1321 COLBY AVE BASE FILE 2022-11-16

M 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:1321 Colby Avenue BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION 0 TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$7150 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):E2202-1844y21,,0 ...Olp(0 DESCRIBE SCOPE OF WORK: AjAq• ljh\l,s E Wits almstalAi i55k.et(/'•&) Modify existing fire alarm system PRMC Everett Colby, Level 7 Roof Deck. (2) Devices. Joint venture between Johnson Controls Flre Protection and Veca Electric. 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: Providence Health & Services TENANT BUSINESS NAME(If Commercial): PRMC Everett - Colby OWNER MAILING ADDRESS: STREET1801 Lind Ave SW #9016 CITY Renton STATE WA ZIP 98057 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:JOhfSOf Controls Fire Protection CONTRACTOR ADDRESS: STREET9520 10th Ave S. Suite 100 CITY Seattle STATE WA ZIP 98108 CONTRACTOR PHONE:206-291-1400 CONTRACTOR EMAIL:janet.stebbins . t f 2.k1 CONTRACTOR LIC.#(REQUIRED):JOHNSCP831 PR CITY OF EVERETT BUSINESS LIC.#(REQUIRED):-601223334— PRIMARY CONTACT: ['OWNER ❑✓CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-777-4828 Janet Stebbins CONTACT EMAIL:janet.stebbins@jci.com AGREEMENT:I hereby certify that!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#: Janet Stebbins for JCFP 04-14-2022 F `-7--D r t Owner/Authorized Agent Signature Date (Revised 3/6/2019)