6920 SEAWAY BLVD 2023-06-23 - Laserfiche WebLink

sum Limm ELECTRICAL PERMIT APPLICATION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits m PROJECT ADDRESS: 6920 Seaway Blvd BUILDING AREA: 27000 sq ft PROJECT TYPE: El NEW CONSTRUCTION ❑ADDITION ✓❑TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ADU ❑ MULTI-FAMILY-#OF UNITS: ❑✓ COMMERCIAL ,,;1,�i,�. �.ma.�«.., ^",'±%r�y�,,`,. ,. -� s .a V n�:. W,�.�av CONTRACT PRICE OF WORK: $ 30750 ASSOCIATED BUILDING PERMIT4#(if applicable):- --"At.) DESCRIBE SCOPE OF WORK: Install 162 communications cables - Job #T59118 THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ✓❑ NO ❑YES-Select Scope: El Service ❑ Feeder ❑ Circuits-#: ❑Complete Re-wire LOW VOLTAGE WORK? ❑ NO ❑✓ YES-#of Devices:162 SELECT SCOPE(REQUIRED): ❑✓ Data LI Intercom ❑Thermostat ❑Audio ❑Secure Access ❑ Security System ❑ Fire Alarm-Installations under this permit only include electrical wiring rough-in of the system.An additional Fire Alarm Permit is required for review of device location and installation approval. ❑Other(List All): .,n IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES:\a4LNO i_t YES--See Below&Pg.2 By checking this box, I am stating that I have read and understand all of WAC 296-46B-9130,selected the specific reason on page 2 of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: : 0 EYES-See Below&Pg. 3 Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on .'ildings for rent,sale, or lease without the proper electrical licensing and certification, or exemption.By checking this box, I am stating that I have completed and See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. jk"':. t..A-.�.i"',�krt, ...> .itt. OWNER NAME: TENANT BUSINESS NAME(If Commercial): Fluke OWNER MAILING ADDRESS: STREET CITY S-ATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Pride Electric, Inc. CONTRACTOR ADDRESS: STREET18133 NE 68th St, D-120 CITY Redmond STATE WA z ip 98052 CONTRACTOR PHONE:425-454-3665 CONTRACTOR EMAIL:mbender@prideelectric.com CONTRACTOR LIC.#(REQUIRED):PRIDEE1077DR (CITY OF EVERETT IN BUSESS LIC.#(REQUIRED): 0271 37 PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR EOTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-454-3665 Matt Bender CONTACT EMAIL:mbender@prideelectric.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#: E Owne)i/Authorized Agent Signature Date (Revised 1/11/2019) Page 1-Application