2128 BROADWAY J AND J TIRES 2022-01-24

RE ALARM PERMIT APPLICATION EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 l FAX 425-257-8857 l (E) everetteps@everettwa gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2128 Broadway - Everett, WA 98201 BUILDING AREA: 100 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: $ 550.00 ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): DESCRIBE SCOPE OF WORK: Install Cellular Monitoring unit on existing Fire Alarm System. 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: 713 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: DAT Property Investments TENANT BUSINESS NAME (If Commercial): J & J Tires OWNER MAILING ADDRESS: ITREET21903 43RD CT W MOUNTLAKE TERRACE STATE WA Z,P 98043 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Klepps, Inc. CONTRACTOR ADDRESS: STREET 13330 SE 30th Street CITY Bellevue STATE WA Z,P 98005 CONTRACTOR PHONE: 425-223-3164 CONTRACTOR EMAIL: Phil@klepps.com CONTRACTOR LIC. #(REQUIRED): KLEPPI"938C6 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 51 351 PRIMARY CONTACT: DOWNER ✓❑CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Phil Bo n ste i n CONTACT PHONE: 425-591-2850 CONTACT EMAIL: phil@klepps.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/ 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 WA C. Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT #: FA -ZA(D O� (Revised 31612019)