616 PECKS DR 2022-02-28 - Laserfiche WebLink

FARE ALARM PERMIT APPLI . TION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 616 Pecks Drive BUILDING AREA: 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: $ 3350.00 ASSOCIATED ELECTRICAL PERMIT # (REQUIRED): E2107*004 DESCRIBE SCOPE OF WORK: Addition of portable classroom SW of existing Annex Bldg. Adding (1) NAC panel in Annex Bldg. Add (6) devices to portable classroom. Joint venture between Johnson Controls Fire Protection and Precision Electric. 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: 712 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑✓ 2 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): Madison Elementary OWNER MAILING ADDRESS: s.REET4730 Colby Avenue CITY Everett STATE WA ZIP 98203 OWNER PHONE: 425-385-4000 OWNER EMAIL: CONTRACTOR NAME: Johnson Controls Fire Protection CONTRACTOR ADDRESS: ITIEET9520 10th Ave S. Suite 100 CITY Seattle STATE WA Z,P 98108 CONTRACTOR PHONE:206-291-1400 CONTRACTOR EMAIL: janet.stebbins@jci.com CONTRACTOR LIC. #(REQUIRED): JOHNSCP831 PR CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 050211 PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Janet Stebbins CONTACT PHONE:206-777-4828 CONTACT EMAIL: janet.stebbins@jci.com AGREEMENT. 1 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/ 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. 1R.ti<LQ f Si`-bbl tk fti^ .,ii t 7/7/2021 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT #: FA 2,U�- (Revised 31612019)