1700 13TH ST 9TH FLOOR 2022-01-20

OkE ALARM PERMIT APPLIATION EVERETT WASHINGTON 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 SITE INFORMATION PROJECT ADDRESS: 1321 Colby Ave BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ✓❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 24090 ASSOCIATED ELECTRICAL PERMIT # (REQU,fRED): DESCRIBE SCOPE OF WORK: - Add (91) devices for Colby Campus 9th Floor Tenant Improvement. Joint venture between Johnson Controls Fire Protection and Veca Electric. 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. ✓❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑✓ 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: Providence General Medical TENANT BUSINESS NAME (If Commercial): Providence Reclional MC OWNER MAILING ADDRESS: sTREEI PO BOX 1067 CITY Everett STATE WA ZIF 98206 OWNER PHONE: 425-261-2000 OWNER EMAIL: CONTRACTOR NAME: Johnson Controls Fire Protection CONTRACTOR ADDRESS: STREET 9520 10th Ave S. Suite 100 c,Tv Seattle STATE WA Z,, 98108 CONTRACTOR PHONE: 206-291-1400 CONTRACTOR EMAIL: janet.stebbins@jci.com CONTRACTOR LIC. #(REQUIRED): JOHNSCP831 PR CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 050211 PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR [-]OTHER (Please Specify) CONTACT NAME: Janet Stebbins CONTACT PHONE: 206-777-4828 CONTACT EMAIL: janet.stebbins@jci.com AGREEMENT: / hereby certify that / 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 1 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. 5/6/19 nertA th ri d Agent Signature Date City of Everett Official Use Only PERMIT #. FA � (�05 --00 (Revised 31612019)