3003 W CASINO RD BLDG 45-01 2021-03-31

ACTRICAL PERMIT APPLICtTION CITY OF EVERETT PERMIT SERVICES r 3200 CEDAR STREET,EVERET I',WA 08201 (P)425.257-8810 I FAX 425-257.8857 I(E)ovorotteps@evorellwa.gov I vww.evereitwa.gov/permits PROJECT'ITE-INFORMATION; I . . , , •• � col Al to . PROJECT ADDRESS: 3003 W Casino RD Everett Boeing, BUILDING AREA: 45-01 r •sq ft i • PROJECT TYPE: ❑ NEW CONSTRUCTION Li ADDITION '0 TENANT IMPROVMENT ❑ REMODEL tUILDING USE: IM SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU C7 MULTI-FAMILY-#OF UNITS: fit COMMERCIAL �1 } ELECTRICAL APPLICATION INFORMATION,&''DESCRIPTI;ON,OF WORK • "CONTRACT PRICE OF WORK:$ (, c,00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF'WORK: ,45-01 Stacker Crane Replacement Col At to D17 Refurbish bridges, install new turntables, masts & platforms that are fabricated by the manufacture. Point to point control wiring, Gleason track, conduit, motor connections and control wiring THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? NO ❑YES-Select Scope: ❑Service ❑ Feeder ❑Circuits-#: D Complete Re'-wire LOW VOLTAGE WORK? ❑ NO ❑YES-#of Devices:T • SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑Audio ❑ Secure Access ❑ Security System a ❑ 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. C_. Other(List All): Control wiring_ . ,CODE,.CO'MP,MIANCE . nn 4.THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: -NO L71 YES--,See Below&Pg, 2 By checking this box,I am stating that I have read and understand all of WAC 296-46E-900,selected the specific reason on page 2 I 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. t—I ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ❑No EYES-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 .'bo Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. • . • CONTACT INFORMATION: 01(VNER NAME: • TENANT BUSINESS NAME(If Commercial): Boeing J'VVNER MAILING ADDRESS: STREET PO Box 3707 Seattle 4-2207 C1TY STATE �vA ZIR ��2 ':?WNER PHONE: OWNER EMAIL: "•'ONTRACTOR NAME: General Construction Company '{ONTRACTOR ADDRESS: STREET PO Box 46 coy Mukilteo STATE WA 21p 98204 CONTRACTOR PHONE:425-294-6944 CONTRACTOR EMAIL:Bridgett,Burns@kiewit.com CONTRACTOR LIC.#(REQUIRE):GENERCC9840Z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):040599 PRIMARY CONTACT: I:OWNER LJ]CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-730-6546 Dennis Crow CONTACT EMAIL:Dennis.crow@kiewit.com kiewit.com AGREEMENT:t hereby certify that I have read and examined This application and know the same to be true and correct. Alt provisions of laws and ordinances governing this ,type of work wilt 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 slate or, j'ncai law regulating constnuc!ion or the performance of construction. Thal I am authorized by the owner of this property to perform the work for which application Is made and I ,:amply with the slate Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Uso Only 4i `PERMIT#: i22 - i0 . E \ 2 - i1L utlioriz gent S uro Date (Riviiseedd,1/1112019) Page 1•Applicattan