510 SW EVERETT MALL WAY JUDD & BLACK 2022-08-11

• • FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Email application to everetteps@everettwa.gov or drop off at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:510 SW Everett Mall Way BUILDING AREA: 1000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR El TOWNHOUSE ❑ DUPLEX El ADU El MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$2000.00 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2110-053 DESCRIBE SCOPE OF WORK: Installation of a new AES Radio to the existing Fire Alarm System. PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance.Confirm the required items are included by checking the boxes: Check the boxes below to indicaticate all documents that are being submitted with this permit application: ✓❑2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑✓ 2 Sets of Plans-Must include the following: ✓❑ Location of fire alarm devices ✓❑ Battery calculations&voltage drop calculations for notification appliance circuits ❑✓ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Orion Alliance Group LLC TENANT BUSINESS NAME(If Commercial): Judd & Black Appliances OWNER MAILING ADDRESS: sTREET2401 San Pablo Ave STE 215 C1TY Pinole STATE CA ZIP 94564 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Protection & Communications Inc. CONTRACTOR ADDRESS: STREET1 9630 40th Ave W CITY Lynnwood STATE WA ZIP 98036 CONTRACTOR PHONE:425-774-9099 CONTRACTOR EMAIL:pc@prcommwa.com CONTRACTOR LIC.#(REQUIRED):PROTECI165L8 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 26474 PRIMARY CONTACT: DOWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425_774_9099 Jared Markewicz CONTACT EMAIL:pc@procommwa.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 with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: FA 1#7„...o2--0c) Jared Markewicz 01/12/2022 Owner/Authorized Agent Signature Date (Revised 3/6/2019) I/