2514 GRAND AVE 2021-11-12 - Laserfiche WebLink

• II ..... 0 -7.)6 `" `i ELECTRICAL PERMIT APPLICATION EVERETT 32 CITY OF EVERETT PERMIT SERVICES 00 CEDAR STREET,EVERETT,WA 98201 WASHENCTON (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps.Jeverettwa.gov I www,everettwa.gov/permits N PROJECT'SJTE NF 41VIATI„o , , Fps PROJECT ADDRESS: 2514 Grand Ave BUILDING AREA: sq ft PROJECT TYPE: El NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT CI REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: Cl COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORKr CONTRACT PRICE OF WORK:$ 500.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Add extra lighting in elevator pit for L&I correction THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO Q✓ YES-Select Scope:El Service El Feeder CI Circuits-#:2 C Complete Re-wire LOW VOLTAGE WORK? El NO El YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data El Intercom El Thermostat El Audio El Secure Access ❑Security System El 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): � ! yea Y,ai :'$„a„ '�rl—,- .,.,. ".=i e <, > 14P.i�AN I _ ._. �� t ...F.; ��.w .:,,.«. . .__...., ;...�.. � ��. .�..,a � "`„. �ram.... ,i. IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: L0 NO ❑YES—See Below&Pg.2 El Bychecking this box,I am stating that I have read and understand all of WAC 295.45E-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: ONO ©YES-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. .H ,. , ;ecoNTACT_INPRATION '" .I "c.� n, t _ a,- OWNER NAME: Williams Investment TENANT BUSINESS NAME(If Commercial):Bayview Apts OWNER MAILING ADDRESS: smmser 19801 50th Ave W e Lynnwood sIAN.WA ,p 98036 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Rhema Electric CONTRACTOR ADDRESS: STREET628 S Spruce St erry Burlington STATE WA zp 98233 CONTRACTOR PHONE: CONTRACTOR EMAIL:daveb@rhemaelectric.com CONTRACTOR LIC.#(REQUIRED):RHEMAEL940DH CITY OF EVERETT BUSINESS LIC.#(REQUIRED):45783 PRIMARY CONTACT: [DOWNER EICONTRACTOR DOTHER(Please Specify) CONTACT NAME: benCONTACT PHONE:360-630-0164 Dave Bu CONTACT EMAIL:daveb@rhemaelectric,com rhemaelectric,com 'AGREEMENT:I hereby certify that I have reed and examined this application and know the same to be true and correct. Aft provisions of laws and ordinances governing this type of work will be completed whether specified heroin 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 lam authorized by the owner of this property to perform the work for which application is made and I cocrig;wit 4 e State Contractors 18.27 CW and 296.200 WAC. City of Everett Official Use Only / PERMIT#: . 1f E 1 ��1 lei OwnerlAd horized Agent Si store D to (Revised 1/11/2019) Page 1-Application