9001 AIRPORT RD 2023-02-06 - Laserfiche WebLink

RIFCTRICAL PERMIT APPLIOATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT,WA 98201 W 0.5HIN ON (P)425-257-8810 I(E)PermitServices@everettwa.gov I www.everettwa.goy/permits PROJECT SITE INFORMATION PROJECT ADDRESS:9001 Airport Road BUILDING AREA: 430° sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION P1 TENANT IMPRO\./MENT ❑REMODEL BUILDING USE: SFR ❑TOWNHOUSE ---_ DUPLEX C ADU ❑MULTI-FAMILY-#OF UNITS: i' 1 COMMERCIAL ELECTRICAL APPLICATION INFORMATION F. DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $20,000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Adding outlets in welding shop classroom. Adding outlets in welding shop classroom. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? NO YES-Select Scope: E.Service Feeder El Circuits-#:8 ❑Complete Re-wire LOW VOLTAGE WORK? El NC ❑YES-#of Devices: • SELECT SCOPE(REQUIRED): E 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. n Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: ❑ NO U YES-- See Below&Pg. 2 21 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 DYES-See Below&Pc. 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 Pace 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME:MLikllteO School District TENANT BUSINESS NAME(If Commercial): Sno Isle Skills Center OWNER MAILING ADDRESS: STREE-9401 Sharon Drive c,T,, Everett STATE WA z,P 98204 OWNER PHONE:425-355-1274 OWNER EMAIL:HendersonSA@mukilteo.wednet.edu CONTRACTOR NAME:NA CONTRACTOR ADDRESS: STREET CITY STATE zip CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIREDi: (1E1 t1I E IA Il 3 CA CITY OF EVERETT BUSINESS LIC. #REQUIRED): 6 0 7 PRIMARY CONTACT: DOWNER Li CONTRACTOR (OTHER(Please Spec; CONTACT NAME: CONTACT PHONE:253-922-0446 Scott Watling CONTACT EMAIL:scott.watiing@bceengineers.com AGREEMENT' hereby certify that I have read and examined this application and know the same to be true and correct Ail provisions of laws and ordinances oovernrn_±ms type of work will be completed whether specified hereir 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 perfo'mance of construction. That I am author,'zed 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 !PERK Scott Vl/atling 5/27/22 F 2Z 5 - 2� Owner/Authorized Agent Signature Date (Revised 4/5.2022) Page 1-Application