10719 19TH AVE SE B 2023-04-07 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTaN (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION -~' P. PROJECT ADDRESS: 10719 19th Avenue SE - Unit B BUILDING EA: 1,829 sq ft PROJECT TYPE: '� NEW CONSTRUCTION ❑ADDITION ❑ TENANT IMPROVMENT LI REMODEL BUILDING USE: C SFR E]TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$ 7,893.00 ASSOCIATED BUILDING PERMIT#(if applicable): ;r, O DESCRIBE SCOPE OF WORK: �� — 1l, Wire new Townhouses to code. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO tv?YES-Select Scope: Service ✓❑ Feeder ❑Circuits-#:24 ❑Complete Re-wire LOW VOLTAGE WORK? ❑NO YES-#of Devices:65 SELECT SCOPE(REQUIRED): ❑ Data ❑Intercom ❑Thermostat ❑Audio ❑Secure Access ❑ Security System El 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: 0 NO ❑YES--See Below&Pg. 2 Bycheckingthis box, I am statingthat I have read and understand all of WAC 296-46B-9 0,selected the specific reason on page 2 P 9 of this application(see next page),AND Plan Review is NOT required because I meet II 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: �]l 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: AGA Real Estate, LLC TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1208 130th Street SE-Unit B Everett STATE WA ,;R 98208 OWNER PHONE:206-830-0126 OWNER EMAIL:agabuilt@gmail.corn CONTRACTOR NAME: Tughan Electric, Inc. CONTRACTOR ADDRESS: STREET 1911 235th Court NE CITY Sammamish STATE WA zip 98074-4433 CONTRACTOR PHONE:425-868-8072 CONTRACTOR EMAIL:Larry@tughanelectric.com CONTRACTOR LIC.#(REQUIRED):TUGHAEI943BP CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 044481 PRIMARY CONTACT: DOWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-830-0126 Ed is Ku I aga CONTACT EMAIL:agabuilt@gmail.com AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. Al"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!am authorized by the owner of this property to perform the work for which application is made and I comply with the State ntractors L 18.27 RCW and 296.200 WAC City of Everett Official Use Only PERMIT#: �� l Og 10/10/2019 E 0 _ Owner/A no izad A t Signature Date (Revised 1/11/2019) Page 1-Application