906 SE EVERETT MALL WAY COLUMBIA DEBT RECOVERY 2022-06-28

Ilia LL..LV I IXIVt1L. r LI\IOII I ,A1 1- LI .#r I IV II CITY OF EVERETT PERMIT SERVICES. EVERETT • 32 0 CEDAR STREET,EV RETT,WA 982 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 906 Everett I ay BUILDING AREA: 8526 sq ft PROJECT TYPE: ❑ NEW CON UCTION ❑ DDITION 0 TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR T WN1-OUSE DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELE T CAL APPLIC TION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK $ 3000.00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF W RK: We are adding new p wer suppl and Horn Strobe. We are also relocating and adding heat detectors 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? El NO ❑✓ YES-#of Devices: 12 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: ✓❑ NO El 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 Ft 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: GOIIIerS/RAMS TENANT BUSINESS NAME(If Commercial): Columbia Debt Recovery OWNER MAILING ADDRESS: STREET 6500 Harbor Heights Parkway Mukiltieo WA 98275 CITY STATE ZIP OWNER PHONE:425-315-0807 OWNER EMAIL: CONTRACTOR NAME: Electrical Technology LLC CONTRACTOR ADDRESS: STREET P.O Box 13889 CITY Mill Creek STATE WA ZIP 98087 CONTRACTOR PHONE:425-405-0583 (CONTRACTOR EMAIL:Chris@elctro-tech.biz CONTRACTOR LIC.#(REQUIRED):ELEe I I L88 U(i CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 58542 PRIMARY CONTACT: DOWNER ©CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-931-3128 Chris Davis CONTACT EMAIL:Chris @ electro-tech.biz AGREEMENT:I hereby certify that 1 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 o tractors 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: 51 i 12C E noS. 2L0 wne Au hori Agent Signat Date (Revised 1/11/2019) Page 1-Application