3715 SMITH AVE 2023-04-07 - Laserfiche WebLink

Emmi Liz EL.TRICAL PERMIT APPLIC, '1ON CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 wxsxtr+oroN (P)425-257-8810 ((E)PermitServices©everettwa.gov I www.everettwa.gov/permits __ 1 A _..:4-1` :i0,'. PROJECT SITE INFORMATION PROJECT ADDRESS:3715 Smith Ave BUILDING AREA: 2000 sq ft PROJECT TYPE: 0 NEW CONSTRUCTION 0 ADDITION D TENANT IMPROVMENT Ei REMODEL BUILDING USE: 0 SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: 17 COMMERCIAL 4 ■■ K y■ N CONTRACT PRICE OF WORK:$750 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Low Voltage AES Radio Add to existing FACP for communication Low Voltage AES Radio Add to existing FACP for communication THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE:(SELECT ALL THAT APPLY) LINE VOLTAGE WORK? El NO ❑YES Select Scope:0 Service 0 Feeder ❑Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑NO ✓3 YES-#of Devices:1 SELECT SCOPE(REQUIRED): ❑Data 0 Intercom El Thermostat Q Audio El Secure Access El Security System Q 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): sE ` *41,, ''CODE;COMPLIANCE . IS THIS PERMIT EDUCATION, INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: El NO U YES--See Below&Pg.2 aBy 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:ONO DYES-See Below&Pg. El 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. ux OWNER NAME:Evergreen Moving Systems TENANT BUSINESS NAME(If Commercial): Evergreen Moving Systed OWNER MAILING ADDRESS: STREET 15835 Preston Place ary Burlington STATE WA BP 98233 OWNER PHONE:(425)252-7200 OWNER EMAIL:evergreenmoving@hotmail.com CONTRACTOR NAME:Guardian Security CONTRACTOR ADDRESS: STREET 1501 Kentucky Ave cry Bellingham STATE WA ZIP 98225 CONTRACTOR PHONE:(360)647-011.0 CONTRACTOR EMAIL:amorris@guardiansecurity.com CONTRACTOR LIC.#(REQUIRED):GUARDSS233K5 CITY OF EVERETT BUSINESS LIC.#(REQUIRED 0033443 PRIMARY CONTACT: DOWNER EICONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(360)647-0110 EX 328 Ad i M O rris CONTACT EMAIL:amorris@guardiansecurity.com AGREEMENT:t hereby certify that i have read and examined this application and know the same to be true and correct. All previsions 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 PERMIT#: „.. a- ----)4/‘. ir: i 2_ A- .,‘, V2E-Y2 E 2 2_ 0 4 - -0 I '91 Owner/Authoriz Agent Signature ate (Revised 4/5/2022) Page 1-Application