11625 AIRPORT RD BASE FILE 2021-12-16

• • SIM FIRE ALARM PERMIT APPLICATION 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION • PROJECT ADDRESS:11625 Airport Road BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑✓ ADDITION ❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$750.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: Install AES radio to monitor existing FACP 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: ✓❑2 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 E 1 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: Sonrise Christian Center TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11625 Airport Road CITY Everett STATE WA ZIP 98204 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Guardian Security Systems CONTRACTOR ADDRESS: STREET 1743 1st Avenue S CITY Seattle STATE WA ZIP 98134 CONTRACTOR PHONE:206-622-6545 CONTRACTOR EMAIL:efisher@guardiansecurity.com and amorris@guardiansecurity.com CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033443 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-622-6545 Elizabeth Fisher CONTACT EMAIL:efisher@guardiansecurity.com AGREEMENT:I hereby certify that/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#: Elizabeth Fisher 9/14/2021 FA log r 005 Owner/Authorized Agent Signature Date (Revised 3/6/2019)