3630 RAILWAY AVE 2022-02-15 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 j FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 3630 Railway Ave. BUILDING AREA: 456o sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL CONTRACT PRICE OF WORK:$ 13,255.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Installation of CAT6 cabling system. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑✓ NO ❑YES-Select Scope: El Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:25 SELECT SCOPE(REQUIRED): ✓❑ Data ❑ Intercom ❑ Thermostat ❑Audio El Secure Access ❑ 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): IS THIS PERMIT EDUCATION,INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: III NO ✓ YES--See Below&Pg. 2 By checking , I am stating that I have read and understand all of WAC 296-46B-900,selected the specific reason on page 2 1� of this applicationthisbox(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: ONO 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. LiFoR i OWNER NAME: Puget Sound Energy TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO BOX 90868 city Bellevue STATE WA ZIP 98009 OWNER PHONE:425-456-3290 JOWNER EMAIL: CONTRACTOR NAME: Veca Electric and Technologies CONTRACTOR ADDRESS: STREET 5614 7th Ave S CITY Seattle STATE WA z,P 98108 CONTRACTOR PHONE:206.436.5263 CONTRACTOR EMAIL:lay.mcarthur@veca.com CONTRACTOR LIC.#(REQUIRED):VECAEET821QQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): .:., .e wwa,.... , J - ,....•:�„ems.. xa,..:..s' - "wma»�w w a..:...:,ti...e n�m.. ., c:gre3<, ,,.., ,. ,u,. .,.<... .. ..,wxil�Ll'Q.,'C�,t. �..,�e..,. .. .. PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-696-7406 Mike Battiston i CONTACT EMAIL:Mike.battistoni@veca.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#: I '�) Jay McArthur 08-20-19 E \ 19 D - L v Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application