3405 KROMER AVE 2023-01-17 - Laserfiche WebLink

Ir• `! ELECTRICAL PERMIT APPLICATION EVERETT 32CITY OF EVERETT PERMIT SERVICES 06 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3405 Kromer Ave, Everett WA 98201 IBUILDING AREA: 1641 sq ft PROJECT TYPE: ❑NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT 0 REMODEL BUILDING USE: ®SFR []TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: []COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ N/A 1ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Remove and replace 7 circuits of knob and tube wiring. Update GFCI/AFCI outlets or breakers as needed Remove low voltage lighting circuits and replace with standard voltage lighting. Remove ten cadet heater circuits and repurpose circuits for lighting and outlets. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO B YES-Select Scope: ❑ Service 0 Feeder ®Circuits-*7 ❑Complete Re-wire LOW VOLTAGE WORK? ❑ NO ®YES-#of Devices:36 removed SELECT SCOPE(REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio ❑Secure Access ❑Security System ❑ 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: ONO YES--See Below&Pg. 2 ❑ By 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 Pian Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: NO JZYES-See Below&Pg. 3 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: Alfredo Padilla TENANT BUSINESS NAME If Commercial): OWNER MAILING ADDRESS: STREET 3405 Kromer Ave ,In Everett STATE WA pP 98201 OWNER PHONE:(206) 240-5800 1OWNER EMAIL:alfredojpadilla@gmail.com CONTRACTOR NAME: N/A CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): ICITY OF EVERETT BUSINESS LIC. REQUIRED): PRIMARY CONTACT: ®OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(206) 240-5800 Alfredo CONTACT EMAIL:alfredojpadilla@gmail.com AGREEMENT.-t hereby certify that l 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 gine authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorizer)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. I City of Everett Official Use Only PEFRMIT#: 10/7/2020 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application