11000 16TH AVE SE 2023-05-22 - Laserfiche WebLink

Imo FIRE ALARM PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices©everettwa.goy!(W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 11000 16th Ave SE, Everett 98208 BUILDING AREA: 5000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑✓ TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU MULTI-FAMILY-#OF UNITS:8 ❑COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$1500 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):Applying For One DESCRIBE SCOPE OF WORK: Fire Alarm Control Panel Replacement- Like For Like See Attached Project Scope Letter, Fire Alarm Project Details, And Data Sheets 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: ✓❑ 2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) E2 Sets of Plans-Must include the following: El 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: Breckenridge Apartment Homes TENANT BUSINESS NAME(If Commercial): Breckenridge Apartment Homes OWNER MAILING ADDRESS: STREET 11000 16th Ave SE c,T, Everett STATE Wa ZIP 98208 OWNER PHONE:425.256.4262 OWNER EMAIL:breckenridgedir@weidner.com CONTRACTOR NAME:Fire Protection, Inc CONTRACTOR ADDRESS: STREET PO BOX 12642 CITY Bothell STATE Wa ZIP 98082 CONTRACTOR PHONE:425.290.9600 CONTRACTOR EMAIL:david@fpiseattle.com CONTRACTOR LIC.#(REQUIRED):FIREPI*021 ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 038814 PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.290.9600 David Mow CONTACT EMAIL:david@fpiseattle.com AGREEMENT:I hereby certify that 1 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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: 11/30/22 FA . L ..1 --L_ cID Owner/Authorized Agent Signature Date (Revised 4/21/2022)