5901 23RD DR W PROVIDENCE 2023-05-22

IRE ALARM PERMIT APPATION CITY OF EVERETT PERMIT SERVIIiir EVERETT SUBMITTAL INSTRUCTIONS: Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P)425-257-8810 I (E)PermitServices@everettwa.gov I (W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:5901 23rd Drive W, Suite 105 BUILDING AREA: 20569 sq ft 1PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION E TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $5500 ASSOCIATED ELECTRICAL PERMIT# (REQUIRED): DESCRIBE SCOPE OF WORK: Modify Existing Fire Alarm devices for tenant improvement. 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) ❑✓ 2 Sets of Plans-Must include the following: In Location of fire alarm devices QBattery calculations &voltage drop calculations for notification appliance circuits El Sequence of operation in either an input/output matrix or narrative form CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME (If Commercial):HME - Everett OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Fire Systems West, Inc CONTRACTOR ADDRESS: sTREET206 Frontage Rd N, Suite-C CITY Pacific STATE WA ZIP 98407 CONTRACTOR PHONE:253-833-1248 CONTRACTOR EMAIL:service@firesystemswest.com 'CONTRACTOR LIC.#(REQUIRED):FIRESWI055LW CITY OF EVERETT BUSINESS LIC. #(REQUIRED):022919 PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-951-6005 Matt Carl m a n CONTACT EMAIL:mattc@firesystemswest.com 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 oe-006 0 Owner/Authorized Agent Signature D e (Revised 4/21/2022) Eaan� — z ©6 /1