8410 BROADWAY 2023-02-06 - Laserfiche WebLink

ENE Loa CTRICAL PERMIT APPLI.TION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 8410 Broadway BUILDING AREA: 90,000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION LI TENANT IMPROVMENT ✓❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX H ADU IA MULTI-FAMILY-#OF UNITS: 104 ❑ COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 1500 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Add 4 addressable fire alarm modules at the top of the elevator shaft, in the elevator machine room and in monitor shunt power and activation THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ✓❑ NO ❑YES-Select Scope: ❑ Service ❑ Feeder ❑Circuits-#: ❑ Complete Re-wire LOW VOLTAGE WORK? ❑ NO ✓❑YES-#of Devices:4 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: ✓❑ NO ❑ 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 OYES-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: EXTENDED STAY AMERICA#815 TENANT BUSINESS NAME(If Commercial): EXTENDED STAY AMERICA#815 OWNER MAILING ADDRESS: STREET PO BOX 49550 cm, CHARLOTTE STATE NC ZIP 28277 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: AlarmTech Inc CONTRACTOR ADDRESS: STREET PO Box 186 a-v Mountlake Terrace STATE WA ZIP 98043 CONTRACTOR PHONE:425-775-4208 CONTRACTOR EMAIL:Jesse@alarmtechincorporated.com CONTRACTOR LIC.#(REQUIRED):ALARMI*964NR CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 048631 PRIMARY CONTACT: ❑OWNER ❑✓CONTRACTOR [OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425 218 4721 Jesse Houfek CONTACT EMAIL:jesse@alarmtechincorporated.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 properly 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 Q 9-13-21 ` v`O� v O Owner/Au zed Agent Signature Date (Revised 1/11/2019) Page 1-Application