2916 47TH ST SE 2022-05-23 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASMNGTON (P) 425-257.8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa_gov/permits PROJECT ADDRESS: 2916 47th St SE BUILDING AREA: sqft PROJECT TYPE: Z NEW CONSTRUCTION DADDITION EI TENANT IMPROVMENT El REMODEL BUILDING USE: Z SFR D TOWNHOUSE D DUPLEX 1:1 ADU 11 MULTI -FAMILY - # OF UNITS: COMMERCIAL (CONTRACT PRICE OF WORK:$ 250 (ASSOCIATED BUILDING PERMIT # (if apRlicable): I IDESCRIBE SCOPE OF WORK: ( V 1 C4 ( 111 — I 100am Lot 362 THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 91 NO ❑ YES - Select Scope: 0 Service [I Feeder [I Circuits-#: ❑ Complete Re -wire LOW VOLTAGE WORK? 0 NO ❑ YES- # of Device,: SELECT SCOPE (REQUIRED) D Data El Intercom 7 Thermostat '7 Audio [I Secure Access 17 Security System F-1 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): COM COM PLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ZNOEl YES See Below & Pg- 2 El By checking this box, I am stating that I have read and understand all of WAC 296-468-900, 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: Z NO YES -See Belo, & Pg, 3 Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease F-1 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: Polygon Homes TENANT BUSINESS NAME if Commercial): OWNER MAILING ADDRESS: 11RE T 11624 SE 5th St Ste 100 CITY Bellevue STATE WA 98005 (OWNER PHONE: IOWNER EMAIL: I (CONTRACTOR NAME: Garner Electric WA LLC CONTRACTOR ADDRESS: STREET402 Valley Ave NW Ste 106 miry Puyallup $TAIL WA Zip 98371 CONTRACTOR PHONE: 253-872-6051 1CONTRACTOR EMAIL: pvantol@gweusa.com CONTRACTOR LIC. #(REQUIRED): GARNEEW864KB ICITY OF EVERETT BUSINESS LIC. #(REQUIRED): 052909 PRIMARY CONTACT: 1,—.](-)WNF-R IVICONTRACTOR F-10THRR (Plaa%Q So oily) CONTACT NAME: ICONTACT PHONE: 253-278-7064 Paul Vantol ICONTACT EMAIL: pvantol@gweusa,com mvmacmtvv t: t nereDy cerray that t nave same vroluffig V( cl pumill uvvs not presume to give alltnOrity 10 Mi8te 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 FE7E PERMIT N c_1 — 41 E2-bC 1/14/2020 � 5 Owner/Authorized Agent Sigqature Date (Revised 1/1112019) Page 1-Application