1321 COLBY AVE 4TH FLOOR 2022-04-27

41Err CTRICAL PERMIT APPLIITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERE I I,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 1321 Colby Avenue BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR El TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS. ❑ COMMERCIAL CONTRACT PRICE OF WORK:$ 65,529 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Install low voltage security system SEA-17619 on parking garage 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: 15 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): .. .:,N: MP : _.._. _: - .._; lE coMPLt Cl _. .- - 4-.....::.. -.. :.... .w 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: 71NO 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 receiveyI an exemption from this licensing/certification requirement. OWNER NAME: Providence Medical Center TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET P.O.Box 1067 nr� CITY Everett STATE Y•�/�fA ZIP 98206 OWNER PHONE:425-261-3913 OWNER EMAIL: CONTRACTOR NAME: Aronson Security Group CONTRACTOR ADDRESS: sTREET600 Oakesdale Avenue SW, Suite 100 cmr Renton STATE WA ZAP 98057 CONTRACTOR PHONE:206-284-3553 CONTRACTOR EMAIL:Paul.aronson@aronsonsecurity.Com CONTRACTOR LIC.#(REQUIRED):ARONSSG013C6 JCITY OF EVERETT BUSINESS LIC.#(REQUIRED): 031987 PRIMARY CONTACT: DOWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-245-1441 Paul Aronson CONTACT EMAIL:paul.aronson@aronsonsecurity.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 wit State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: (I oti-Vr_-._ 7-- zb- i1 EL9CZ -0 5 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application