CITY Everett STATE WA 1,98203 OWNER PHONE: 425 290 3116 OWNER EMAIL: xbab86@gmail.com CONTRACTOR NAME: Always Current Electric Inc CONTRACTOR ADDRESS: STREET 720 N. 10th St Suite A 403 CITY Renton STATE WA Z,P 98057 CONTRACTOR PHONE: 206 793-7920 CONTRACTOR EMAIL: rance@alcuelectric.com CONTRACTOR LIC. #(REQUIRED): ALWAYCE843Q6 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 056460 PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Rance Pedersen CONTACT PHONE: 206 793-7920 CONTACT EMAIL: rance@alcuelectric.com A(ihCttMtN 1: 1 hereby cerbty that t 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 / am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only _,e.•----" ' PERMIT #: E Owner/Authorized Agent Signature Date (Revised 1/1112019) Page 1-Application