1450 80TH ST SW 2022-01-24 - Laserfiche WebLink

• • i• `; ELECTRICAL PERMIT APPLICATION 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 i_t. „�- ... PROJECT ADDRESS: 1450 80th St SW, Everett WA 98203 BUILDING AREA: 15000 sq ft PROJECT TYPE: ❑ NEW CONSTRU ON ❑ADDITION ❑✓ TENANT IMPROVMENT ❑REMODEL BUILDING USE: El SFR OWNHO SE El DUPLEX ❑ADU ❑✓ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELEC RICAL AP LICATION INFORMATION`& DESCRIPTION'OF;WO C . CONTRACT PRICE OF WC.i1:$ 9000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF ORK: Changing out all offi spa and warehouse lights to LED retrofit THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO 0 YES-Select Scope: ✓❑Service ❑ Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio ❑Secure Access 0 Security System ❑ 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): CODE COMPLIANCE , e IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ❑✓ NO El YES--See Below&Pg.2 ✓ By checking this box, I am stating that I have read and understand all of WAC 296-46B-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: ENO EYES-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. "CONTACT INF+ORMATI©N' OWNER NAME: DJ Keene (Morgan Aero) TENANT BUSINESS NAME(If Commercial):Morgan Aero OWNER MAILING ADDRESS: STREET 1450 80th St SW cir, Everett STATE WA ZIP 98203 OWNER PHONE:425-438-9600 OWNER EMAIL:dj@morganaero.com CONTRACTOR NAME: Resound Energy (PM - Warren Bailey) CONTRACTOR ADDRESS: STREET 22122 20th Ave SE, Unit 159 cITY Bothell STATE WA ZIP 98021 CONTRACTOR PHONE:206-853-7667 CONTRACTOR EMAIL:warrenb@resoundenergy.com CONTRACTOR LIC.#(REQUIRED):RESOUEL861 N6 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):58285 PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-853-7667 Warren Balley CONTACTEMAIL:Warrenb@resoundenergy.com AGREEMENT.I hereby certify that I have read arid examined this application and know the same to be true and correct. Al)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#: Warren Bailey 10/16/2019 E .C3‘, VO '"1( Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Applicatian