1315 PACIFIC AVE LUMEN APARTMENTS 2022-01-20

VIE ALARM PERMIT APPLIONTION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 wns H>hcz ON (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1315 Pacific Avenue BUILDING AREA: 2247 sq ft PROJECT TYPE: LJ NEW CONSTRUCTION C ADDITION ii TENANT IMPROVMENT ❑ REMODEL BUILDING USE: I SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: 108 ❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 7,281.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): v, tok . (� DESCRIBE SCOPE OF WORK: Relocate existing devices to accomodate tenant improvement 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: x❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) x❑ 3 Sets of Plans-Must include the following: x❑ Location of fire alarm devices O Battery calculations&voltage drop calculations for notification appliance circuits x❑ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Potala Village,LLC TENANT BUSINESS NAME(If Commercial): Lumen Apartments OWNER MAILING ADDRESS: STREET P.O.Box 13261 c,n Everett STATE WA ZIP 98206 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Brimstone Fire Safety Management CONTRACTOR ADDRESS: STREET 20628 Broadway Avenue c,n Snohomish STATE WA zip 98296 CONTRACTOR PHONE: 425-956-3434 CONTRACTOR EMAIL: fadesign@brimstonefiresafety.com CONTRACTOR LIC.#(REQUIRED): BRIMSFS902BL CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 47609 PRIMARY CONTACT: POWNER ❑CONTRACTOR LIOTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-956-3434 Jere Thompson CONTACT EMAIL: fadesign@brimstonefiresafety.com 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#: 1-22-2020 FA 2O O' O r Owner/Authorized Agent Signature Date (Revised 3/6/2019)