8609 EVERGREEN WAY COMMUNITY HEALTH CENTER 2022-10-14

• 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:8609 Evergreen Way Everette WA 98208 BUILDING AREA: 5000 sq ft PROJECT TYPE: El NEW CONSTRUCTION El ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE E DUPLEX ❑ADU El MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$5000 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED •E221)4-085 ' DESCRIBE SCOPE OF WORK: Adding fire alarm system, adding 9 devices 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: Community Health Center TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET5929 Evergreen Way STE200 CITY Everette STATE WA Zip 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Guardlan Security CONTRACTOR ADDRESS: STREET 1743 1st Ave S CITY Seattle STATE WA ZIP 98134 CONTRACTOR PHONE:3603056218 CONTRACTOR EMAIL:hweller@guardiansecurity.com CONTRACTOR LIC.#(REQUIRED):GAURDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 033443 PRIMARY CONTACT: DOWNER ['CONTRACTOR ❑OTHER(Please Specify) --- CONTACT NAME: CONTACT PHONE:3603056218 Hannah Weller CONTACT EMAIL:hweller@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 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#: HannahWeller 04/12/2022 FA r-a 1 ^o 1 Owner/Authorized Agent Signature Date (Revised 3/6/2019) /