9815 HOLLY DR 2022-02-14 - Laserfiche WebLink

® • • ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 'WASHINGTON (P)425-257-88) v.0 FAX 425-257-8857 (E)everetteps@everettwa gov I wu everettwa.govipermits PROJECT SITE INFORMATION PROJECT ADDRESS: 9815 Holly Dr. Everett, WA 98204 BUILDING AREA: 45.000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION 1 TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR C TOWNHOUSE ❑ DUPLEX ❑ ADU ✓❑ MULTI-FAMILY-#OF UNITS'12 ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 5460.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Replace failing conventional FACP with "like for like" FACP in heated NEMA 4 enclosure with smoke detector. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO ❑ YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ElNO 7 YES-#of Devices 3 SELECT SCOPE(REQUIRED): El Data ❑ Intercom ❑ Thermostat ❑Audio 1 Secure Access ❑ Security System 7 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. El Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL7777717-17-777777777778 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 Soo Page 2 require Plan Review ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ZNO EYES-See Below& Pc. 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 INFORMATION OWNER NAME: Holly 100 Condos TENANT BUSINESS NAME (If Commercial): OWNER MAILING ADDRESS: STREET 620 Se Everett Mall Way#350 CITY Everett STATE WA ;. 98208 OWNER PHONE:425-949-4554 OWNER EMAIL:delia@iiTlpacthoa.com CONTRACTOR NAME: AAA Fire Protection CONTRACTOR ADDRESS: STREET 3013 3rd Ave. N CITY Seattle ST,,r_ WA 98109 CONTRACTOR PHONE:206-284-1721 CONTRACTOR EMAIL:erik@aaaflre.con1 CONTRACTOR LIC.#(REQUIREDI:AAAFIFP841N3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 027647 PRIMARY CONTACT: []OWNER NCONTRACTOR [OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-595-1716 Erik Barker CONTACT EMAIL:erik@aaafire.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 wcnk 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 Onl PERMIT#: E 2-0\ O-1 OwnerfAuthorized Agent Signature Date (Revised 1/11/2019) Page 1-Application