2120 RAINIER AVE 2022-03-24 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION EL EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2120 Rainier AVE Everett 98201 IBUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑ TENANT IMPROVMENT ❑✓ REMODEL BUILDING USE: ❑✓ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 10000 ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: Replace 35 devices, 200 amp panel change, 30 amp dryer circuit, 20 amp washer circuit, 30 amp washer circuit, 30 amp hot water tank circuit, 15 amp basement circuit, alter circuit to repair lighting THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO ❑ YES - Select Scope: ✓❑ Service ❑ Feeder ❑✓ Circuits-#:6 ❑ Complete Re -wire LOW VOLTAGE WORK? ❑ NO ❑ YES- # of Devices: SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ 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): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: F1 NO Ll YES -- See Below & Pg. 2 ❑ By checking this box, I am stating that I have read and understand all of WAC 296-4613-900, 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: NO 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 INFORMATION OWNER NAME: Ryan Armstrong EN 16NS1tESS,NAME (If Commercial): OWNER MAILING ADDRESS: STREE 2120 Raini r AVE CITY Everett STATE WA zIP 98201 OWNER PHONE: na 1OWNER EMAIL: na CONTRACTOR NAME: In House Electrical Services, Inc. CONTRACTOR ADDRESS: STREET1530 117th DR SE , Lake Stevens STATE WA ZIP 98258 CONTRACTOR PHONE:4257603203 1CONTRACTOR EMAIL:kelsey@Inhouseelectrlc.com CONTRACTOR LIC. #(REQUIRED):inhoues952gg CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 044168 PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: Kelsey CONTACT PHONE:4257603203 CONTACT EMAIL:kelsey@inhouseelectric.com AGREEMENT/ hereby certify that/ 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 en`ormance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the Stat Contraeto aw l t3.27 R and 296.200 WAC. City of Everett Official Use Only 1--7) IPERMIT #: EWlg0' (Revised 1/1112019) Page 1-Application t,j o©'4 - c6&