8319 5TH AVE W 2021-02-26 - Laserfiche WebLink

uni E CTRICAL PERMIT APPLI \TION E CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 i(E)everetteps at✓leverettwa.gov I www.everettwa.govlpermits PROJECT ADDRESS: 8319 5th Avenue West BUILDING AREA: 1,096 sq ft PROJECT TYPE: 0 NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX ❑ADU 0 MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL LET S . � PPI,M +�►TIIt�IN INFORMATION , DES I PTION OFINORK CONTRACT PRICE OF WORK:$ 6,907.00 ASSOCIATED BUILDING PERMIT#(if applicable): C1701-017 DESCRIBE SCOPE OF WORK: Wire apartment to code. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO Q YES-Select Scope:0 Service ❑✓ Feeder ❑✓ Circuits-#:15 El Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:3 SELECT SCOPE(REQUIRED): 0 Data El Intercom ❑Thermostat El Audio ❑Secure Access ❑ Security System 0 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): . ^�CWOO P ANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: CI 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 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 See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. • CONTAFr I NORMATI OWNER NAME: Seattle Development Assoc., LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1122 130th Street SE - #A c,T,. Everett SATE WA zn 98208 OWNER PHONE:206-830-0126 OWNER EMAIL:SDAhomes@gmail.com CONTRACTOR NAME: Tughan Electric, Inc. CONTRACTOR ADDRESS: sTREET 191 1 235th Court NE CITY Sammamish STATE WA ZIP 98074 CONTRACTOR PHONE:425-868-8072 CONTRACTOR EMAIL:Larry@tughanelectriC.com .......... ...... . CONTRACTOR LIC.#(REQUIRED):TUGHAEI943BP CITY OF EVERETT BUSINESS LIC.#(REQUIRED):044481 PRIMARY CONTACT: OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-830-0126 Edis Kulaga CONTACTEMAIL:ediskulagac@gmaii.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 Slat ntractor w 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 5/20/2019 E moS - StA Owner/Actor ed A nt Signature Date (Revised 1/11/2019) Page 1-Application