6417 CADY RD 2023-03-30 - Laserfiche WebLink

PECTRICAL PERMIT APPLATION 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: 6417 Cady Road BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: 0,8515 ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: 50amp circuit, disconnect and hookup of owner supplied hot tub. Hot tub placed on patio. Fenced yard, more than 5' from property lines. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES - Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#:1 ❑ Complete Re -wire LOW VOLTAGE WORK? ✓❑ NO ❑ YES- # of Devices: SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ Secure Access ❑ Security System ❑ 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): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 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: ❑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. CONTACT INFORMATION OWNER NAME: Brandon Taylor TENANT BUSINESS NAME (If Commercial): OWNER MAILING ADDRESS: STREET 6417 Cady Road CITY Everett STATE WA ZIP 98208 OWNER PHONE: (425) 876-71 34 OWNER EMAIL: btaylorwa@gmail.com CONTRACTOR NAME: Full Spectrum Design CONTRACTOR ADDRESS: ITIEET4859 Alpine Drive ,,Ty Everett STATE WA Z P 98203 CONTRACTOR PHONE:425-330-5469 CONTRACTOR EMAIL: fullspectrumdeslgn@hotmall.Com CONTRACTOR LIC. #(REQUIRED):FULLSD*044KG CITY OF EVERETT BUSINESS LIC. #(REQUIRED): # 028519 PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: nn Daniel ' "'Organ CONTACT PHONE:425-330-5469 CONTACT EMAIL: fullspectrumdesign@hotmail.com AUHLLMLN I: I hereby certlty 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 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 PERMIT #: 4l20/2021 Eli a � _ 151 ner/Authorized Agent Si nature Date (Revised 111112019) Page 1-Application