1019 PACIFIC AVE 2023-04-07 - Laserfiche WebLink

FaiE ALARM 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.govI www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:1019 Pacific Ave BUILDING AREA: N/A sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ t.,FR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF '/.IRK:$1355 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED): DESCRIBE SCOPE OF VORK: Install an addressat. I Fire Alarm System relay to release doors controlled by the access control system in the event of Fire Alarm System F_.:,ivation. PLAN REVIEW REQUIREMENT Plan review by the Fire Department is required prior to permit issuance.Confirm the required items are included by checking the boxes: Check the boxes below o i-i,>Icaticate all documents that are being submitted with this permit application: ✓❑ 3 Sets of Specificat'..ns for the Devices to be installed (Equipment technical data sheets) 3 Sets of Plans-Mu_ lrclude the following: ❑ .. :.ation of fire alarm devices ❑ at' y calculations R.voltage drop calculations for notification appliance circuits ❑ 3o,i.l nce of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Pude' Found Kidney Center TENANT BUSINESS NAME(If Commercial): Puget Sound Kidney Center OWNER MAILING ADD •ESS STREET 1019 PACIFIC AVE CITY EVERETT STATE WA ZIP 98201 OWNER PHONE:425-2 w 4 'OWNER EMAIL:tobiass@pskc.net CONTRACTOR NAME:';omrnercial Alarm & Detection CONTRACTOR ADDRESS: STREET 17199 BENNETT ROAD CITY Mount Vernon STATE WA ZIP 98273 CONTRACTOR PHONE .36 .848-1533 CONTRACTOR EMAIL:eric@cfirepro.com CONTRACTOR LIC.#(..')UIRED):COMMEAI948L0 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 043019 PRIMARY CONTACT: J,:,JNER ❑✓ CONTRACTOR EOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(360)661-2630 Eric Si g m e n CONTACT EMAIL:eric@cfirepro.com AGREEMENT: I hereby re ti that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing th ,3 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 j , .ins of any other state or local law regulating construction or the performance of construction. That/am authorized by the owner of this proper to du,fc.rm 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#: arAnAn.,6, 20,- _ ,,S,�a�, FA I I I DI V Owner/Authorized Agent 'nature Date (Revised 3/6/2019)