1130 SE EVERETT MALL WAY HOME GOODS 2023-06-22

ORE ALARM PERMIT APPLIMTION 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: 1130 SE EVERETT MALL WAY, Suite D BUILDING AREA: 24000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION E TENANT IMPROVMENT ❑REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ECOMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $12000 ASSOCIATED ELECTRICAL PERMIT#(REQUIRED):APPLYING FOR DESCRIBE SCOPE OF WORK: FIRE ALARM TENANT IMPROVEMENT PER PLAN. INSTALL (1) REMOTE POWER SUPPLY AND (20) OCCUPANT NOTIFICATION DEVICES 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: 71 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: TJX COMPANIES TENANT BUSINESS NAME(If Commercial): HOME GOODS OWNER MAILING ADDRESS: STREET 770 COCHITUATE RD CITY FRAMINGHAM STATE MA ZIP 01701 OWNER PHONE:817.521.2917 OWNER EMAIL: CONTRACTOR NAME:FIRE PROTECTION INC CONTRACTOR ADDRESS: STREET PO BOX 12642 ciTv BOTHELL STATE WA ZIP 98082 CONTRACTOR PHONE:425.290.9600 CONTRACTOR EMAIL:DAVID@FPISEATTLE.COM CONTRACTOR LIC.#(REQUIRED):FI REPI*0211 t—gOL'b CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 038814 PRIMARY CONTACT: ❑OWNER ECONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: DAVID MOW CONTACT PHONE:425.290.9600 CONTACT EMAIL:DAVID©FPISEATTLE.COM AGREEMENT:1 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: 12/28/22 FA 0(_ oo Owner/Authorized Agent Signature Date (Revised 4/21/2022) tea _ °g'9