6001 36TH AVE W BOEING 2022-07-14

'LECTRICAL PERMIT APPL ATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 i FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits ' PROJECT SrJTE INFORMATION ' S PROJECT ADDRESS: 6001 36th Ave W, Everett WA 98204 BUILDING AREA: sq ft PROJECT TYPE: Cl NEW CONSTRUCTION El ADDITION El TENANT IMPROVMENT ✓❑ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE El DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑COMMERCIAL .; EILECTRICAkAPPLM 'ATION INFORMATIIM 8, DESCRIPTION O INO K CONTRACT PRICE OF WORK:$ 1452 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Titan Electric job #2036005. Install (3) cameras, cabling by others THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑✓ NO ❑YES-Select Scope: El Service El Feeder El Circuits-#: El Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:3 SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio El 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. El Other(List All): CODE COMPLIANCY ,. :' '. 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: RINO DYES-See Below&Pg. 3 I 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: BE VINE LLC/APG YUCCA VINb TENANT BUSINESS NAME(If Commercial): Boeing OWNER MAILING ADDRESS: STREET 9350 WILSHIRE BLVD SUITE 402 CITY BEVERLY HILLS STATE CA ZIP 90212 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Titan Electric CONTRACTOR ADDRESS: STREET 12828 Northup Way, Suite 205 clTr Bellevue STATE WA Zip 98005 CONTRACTOR PHONE:206 633 2811 CONTRACTOR EMAIL:Permits@titanelectric.net CONTRACTOR LIC.#(REQUIRED):TITANEI963OB CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 051191 PRIMARY CONTACT: DOWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206 551 7253 CONTACT EMAIL:seanh@titanelectric.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#:E Sean Hughes � o-� k<..s �, 2/5/2020 ` Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application