Laserfiche WebLink
Elm <br /> FIRE ALARM PERMIT APPLICIP1ION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT <br /> SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box <br /> WASHINGTON CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:205 E Casino Rd BUILDING AREA: 4030 sq ft <br /> PROJECT TYPE: El NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL <br /> BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX El ADU ❑ MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> PERMIT INFORMATION & DESCRIPTION OF WORK <br /> CONTRACT PRICE OF WORK:$12,500 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): /.2.J 12 -/L.j L <br /> DESCRIBE SCOPE OF WORK: <br /> Remove existing fire alarm system, and install new fire alarm system <br /> PLAN REVIEW REQUIREMENT <br /> Plan review by the Fire Department is required prior to permit issuance.Confirm the required items are included by checking the boxes: <br /> Check the boxes below to indicaticate all documents that are being submitted with this permit application: <br /> ✓❑ 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) <br /> El2 Sets of Plans-Must include the following: <br /> ❑✓ Location of fire alarm devices <br /> ❑✓ Battery calculations&voltage drop calculations for notification appliance circuits <br /> ❑✓ Sequence of operation in either an input/output matrix or narrative form <br /> CONTACT INFORMATION <br /> OWNER NAME: Genoveva Lopez TENANT BUSINESS NAME(If Commercial): Birrieria Tijuana <br /> OWNER MAILING ADDRESS: STREET 35717 Pacific Hwy S <br /> Federal Way STATE WA Zip 98003 <br /> OWNER PHONE: 323-519-9756 OWNER EMAIL: genovevaalopez@gmail.com <br /> CONTRACTOR NAME: Bay Alarm Company <br /> CONTRACTOR ADDRESS: STREET 8229 44th Ave W, Suite D <br /> cirr Mukilteo STATE WA ZIP 98275 <br /> CONTRACTOR PHONE: 425-595-3953 CONTRACTOR EMAIL: dianna.williams@bayalarm.com <br /> CONTRACTOR LIC.#(REQUIRED): BAYALAC876KF CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 57430 <br /> PRIMARY CONTACT: DOWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-595-3952 <br /> Josh Oberlander CONTACT EMAIL:joshua.oberlander@bayalarm.com <br /> 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 <br /> 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 <br /> 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 <br /> 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 <br /> WAC. <br /> City of Everett Official Use Only <br /> PERMIT#: <br /> W� j �� 21 FA 21 I - ail <br /> Owner/Authorized Agent Signature Date (Revised 3/6/2019) <br /> /7-- <br />