3008 47TH ST SE 2022-05-23 - Laserfiche WebLink

il: EVERETT WASHINGTON ELECTRICAL PERMIT APPLICATION 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: 3008 47th St SE IBUILDING AREA: sq ft PROJECT TYPE: Z NEW CONSTRUCTION D ADDITION D TENANT IMPROVMENT El REMODEL BUILDING USE: Z SFR D TOWNHOUSE 0 DUPLEX 0 ADu EIMULTI-FAMILY-#OF UNITS:_ 7COMMERcIAL CA RI , LAPPLICATION INFR OMAT ION &,DESCRIPTION OF WORK, CONTRACT PRICE OF WORK: $ 250 JASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: 100 amp temp power Lot 356 THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? NO El YES - Select Scope:E] Service El Feeder Elcircuits-#: 11 Complete Re -wire LOW VOLTAGE WORK? NO [I YES- # of Devices: SELECT SCOPE (REQUIRED): ❑ Data [] intercom [I Thermostat ❑ Audio El secure Access ❑ Security System ElFire 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): ZODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ✓ NO D YES -- See Below & Pg, 2 F-1 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: ZNO []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. 7WNTAUT_'1WF;5VM "T . . .. OWNER NAME- Polygon Homes TENANT BUSINESS NAME if Commercial): OWNER MAILING ADDRESS: STREET 11624 SE 5th St Ste 100 Bellevue STATE WA ,,98005 OWNER PHONE: 1OWNER EMAIL: CONTRACTOR NAME. Garner Electric WA LLC CONTRACTOR ADDRESS: ITIEET402 Valley Ave NW Ste 106 c" Puyallup sT/,Tc WA 98371 CONTRACTOR PHONE: 253-872-6051 1CONTRACTOR EMAIL: pvantol@gweusa.com CONTRACTOR LIC. #(REQUIRED): GARNEEW864KB 1—CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 052909 PRIMARY CONTACT: 0ovvNr=R ©CONTRACTOR F-',❑OTHFFZ (Pleases Specify) CONTACT NAME: Paul Vantol CONTACT PHONE: 253-278-7064 CONTACT EMAIL: pvantol@gweusa,com AUNt:LML-N 1: 1 hereby certay mar i nave read and examined this application aria Hno6N the same to be true aria correct, Art provisions or iaws and ordinances governing tnis type of work Will be completed whether specified herein or not. The granting of permit does not presurne 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 #: F. c) 111412020 "6t_e'r'1Authoriied Agent Signatfire Date (Revised 1/11/2019) Page 1-Application