1809 100TH PL SE 2021-12-13 - Laserfiche WebLink

EVERETT WASHINGTON 0 FIRE ALARM 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:1809 100th PI SE I BUILDING AREA: 4500 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: $950 ASSOCIATED ELECTRICAL PERMIT# (REQUIRED):E2011-008 DESCRIBE SCOPE OF WORK: Install a low voltage cellular communicator for an 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: ❑✓ 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: CHO Samia-Lindenauer DDS TENANT BUSINESS NAME (If Commercial): Silver Lake Dental Arts OWNER MAILING ADDRESS: ITREE11809 100th PI SE , Everett STATE WA ZIP 98208 OWNER PHONE:425-337-3922 OWNER EMAIL:bnkellogg@frontier.com CONTRACTOR NAME:ADT Commercial CONTRACTOR ADDRESS: sTREET600 Oaksdale Ave SW Suite 100 c,TY Renton STATE WA ... 98057 CONTRACTOR PHONE:425-970-4359 1CONTRACTOR EMAIL:ssprice@adt.com CONTRACTOR LIC. #(REQUIRED):ADTCOCL801 UQ ICITY OF EVERETT BUSINESS LIC. #(REQUIRED): 62267 PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Stephen Price CONTACT PHONE: 425-970-4359 CONTACT EMAIL: ssprice@adt.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 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 WA C. 1 4"L Ownerl uthorized Agent Signature Date City of Everett Official Use Only PERMIT #: FA aj < - p� (Revised 31612019)