4935 SEAVIEW WAY 2022-03-02 - Laserfiche WebLink

tLECTRICAL PERMIT APPLICATION 07477- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 4935 Seaview Way, Everett BUILDING AREA: 3008 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT ❑ REMODEL BUILDING USE: El SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 750 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Installing new 50A, two-pole breaker in existing electrical panel and wiring (2) new Electric Vehicle charging stations THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ✓❑ NO El YES-Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ✓❑ NO ❑YES-#of Devices: SELECT SCOPE(REQUIRED): ❑ Data El Intercom El Thermostat ❑Audio ❑ Secure Access El 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. El Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: ❑✓ NO ❑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 r 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. < ., . OIA -E1 �.CONTACT INFORMATION OWNER NAME: Steve COram TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4935 Seaview Way cm, Everett STATE WA ZIP 98203 OWNER PHONE:425-268-8907 OWNER EMAIL:COramSC@gmall.com CONTRACTOR NAME: Western Solar Inc CONTRACTOR ADDRESS: STREET4041 Home Road CITY Bellingham STATE WA ZIP 98226 CONTRACTOR PHONE:360-746-0859 CONTRACTOR EMAIL:Info@westernsolarinc.com CONTRACTOR LIC.#(REQUIRED):EC WESTES*872DD CITY OF EVERETT BUSINESS LIC.#(REQUIRED):054155 PRIMARY CONTACT: El OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-312-4713 Dana Hickenbottom CONTACT EMAIL:dana@westernsolarinc.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 focal 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#: -=---� __ E MAO-1 -6093 Dana HickenbOom --)/18/19 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1_Appiicati