2722 COLBY AVE COMMUNITY HEALTH CENTER 2023-08-02

WE ALARM PERMIT APPL TION CITY OF EVERETT PERMIT SERVICE E V E R E T T SUBMITTAL INSTRUCTIONS: Drop off application and submittal documents at 3200 Cedar Street 2nd Floor Drop Box WASHINGTON CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2722 Colby Avenue clu'�) ✓ui BUILDING AREA: sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION ❑✓ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR ❑ TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: ❑✓ COMMERCIAL PERMIT INFORMATION & DESCRIPTION OF WORK''' CONTRACT PRICE OF WORK: $15000.00 ASSOCIATED ELECTRICAL PERMIT it (REQUIRED): E2301-144 DESCRIBE SCOPE OF WORK: Tenant Improvement to add complete smoke detection and notification coverage to the 3rd & 4th floors. 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: Q2 Sets of Specifications for the Devices to be installed (Equipment technical data sheets) M✓ 2 Sets of Plans - Must include the following: Location of fire alarm devices Q✓ 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: JB Everett, LLC TENANT BUSINESS NAME (If Commercial): Compass Healthcare OWNER MAILING ADDRESS: STREET 15203 SE 80th Street CITY Newcastle STATE WA Z,p 98059 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: West Coast Electrical Services CONTRACTOR ADDRESS: STREET 12527 Mukilteo Speedway Suite 103 CITY Lynnwood STATE VVA Z,p 98087 CONTRACTOR PHONE: 425-322-3189 1 CONTRACTOR EMAIL: Jere@wcelectrics.com CONTRACTOR LIC. #(REQUIRED): WESTCCE897PQ CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 53544 PRIMARY CONTACT: []OWNER Q✓ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Jere Thompson CONTACT PHONE: 425-888-1054 CONTACT EMAIL: jere@wcelec;trics.com AVKLLMENT.• I hereby certify that l 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 l am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. 20 Jan 2023 Owner/A thorized Agent Signature Date City of Everett Official Use Only PERMIT #: FA Z30 1— 01 D (Revised 412112022)