2301 HOYT AVE 2021-09-24 - Laserfiche WebLink

• • Low ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET.EVERETT WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa goy/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2301 Hoyt Ave Everett, WA 98201 BUILDING AREA: 30,064 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR El TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 6,363.50 ASSOCIATED BUILDING PERMIT#(if applicable): none DESCRIBE SCOPE OF WORK: Replacement of a fire alarm control panel and heat detectors due to manufacturer recall of heat detectors. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? [I NO ❑ YES-Select Scope: ❑ Service El Feeder ❑ Circuits-#. _ [ .1 Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices. k(A SELECT SCOPE(REQUIRED): El 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: I: NO CI 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 EYES-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: Rachel Taber-Hamilton TENANT BUSINESS NAME(If Commercial): Trinity Episcopal Church OWNER MAILING ADDRESS: STREET 2301 Hoyt Ave c, Everett STATE WA ZIP 98201 OWNER PHONE:425 299 2728 OWNER EMAIL:chaplain@whidbey.com CONTRACTOR NAME: Cascadia Electrical Solutions LLC CONTRACTOR ADDRESS: STREET 15226 20th Place W CITY Lynnwood STATE WA zip 98087 CONTRACTOR PHONE:425-493-3604 CONTRACTOR EMAIL:info@cascadia-solutions.com CONTRACTOR LIC.#(REQUIRED):CASCAES856PN CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 55224 PRIMARY CONTACT: ['OWNER ❑CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-640-2922 Devi n Ded ma n CONTACT EMAIL:info@cascadia-solutions.com AGREEMENT/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 WAC. City of Everett Official Use Only PERMIT#: /i i (Jc�`�GSdJZ 6/18/2021 E 6 V2 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application