3700 FEDERAL AVE JACKSON ELEMENTARY 2022-02-04

III. EVERETT WASHINGTON FIRE ALARM PERMIT APPLIG7�TION 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: 3700 Federal Ave BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ AD ❑ MULTI -FAMILY - # OF UNITS: ✓❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 5000 ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): E2006-047 DESCRIBE SCOPE OF WORK: -• �/ Modifications to existing fire alarm system for portable addition at Jackson Elementary. 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: Everett School District TENANT BUSINESS NAME (If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Performance Systems Integration' CONTRACTOR ADDRESS: STREET 19310 N. Creek Pkwy #109 CITY Bothell STATE WA ZIP 98011 CONTRACTOR PHONE: 206-510-0597 CONTRACTOR EMAIL: carissa@psintegrated.com CONTRACTOR LIC. #(REQUIRED): PERFOS181250 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 046193 PRIMARY CONTACT: []OWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Carissa Thomson CONTACT PHONE: 206-510-0597 CONTACT EMAIL: carissa@psintegrated.com AGREEMENT: I 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/ 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. Dlgilally signed by C-- Thomson ON: C=US, E=carissa@psintegrated.com, carissa Thomson ho- Rea am approving this document Date. 2020 ee m 1231 420700' 8/7/20 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT #: FA tab Db5 (Revised 31612019)