6023 W BEECH ST 2023-07-14 - Laserfiche WebLink

EVERETT 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1(E)PermitServices@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:6023 W Beech St Everett WA 98203 BUILDING AREA: 155 sq ft PROJECT TYPE: ✓❑NEW CONSTRUCTION [-I ADDITION []TENANT IMPROVMENT REMODEL BUILDING USE: ✓❑SFR []TOWNHOUSE ❑DUPLEX ❑ADU ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK:519,710 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIBE SCOPE OF WORK:Solar array- rooftop installations Solar arra - rooftop installations THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ❑NO D YES-Select Scope:❑✓ Service [_]Feeder ❑Circuits# []Complete Re-wire LOW VOLTAGE WORK? 2 NO ❑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. ❑Other(List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION,INSTITUTIONAL,HEALTH AND/OR PERSONAL CARE FACILITIES: Ej NO LJ YES-See Below&Pg.2 ❑ By checking this box,1 am stating that I have read and understand all of WAC 296-4613-900,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: ✓ O ES-See Below&Pg. 13Pursuant 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 NAMEEIIeen McCabe TENANT BUSINESS NAME ff Commercial): OWNER MAILING ADDRESS: STREET 6023 W Beech St crr„ Everett STATE WA ZIP98203 OWNER PHONE:425-908-9597 1OWNER EMAIL:leenaree@xmission.com CONTRACTOR NAME:Electrical Systems Solutions, Inc. CONTRACTOR ADDRESS: STREETPO BOX 16452 , Seattle STATE WA ZIP98116 CONTRACTOR PHONEa206) 923 9378 CONTRACTOR EMAIL:riCh@elessinc.com CONTRACTOR LIC. REQUIRED):ELECTSS902JN CITY OF EVERETT BUSINESS LIC. REQUIRED):65809 PRIMARY CONTACT: ❑OWNER OCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:Jonathan Alindayu CONTACT PHONE:206-992-4891 CONTACT EMAIL: AGREEMENT 1 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 con n or the performance of construction. That 1 am authorized by the owner of this property to perform the wok for which application is made and 1 comply with the Slate Con Law! 8.27 RCW and 296.200 WAC. of Everett Official Use Only g , PERMIT#: 4/25/23 2304-163 E -/�..IL. rJ�r�eV .r r1nM /Lf....:.....I A/C/fA791 D-�� •-.le-vl..