11030 EVERGREEN WAY 2021-03-31 - Laserfiche WebLink

mom FOE ALARM PERMIT APPLIW 3200TION EVERETTCITY OF EVERETT PERMIT SERVICE CEDAR STREET, EVERETT.WA 98201 WASHc o (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 11030 Evergreen Way BUILDING AREA: sq ft PROJECT TYPE: C. NEW CONSTRUCTION ❑ADDITION X❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR Cl TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 1,773.87 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: Add one (1) horn strobe to lounge/kitchen area. 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: El 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) X❑ 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: Camelot Evergreen Delaware LLC TENANT BUSINESS NAME(If Commercial): Camelot Apartments OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Brimstone Fire Safety Management CONTRACTOR ADDRESS: STREET 20628 Broadway Avenue CITY Snohomish STATE WA ZIP 98296 CONTRACTOR PHONE: 425-956-3434 CONTRACTOR EMAIL: fadesign@brimstonefiresafety.com CONTRACTOR LIC.#(REQUIRED): BRIMSFS902BL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 47609 PRIMARY CONTACT: OWNER I X CONTRACTOR ]OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-956-3434 Jere Thompson CONTACT EMAIL: fadesign@brimstonefiresafety.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#: Tf o s12 August 2020 FAQ - oo- • Ow r/Authorized AgentSignature Date (Revised 3/6/2019) /i �