607 RIVERSIDE RD AMAZON 2021-04-01

• 1111 VIM NE ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 607 Riverside Rd - Suite 150 BUILDING AREA: 80,000 sq ft PROJECT TYPE: © NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT El REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: P COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 4500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Run low voltage wire, install (30)t-stats/controllers for temperature, humidity and/or CO2 detection. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) _..LINE VOLTAGE WORK? © NO r�]YES-Select Scope:El Service 0 Feeder ❑Circuits-#: III Complete Re-wire LOW VOLTAGE WORK? El NO ]YES-#of Devices:30 SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ©Thermosta ❑Audio ❑Secure Access ❑Security System ❑ Fire Alarm-I,nstallations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit uired for revjetiof device location and installation approval. ❑Other(List All): CODE COMPLIANCE ,t3laa,., IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: J❑ NO Li YES—See Below&Pg.2 IL By checking this box,I am stating that I have read and understand all of WAC 296-468-900,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. ?; t—� ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ,�]NO DYES-See Below&Pg.3 I 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: Glacier Peak Industrial LLC TENANT BUSINESS NAME(If Commercial): SWA1 -Everett(Amazon) OWNER MAILING ADDRESS: STREET 900 SW 16th St-Suite 330 Dry Renton STATE WA ZIP 98057 OWNER PHONE: 206-838-3846 OWNER EMAIL: CONTRACTOR NAME: Universal Refrigeration CONTRACTOR ADDRESS: STREET 4102 B PL NW CITY Auburn STATE ZIP CONTRACTOR PHONE: 253-939-5501 nsiTRATO M : chrisg@universalrefrig.com } "CONTRACTOR LIC.*REQUIRED): q� ' Y OF EVERETT BUSINESS LIC.#(REQUIRED): 027645 PRIMARY CONTACT: ❑OWNER Z ONTRACT01 ��❑OTHER(Please Specify)______ .._...__ ____ CONTACT NAME: CONTACT PHONE: 253-939-5501 Jerry L. Aeschlimann CONTACT EMAIL: jerrya@universalrefrig.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 Digitally signed by Aidan Wilson 'PERMIT#: Aida Wilson email=rwilsnLiveo,mm, ��oCo email=Arwilson@Live.com,r—US Date:2019.06.24 13:47:20-07'00' 6/18/2019 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application