1000 SE EVERETT MALL WAY US PROBATION COURT OFFICE 2023-05-19

mom FOE ALARM PERMIT APPLIA 3200TION EVERETTCITY OF EVERETT PERMIT SERVICES 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:1000 SE EVERETT MALL WAY STE 350 BUILDING AREA: 3800 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ✓❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI-FAMILY-#OF UNITS: ✓❑ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $10,000.00 ASSOCIATED ELECTRICAL PERMIT# (REQUIRED): DESCRIBE SCOPE OF WORK: ADD FIRE ALARM BOOSTER PANEL, ADD 19) AUDIO/VISUAL FIRE ALARM NOTIFICATION DEVICES, AND ADD 10) FIRE ALARM INITIATING DEVICES TO EXISITNG FA SYSTEM. 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 to indicaticate all documents that are being submitted with this permit application: ✓❑ 3 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) ❑✓ 3 Sets of Plans-Must include the following: ✓❑ Location of fire alarm devices ❑✓ Battery calculations&voltage drop calculations for notification appliance circuits ❑✓ Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: Pfluefer-Everett Holdings LLC TENANT BUSINESS NAME(If Commercial): US Probation OWNER MAILING ADDRESS: STREET 1000 SE Everett Mall Way c,n Everett STATE WA Z,P 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Western States Fire Protection CONTRACTOR ADDRESS: STREET 14690 NE 95th ST#101 CITY Redmond STATE WA z,P 98052 CONTRACTOR PHONE:425-881-010o CONTRACTOR EMAIL:jules.mayer@wsfp.us CONTRACTOR LIC.#(REQUIRED):WESTESF906P1 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 20553 PRIMARY CONTACT: ❑OWNER [ ICONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-429-4240 Jules Mayer CONTACT EMAIL:jules.mayer@wsfp.us 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 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#: FA 0 3- 0 k, 04/01/2021 /OW, Authorized Agent Signature Date (Revised 3/6/2019) yL