6829 BEVERLY BLVD 2022-04-04 - Laserfiche WebLink

OETT CTRICALCITYOF PERMEVERETTPERMIT IT ASERVICPPL TION 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 \ \ Za M PR CT $ITII�FC��t 'T"ICiN PROJECT ADDRESS: 6829 Beverly Blvd BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ✓❑ REMODEL BUILDING USE: n SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL ,)f»ICAT ; AT N 14PTIO CONTRACT PRICE OF WORK:$ 2000.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Replace 150A electrical service panel and update electrical grounding 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? ✓❑ 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): m OMP U IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: u 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: ❑✓ 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: Jacquee Owens TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6829 Beverly Blvd CITY Everett STATE WA zip 98203 OWNER PHONE:425-344-4991 OWNER EMAIL: CONTRACTOR NAME: Wired Rite, LLC CONTRACTOR ADDRESS: sTREET12720 4TH AVE W STE F PMB#332 clTy Everett STATE WA ziP 98204 CONTRACTOR PHONE:206-251-4950 CONTRACTOR EMAIL:kevin@wiredritellc.net CONTRACTOR LIC.#(REQUIRED):WIREDRL96109 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):3 ~l I�'3 0 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-251-4950 Kevin Marvel CONTACT EMAIL:kevin@wiredritellc.net 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#: F 1 KEVIN MARVEL 03/06/2019 ` l 0 r O fl Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application