607 RIVERSIDE RD GREAT LITTLE BOX CO 2021-04-01

• NEN ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 wasHiNoTON (P)425-257-8810 ( FAX425-257-8857 i(E)everettepsr©iieverettwa.govI www.everettwa.gov/permits PROJEC 1 INFORMATION PROJECT ADDRESS: Great Little Box TI ",20-1 le2-j V'f- It. V? 4" BUILDING AREA: 2180 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: Li SFR ❑TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: E COMMERCIAL ELECTRICAL APPLICATION INFORNIATIONVOISCROITIONO A,... . ,, . CONTRACT PRICE OF WORK:$ 32,000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Install 200AMP 480V panel, 200AMP 208V panel, misc. power and lighting, low voltage wiring for fire alarr THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ✓❑ NO El YES-Select Scope: El Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? El NO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data El Intercom ❑ Thermostat ❑Audio ❑Secure Access ❑ Security System El 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. El Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: Q 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 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 See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT NFORMATION, Great Little OWNER NAME: Panattoni Development LLC TENANT BUSINESS NAME(If Commercial): Box OWNER MAILING ADDRESS: STREET 900 SW 16th Street Suite 330 , Renton STATE WA zip 98057 OWNER PHONE: OWNER EMAIL: • CONTRACTOR NAME: Olsen Electric Inc CONTRACTOR ADDRESS: sTREETT325 Washington Ave S #91 CITY Kent STATE WA ZIP 98032 CONTRACTOR PHONE:253-872-1905 CONTRACTOR EMAIL:taraSk@olSenelectric.net CONTRACTOR LIC.#(REQUIRED):OLSENE1931 PE CITY OF EVERETT BUSINESS LIC.#(REQUIRED):046102 PRIMARY CONTACT: DOWNER OCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-872-1905 Taras Krysa CONTACT EMAIL:tarask@olsenelectric.net AGREEMENT I hereby certify that 1 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 riot 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 ROW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Taras Krysa 3-16-2020 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application