4825 W VIEW DR 2022-03-23 - Laserfiche WebLink

• • EVERETT WASHINGTON ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I wwW.everettwa.gov/permits PROJECT ADDRESS: 4825 W VIEW DR BUILDING AREA: APPROX 500 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT iMPROVMENT ❑ REMODEL BUILDING USE: SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ❑ COMME'RCIAL ;y. CONTRACT PRICE OF WORK: $ 2000 1ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: INSTALL 30 AMP SUB PANEL IN NEW SHED INSTALL 30 AMP FEEDER TO SUB PANEL INSTALL UP TO 4 RECEPTACLES ON 20 AMP CIRCUIT & 1 SWITCH ON 15 AMP CIRCUIT THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES -Select Scope: ❑✓ ervice ❑ Feeder ❑ Circuits-M 2-3 ❑ Complete Re -wire LOW VOLTAGE WORK? ✓❑ NO ❑ YES- # of Devices: SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ Secure Access ❑ Security Sy: tem ❑ 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). r�:. t'� IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES:_j NO Ll YES -- See Below & Pg. 2 ❑ By checking this box, I am stating that I have read and understand all of WAC 2964613-900, 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: ❑NO ❑YES -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, '. -, -. OWNER NAME: DAVID WHITESELL TENANT BUSINESS NAME (If Commercial): OWNER MAILING ADDRESS: STREET 4825 W VIEW DR CITY EVERETT STATE WA Z,P 98203 OWNER PHONE:425-252-1084 OWNER EMAIL; DLWHITESELL@FRONTIER.COM CONTRACTOR NAME: PARKER BROS ELECTRIC CONTRACTOR ADDRESS: STaEET 13630 54TH DR NE CITY MARYSVILLE STATE WA z1, 98271 CONTRACTOR PHONE:425-239-6319 1CONTRACTOR EMAIL: admin@parkerbroselectric.com CONTRACTOR LIC. #(REQUIRED): PARKEBE845NT CITY OF EVERETT BUSINESS LIC. #(REQUIRED : 56709 PRIMARY CONTACT: DOWNER ❑CONTRACTOR ✓❑OTHER (Please Specify) OFFICE ADM IN CONTACT NAME: Natalie A('RFFAAFNT• a hurohv .-o.r;fl. ih oil .........J .....J ...,......1....d u.:_ CONTACT PHONE:360-572-0108 CONTACT EMAIL: admin@parkerbroselectric.com ___,:__u_ _ ___ ,- _.. ., - ted whother specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otho+r 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 mach- and I comply with the State Contractors Law 18,27 RCW and 296,200 WAC. City of Everett Official Use Only PERMIT�%#: 2106/20 JE C,� 0 2 — 03 Owner uthorized Agent Ignature Date (Revised 1/1112019) Page 1-Applir;ation