1616 PACIFIC AVE 2021-12-10 - Laserfiche WebLink

ARE ALARM PERMIT APPLIATION 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:1616 Pacific Ave BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ©ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$825 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): ( 1 - (2 1 DESCRIBE SCOPE OF WORK: ADDING CELLULAR COMMUNCATION TO EXISTING FIRE SYSTEM 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: ✓❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) El 3 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: First Baptist Church TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1 616 Pacific Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-418-9301 OWNER EMAIL: cwoja@microsoft.com CONTRACTOR NAME: Bay Alarm Company CONTRACTOR ADDRESS: STREET8229 44th Ave W, Suite D CITY Mukilteo STATE WA ZIP 98275 CONTRACTOR PHONE: 425-595-3953 CONTRACTOR EMAIL:dianna.williams@bayalarm.com CONTRACTOR LIC.#(REQUIRED): RA- 1 A-i...(3r c...4?;1 L 1&F CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57430 PRIMARY CONTACT: DOWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: ,,I CONTACT PHONE:425-595-3952 Josh Oberlander CONTACT EMAIL:joshua.oberlander@bayalarm.corn 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#: (a,urok_ccl 10,-7 2,021 FA21 bZ DD Owner/Authorized Agent Signature Date (Revised 3/6/2019) I/Z