402 W MARINE VIEW DR 2023-07-14 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1(E)PermitSetvices@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:402 W Marine Dr BUILDING AREA: 350 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ADDITION ❑TENANT IMPROVMENT ❑✓ REMODEL BUILDING USE: ❑SFR ❑TOWNHOUSE ❑ DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: Z COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:$70000 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK: Rebuild sewer lift station 31. New electrical service meter and disconnect, new ATS and load bank connection box, add backup generator, new 480V panel, new mini power zone, new vfd's, new 50hp motors, new pud transformers. THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑ NO DYES-Select Scope:❑Service ❑Feeder ❑Circuits-#: Z Complete Re-wire LOW VOLTAGE WORK? ❑NO 0 YES-#of Devices: SELECT SCOPE(REQUIRED): ❑Data ❑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. 0 Other(List All):plc/scada system CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: EdNO YES--See Below&Pg.2 By checking this box, I am stating that I have read and understand all of WAC 29646B-900,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: NO ]YES-See Below&Pg. Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings 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. CONTACT INFORMATION OWNER NAME:Ken Christiansen TENANT BUSINESS NAME(If Commercial):City Of Everett OWNER MAILING ADDRESS: s11EET3200 Cedar Street any Everett STATE WA Z,P 98201 OWNER PHONE:425-257-8800 OWNER EMAIL:kchristiansen@everettwa.gov CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Electrical Administrator CONTACT NAME: CONTACT PHONE:425-309-0470 Ken Christiansen CONTACT EMAIL:kchristiansen@everettwa.gov AGREEMENT:I hereby certify that I have read and examined this application and Meow 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 thp State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT#: 4/26/2022 E 12,r - 10 " 01 Agent Signature Date (Revised 4/5/2022) Page 1-Application