9021 EL CAPITAN WAY 2021-11-02 - Laserfiche WebLink

E ESCTRICAL PERMIT APPLI•TION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT- M'TE INF„,ORMATION PROJECT ADDRESS: 9021 El Capitan Way Everett WA 98208 BUILDING AREA: 6770 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL . 'ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF R, j, CONTRACT PRICE OF WORK: $ 50,000 ASSOCIATED BUILDING PERMIT#(if applicable): N/A(mech permit#TBD) DESCRIBE SCOPE OF WORK: Electrical work to support the replacement of the mechanical equipment serving the office spaces with a 14-ton Heat Recovery VRF System and an ERV DOAS Unit. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑✓ YES-Select Scope: ❑ Service ❑ Feeder ❑✓ Circuits-#: 4- ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ✓❑YES-#of Devices:22 SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ✓❑ Thermostat E 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 4`R' IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: 0 NO El YES--See Below& Pg. 2 M1 ✓ 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: ENO EYES-See Below&Pg. 3 nl l 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: Mark Sawyer (owner rep) TENANT BUSINESS NAME (If Commercial): WSDOT OWNER MAILING ADDRESS: STREET 9021 El Capitan Way CITY Everett STATE WA ZIP 98208 OWNER PHONE:206-445-9658 OWNER EMAIL:sawyerm@wsdot.wa.gov CONTRACTOR NAME: Mckinstry CONTRACTOR ADDRESS: STREET 5005 3rd Ave S CITY Seattle STATE WA ZIP 98134 CONTRACTOR PHONE:206-832-8766 CONTRACTOR EMAIL:martink@mckinstry.com CONTRACTOR LIC.#(REQUIRED):MCKINEL874CL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 1'Z&C. PRIMARY CONTACT: DOWNER ['CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:206-832-8766 Martin Knight CONTACT EMAIL:martink@mckinstry.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 WAC. City of Everett Official Use Only PERMIT#: MMk Saw eY ?� 5/5/2021 E 2 v S Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application