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• • E FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 i(E)everettep's@evereltwa.gov I www.everettwa.gov/permits PROJECT:SITE;INNORMATION :: PROJECT ADDRESS: 9-t0 n. yrop,0„RaA4 BUILDING AREA: 4200 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION 0 ADDITIN ®TENANT IMPROVMENT 0 REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL PERMIT:INFORMATION ,DESCRIPTION',OF.WORK CONTRACT PRICE OF WORK:$ 9750 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF WORK: Add lobby smoke detection to all landings for four elevators, 14 total. Add machine room smoke detector to four elevator machine rooms, 4 total. Add Shunt heats to four machine rooms, 4 total. Add shunt power monitor modules to four machine rooms, 4 total. Add PRI ALT and HAT relays to four machine rooms, 3ea x 4 MRs, 12 total. Add heat detection to four pits 4 total. Top of hoistway sprinklers to be removed by others. 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) 6i 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.J:INFORMATION `. OWNER NAME: RMR Group TENANT BUSINESS NAME(If Commercial): DSHS OWNER MAILING ADDRESS: STREET 401 Elliott Ave West, #150 CITY Seattle STATE WA ZIP 98119 OWNER PHONE: 206-216-4946 OWNER EMAIL: Allen Shields ashields@rmrgroup.com CONTRACTOR NAME: 16d I lc CONTRACTOR ADDRESS: STREET PO Box 804 Vashon STATE WA zip 98070 CONTRACTOR PHONE: 253-225-6025 CONTRACTOR EMAIL: evan@16dllc.com CONTRACTOR LIC.#(REQUIRED): 16dlll*882JT CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 62057 PRIMARY CONTACT: I]OWNER cit CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: � 5 2a 691271,77i / _ Z 0vA / 1 V) CONTACT EMAIL: {/Vit yi /� I (d dio e a Y1 AGREEMENT::1 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: Digitally signed by Evan Robbins Evan Robbins DN.CvEsn,g Evan@16dllacom,0=16d /� Ilc OU=Engineering,CN=Evan Robbins F L� Date:2020.05.0610:29:52-07'00' 1 /� (� OwnerlAuthorized Agent Signature Date (Revised 411512019) 1