2710 COLBY AVE 2022-10-14 - Laserfiche WebLink

EMI ELS►TRICAL PERMIT APPLIC•ON CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I(E)PermitServices@everettwa.gov l www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:2710 Colby Ave BUILDING AREA: 2500 sq ft PROJECT TYPE: [ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT [J REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $750 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Low Voltage AES Radio add to existing Silent Knight 5700 Low Voltage AES Radio add to existing Silent Knight 5700 THIS INSTALLATION INCLUDES INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) Iv LINE VOLTAGE WORK? t NO EYES-Select Scope: Service n Feeder I i Circuits-4: ❑Complete Re-wire LOW VOLTAGE WORK? El NO 0 YES-#of Devices: 1 SELECT SCOPE(REQUIRED): Data ❑Intercom ❑Thermostat n Audio n Secure Access ❑Security System Z 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 Li YES--See Below& Pg. 2 bdvBy 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:E NO EYES-See Below& Pg. 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:FUIIy Loaded Electronics TENANT BUSINESS NAME(If Commercial): Fully Loaded Electronics OWNER MAILING ADDRESS: STREET 2710 Colby Ave coy Everett STATE WA 98201 OWNER PHONE:(425)773-1081 OWNER EMAIL:shelly@fullyloadedelectronics.com CONTRACTOR NAME:Guardian Security CONTRACTOR ADDRESS: STREET 1501 Kentucky Ave Bellingham STATE WA zip 98225 CONTRACTOR PHONE:(360)647-01 10 CONTRACTOR EMAIL:amorris@guardiansecurity.com CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0033443 PRIMARY CONTACT: DOWNER ❑✓ CONTRACTOR ['OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(360)647-0110 EX 328 Ad i Morris CONTACT EMAIL:amorris@guardiansecurity.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 1 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 17.04 A-06 Owner Authorized Agent Signature Date (Revised 4/5/2022) Page 1-Application