711 W CASINO RD ARTERRA APTS 2023-01-23

1121 M ARTERRA APTS � CCTVCLUBHOUSE/ ECTRICAL PERMIT APPLI ATION LEASING OFFICE EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425 257 8810 FAX 425 257 8857 1(E)everetteps©everettwa.gov I www.everettwagov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 71 1 W Casino Road BUILDING AREA: 2000 sq ft PROJECT TYPE: ElNEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ✓❑ MULTI-FAMILY-#OF UNITS:unknown ❑ COMMERCIAL ELECTRICAL APPLICATION`INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 12,000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: CLUBHOUSE AREA - PROVIDE AND INSTALL CCTV WITH UBIQUITI PTP WIRELESS NETWORK & SITE DATA TRANSMISSION THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? 0 NO ❑ YES-Select Scope: El Service El Feeder ❑ Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? El NO ✓❑ YES-#of Devices:9 SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑Thermostat ❑Audio El 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):CCTV CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: 0 NO El 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 Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ✓❑NO EYES-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: COLRICH ARTERRA COMMUNITIES TENANT BUSINESS NAME(If Commercial): ARTERRA APARTMENTS OWNER MAILING ADDRESS: STREET 444 WEST BEECH STREET SUITE 300 cITY SAN DIEGO STATE CA ZIP 92101 OWNER PHONE:(503)707 1895 OWNER EMAIL:blakee@colrich.com CONTRACTOR NAME: E-SQUARED SYSTEMS LLC CONTRACTOR ADDRESS: STREET 3006 96TH ST S CITY LAKEWOOD STATE WA ZIP 98499 CONTRACTOR PHONE:253.284.3707 CONTRACTOR EMAIL:ryanm@e2systemsllc.com CONTRACTOR LIC.#(REQUIRED):ESQUASL963BR CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 43598 PRIMARY CONTACT: DOWNER E1CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-284-3707(office)or 253-442-4012(cell) Ryan Messer CONTACT EMAIL:ryanm@e2systemsllc.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 Digitally signed by Ryan Messer PERMIT#: Rya n M esse r 0CN=DN C-US,E=ryanm@e2systemsllc corn,=E-RyanSquaedSystems LLC,OU=Manager, E ` ,J Date:2019.12.09 07:58:23-08 00 Owner/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application