1500 52ND ST SE 2023-05-22 - Laserfiche WebLink

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 I (E)PermitServices©everettwa.gov I (W)everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:1500 52nd Street SE BUILDING AREA: 101 GO( sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ETOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $5500.00 ASSOCIATED ELECTRICAL PERMIT# (REQUIRED): DESCRIBE SCOPE OF WORK: Installation of Telgaurd for Verizon and the 5104B Dialer to the Fire Alarm 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: 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:Everett Golf Club TENANT BUSINESS NAME (If Commercial): OWNER MAILING ADDRESS: STREET-1 500 52nd Street Se CITY Everett STATE WA ZIP 98203 OWNER PHONE:429 299 5404 OWNER EMAIL:LTischler@everettgolfcc.com CONTRACTOR NAME:Fire Chief Equipment CONTRACTOR ADDRESS: STREET14214 NE 21st Street , Bellevue STATE WA ZIP 98007 CONTRACTOR PHONE:425 522-1269 CONTRACTOR EMAIL:jenniferr@fire-chief.com CONTRACTOR LIC.#(REQUIRED):FIRECCE9392Q CITY OF EVERETT BUSINESS LIC.#(REQUIRED):049267 PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425 522-1269 Jennifer Remming CONTACT EMAIL:jenniferr@fire-chief.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#: 111 r/j Ow rlAuthorizecL7Agent Signature Date (Revised 4/21/2022)