11802 EVERGREEN WAY STARBUCKS 2021-11-03

Am 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.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 11804 Evergreen Way, Everett WA 98204 BUILDING AREA: 11,289 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 WORK CONTRACT PRICE OF WORK: $ 2650 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: To perform an emergency Fire Alarm panel replacement. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ✓❑ NO ❑ YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ✓❑ YES-#of Devices: 1 SELECT SCOPE(REQUIRED). ❑ 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: ✓❑ NO ❑ 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: LINO 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: Bridge33 Properties, LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4001 S. Decatur Blvd.. Suite 6 CITY Las Vegas STATE NV ZIP 89103 OWNER PHONE:951-581-9636 OWNER EMAIL: CONTRACTOR NAME: Fire Systems West, Inc. CONTRACTOR ADDRESS: STREET206 Frontage Rd. North, Suite C. CITY Pacific STATE WA Z,p 98047 CONTRACTOR PHONE:253-833-1248 CONTRACTOR EMAIL:rodrigoq@firesystemswest.com CONTRACTOR LIC.#(REQUIRED):FIRESWI140B1 /r;,,,F;11/4;p Cka i LifdITY OF EVERETT BUSINESS LIC.#(REQUIRED): 022919 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-202-7040 Rodrigo Quinteros CONTACT EMAIL:rodrigoq@firesystemswest.com AGREEME ereby certi 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 wo k will b complete 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 gulating nstructi 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 w th the State ontract rs aw 18.27 RCW and 296.200 WAC. . _ City of Everett Official Use Only u r' c 4-;0: -Lw PERMIT#: 1/7/2020 E WD 1 - CI Owner uthorized •-n Signature Date (Revised 1/11/2019) Page 1-Application